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Harmuch C, Pini JDS, Nacamura PAB, Devechi ACR, de Souza VB, Zillmer JGV, Salci MA, Paiano M. Meanings attributed to changes experienced by individuals after COVID-19 hospitalization. Rev Bras Enferm 2024; 77Suppl 1:e20230122. [PMID: 39230121 PMCID: PMC11368381 DOI: 10.1590/0034-7167-2023-0122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 04/29/2024] [Indexed: 09/05/2024] Open
Abstract
OBJECTIVES to understand the meanings attributed to the experiences of individuals after hospitalization for COVID-19. METHODS qualitative study, with a theoretical framework based on Symbolic Interactionism and a methodological approach grounded in Grounded Theory. Nineteen participants who had moderate and severe forms of COVID-19 after hospitalization were interviewed. Data collection took place between April and November 2021 through online interviews, and the data were analyzed using initial and focused coding in the MAXQDA software. RESULTS the data illustrate new meanings attributed to different aspects of life after hospitalization, including relationships with others, the environment, physical and mental health, finances, identity, and interactions with a new social reality. CONCLUSIONS the meanings are intrinsically linked to the value of interpersonal relationships, the perception of their impact, and the consequences after hospitalization. This allows professionals to understand the importance of this information to improve care and prepare for future epidemics.
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Affiliation(s)
- Camila Harmuch
- Universidade Estadual de Maringá. Maringá, Paraná, Brazil
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2
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Rodríguez-Prat A, Pergolizzi D, Crespo I, Monforte-Royo C. Experiences of Isolation among Patients Hospitalized during an Infectious Disease Outbreak: A Systematic Review and Meta-Ethnography. Behav Med 2024; 50:195-210. [PMID: 37343055 DOI: 10.1080/08964289.2023.2214717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 04/28/2023] [Accepted: 05/11/2023] [Indexed: 06/23/2023]
Abstract
Hospital isolation is common for people during infectious disease outbreaks. Anxiety, stress, depression and other psychosocial outcomes have been reported due to these measures. However, there is scarce evidence about the experience of being isolated and about best practices for empathic clinical care in these circumstances. The aim of this study was to explore the experience of isolation on patients hospitalized during an infectious disease outbreak. A systematic review and meta-ethnography was carried out. A search strategy was applied to the PubMed, CINAHL, Web of Science, and PsycINFO databases on April 14, 2021 and again May 2, 2022. Data synthesis was conducted using Noblit and Hare's method of qualitative thematic synthesis. Twenty reports were included in this review: 16 qualitative, two mixed-methods (only the qualitative part was analyzed), plus 2 personal view pieces. They described the experiences of a total of 337 people hospitalized and isolated with an infectious disease. Following analysis and coding of data, four themes emerged: 1) Feelings triggered by isolation; 2) Coping strategies; 3) Connection/disconnection; 4) Factors that influence the experience of isolation. Despite a sensitive search strategy, limited studies represent patient experiences using qualitative methods. The experience of isolation among patients hospitalized during an outbreak is characterized by fear, perceived stigma, and a sense of disconnection from others and the outside world due to a lack of information. Fostering a person-centered care model could help hospitalized patients develop adaptive mechanisms that minimize the impact of isolation.
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Affiliation(s)
| | - Denise Pergolizzi
- School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Iris Crespo
- Department of Psychology; School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain
| | - Cristina Monforte-Royo
- Department of Nursing; School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona
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Kiran A, Narayanasamy N, Ramesh JVN, Ahmad MW. A novel deep learning framework for accurate melanoma diagnosis integrating imaging and genomic data for improved patient outcomes. Skin Res Technol 2024; 30:e13770. [PMID: 38881051 PMCID: PMC11180689 DOI: 10.1111/srt.13770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 05/13/2024] [Indexed: 06/18/2024]
Abstract
BACKGROUND Melanoma is one of the most malignant forms of skin cancer, with a high mortality rate in the advanced stages. Therefore, early and accurate detection of melanoma plays an important role in improving patients' prognosis. Biopsy is the traditional method for melanoma diagnosis, but this method lacks reliability. Therefore, it is important to apply new methods to diagnose melanoma effectively. AIM This study presents a new approach to classify melanoma using deep neural networks (DNNs) with combined multiple modal imaging and genomic data, which could potentially provide more reliable diagnosis than current medical methods for melanoma. METHOD We built a dataset of dermoscopic images, histopathological slides and genomic profiles. We developed a custom framework composed of two widely established types of neural networks for analysing image data Convolutional Neural Networks (CNNs) and networks that can learn graph structure for analysing genomic data-Graph Neural Networks. We trained and evaluated the proposed framework on this dataset. RESULTS The developed multi-modal DNN achieved higher accuracy than traditional medical approaches. The mean accuracy of the proposed model was 92.5% with an area under the receiver operating characteristic curve of 0.96, suggesting that the multi-modal DNN approach can detect critical morphologic and molecular features of melanoma beyond the limitations of traditional AI and traditional machine learning approaches. The combination of cutting-edge AI may allow access to a broader range of diagnostic data, which can allow dermatologists to make more accurate decisions and refine treatment strategies. However, the application of the framework will have to be validated at a larger scale and more clinical trials need to be conducted to establish whether this novel diagnostic approach will be more effective and feasible.
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Affiliation(s)
- Ajmeera Kiran
- Department of Computer Science and EngineeringMLR Institute of TechnologyHyderabadTelanganaIndia
| | - Navaprakash Narayanasamy
- Saveetha School of EngineeringSaveetha Institute of Medical and Technical Sciences (SIMATS)ChennaiIndia
| | - Janjhyam Venkata Naga Ramesh
- Department of Computer Science and EngineeringKoneru Lakshmaiah Education FoundationVaddeswaramAndhra PradeshIndia
| | - Mohd Wazih Ahmad
- Chair Intelligent Systems SIGAdama Science and Technology UniversityASTUAdamaEthiopia
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Zhang L, Zhang C, Li K, Zhang Y. Longitudinal qualitative study on the psychological experiences of COVID-19 patients based on timing it right framework. Sci Rep 2024; 14:12409. [PMID: 38811669 PMCID: PMC11137053 DOI: 10.1038/s41598-024-63215-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 05/27/2024] [Indexed: 05/31/2024] Open
Abstract
Timing it right framework was used as a framework to explore the illness experiences of patients infected with COVID-19 and to analyze the patients' perceptions of the disease and their true inner feelings to provide a reference for the control of infectious diseases. This research adopted a phenomenological research approach to develop a longitudinal qualitative study. A purposive sampling method was used to select participants and 37 patients were recruited. Depending on the principle that participants should have maximum variation and sampling should cease when interviews content saturation is achieved, 16 COVID-19 patients in an isolation ward in Ningbo City, Zhejiang Province were finally included. Data were collected using semi-structured interviews, and the content of the interviews was analyzed by Colaizzi's 7-step method. The themes of COVID-19 patients' experiences at various phase were presented as follows: multiple emotions intertwined at the time of diagnosis (anxiety, stressful panic, facing the diagnosis calmly), multiple pressures during the hospitalization period (concerns about the disease, unable to adapt to the ward environment, worrying about future hardship), growth of positive illness experience during the isolation and observation period (sublimated outlook on life, affirmation of the government's anti-epidemic policy, more concerned about their own health), adjustment after returning to society (stigma, loss of previous living environment, problems caused by nucleic acid testing), and adaptation to social life (return to normal life, avoidance of illness experience, post-covid-19 syndrome). The illness experience of COVID-19 patients changed dynamically with time, but a sense of shame and uncertainty about recovery was present throughout the process. Interventions should be developed according to the needs of the patients at different times to inform subsequent optimization of care and management of infectious diseases.
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Affiliation(s)
- Liangyan Zhang
- Hemtology Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China
| | - Chen Zhang
- Intensive Care Unit, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.
| | - Kesang Li
- Hemtology Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China
| | - Yan Zhang
- Infection Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China
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Kenton N, Gronowski B, Fish D, Vartanian K, Robicsek A. Capturing the emotional and social experiences of COVID-19 through journal entries: A qualitative study of COVID-19 experiences over six weeks following infection. Heliyon 2024; 10:e28930. [PMID: 38601697 PMCID: PMC11004564 DOI: 10.1016/j.heliyon.2024.e28930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 03/26/2024] [Accepted: 03/27/2024] [Indexed: 04/12/2024] Open
Abstract
COVID-19's wide-ranging effects on patients' physical health are well-documented, but comparatively less research has explored the impact on patients' emotional and social experiences. We examined how patients across a multi-state health system experience the emotional and social aspects of COVID-19 during the first six weeks of recovery from infection. We leveraged the larger My COVID Diary project to capture open-ended journal data from an app-based platform available to patients who test positive for COVID-19 within the health system. Our sample was limited to participants with multiple journal entries during the first six weeks after infection, with one entry in the top 5% of all participants for word count to ensure sufficient journal content was available for analysis. We randomly selected 100 eligible participants and coded and analyzed all of their journal entries in weeks 1-6 after infection, utilizing a thematic analysis approach. Despite journal entry prompts' orientation towards physical symptoms, the majority of participants discussed emotional experiences (such as anxiety, depression, and gratitude) and social factors (such as work and family) when describing their COVID-19-related experiences. Physical, emotional, and social experiences related to COVID-19 infection and recovery were often interconnected and overlapping. These findings demonstrate that a holistic understanding of the patient experience that extends beyond physical symptoms is necessary to fully support patient care and recovery.
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Affiliation(s)
- Natalie Kenton
- Center for Outcomes Research & Education (CORE), Providence St. Joseph Health, 4400 NE Glisan Street, Building 1, Suite 265, Portland, OR, 97213, USA
| | - Benjamin Gronowski
- Center for Outcomes Research & Education (CORE), Providence St. Joseph Health, 4400 NE Glisan Street, Building 1, Suite 265, Portland, OR, 97213, USA
| | - Daniel Fish
- Center for Outcomes Research & Education (CORE), Providence St. Joseph Health, 4400 NE Glisan Street, Building 1, Suite 265, Portland, OR, 97213, USA
| | - Keri Vartanian
- Center for Outcomes Research & Education (CORE), Providence St. Joseph Health, 4400 NE Glisan Street, Building 1, Suite 265, Portland, OR, 97213, USA
| | - Ari Robicsek
- Providence Research Network, 1801 Lind Ave SW, Renton, WA, USA
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Zheng X, Qian M, Ye X, Zhang M, Zhan C, Li H, Luo T. Implications for long COVID: A systematic review and meta-aggregation of experience of patients diagnosed with COVID-19. J Clin Nurs 2024; 33:40-57. [PMID: 36253950 PMCID: PMC9874539 DOI: 10.1111/jocn.16537] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 05/19/2022] [Accepted: 09/06/2022] [Indexed: 01/27/2023]
Abstract
AIMS AND OBJECTIVES This review aims to synthesize the available evidence of what patients experience when infected with COVID-19, both in hospital and post-discharge settings. DESIGN This review was conducted using the Joanna Briggs Institute (JBI) methodology for qualitative systematic reviews and evidence synthesis. Reporting of results was presented according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) checklist. BACKGROUND Coronavirus disease 2019 (COVID-19) continues to be a public health crisis worldwide. Many patients diagnosed with COVID-19 have varied levels of persisting mental disorders. Previous studies have reported the degree, prevalence and outcome of psychological problems. Minimal research explored the experience of patients with long COVID. The real-life experience of patients with COVID-19 from diagnosis to post-discharge can deepen the understanding of nurses, physicians and policymakers. METHODS All studies describing the experience of patients were included. Two authors independently appraised the methodological quality of the included studies using the JBI Critical Appraisal Checklist for Qualitative Research 2020. RESULTS This systematic review aggregated patients' experience of being diagnosed with COVID-19 in both hospitalized and post-discharge settings. Finally, 17 studies met inclusion criteria and quality appraisal guidelines. The selected studies in the meta-synthesis resulted in 12 categories, and further were concluded as five synthesized findings: physical symptoms caused by the virus, positive and negative emotional responses to the virus, positive coping strategies as facilitators of epidemic prevention and control, negative coping strategies as obstacles of epidemic prevention and control, and unmet needs for medical resource. CONCLUSIONS The psychological burden of patients diagnosed with COVID-19 is heavy and persistent. Social support is essential in the control and prevention of the epidemic. Nurses and other staff should pay more attention to the mental health of the infected patients both in and after hospitalization. RELEVANCE TO CLINICAL PRACTICE Nurses should care about the persistent mental trauma of COVID-19 survivors and provide appropriate psychological interventions to mitigate the negative psychological consequences of them. Besides, nurses, as healthcare professionals who may have the most touch with patients, should evaluate the level of social support and deploy it for them. It is also needed for nurses to listen to patient's needs and treat them with carefulness and adequate patience in order to decrease the unmet needs of patients.
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Affiliation(s)
- Xutong Zheng
- School of NursingFujian University of Traditional Chinese MedicineFuzhouChina
- Department of NursingMindong Hospital Affiliated to Fujian Medical UniversityNingdeChina
| | - Min Qian
- Department of NursingBeijing Ji Shui Tan Hospital and the 4th Medical College of Peking UniversityBeijingChina
| | - Xinxin Ye
- Department of Sports and Exercise ScienceZhejiang UniversityHangzhouChina
- School of Public HealthZhejiang University School of MedicineHangzhouChina
| | - Man Zhang
- School of MedicineYan'an UniversityYan'anChina
| | - Chenju Zhan
- Department of NursingMindong Hospital Affiliated to Fujian Medical UniversityNingdeChina
| | - Hui Li
- School of NursingFujian University of Traditional Chinese MedicineFuzhouChina
- Department of NursingMindong Hospital Affiliated to Fujian Medical UniversityNingdeChina
| | - Tiantian Luo
- School of NursingFujian University of Traditional Chinese MedicineFuzhouChina
- Department of Scientific ResearchXiamen Xianyue HospitalXiamenChina
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Östlund AS, Högnelid J, Olsson A. Being an older hospitalized patient during the COVID-19 pandemic - A qualitative interview study. BMC Geriatr 2023; 23:810. [PMID: 38053062 PMCID: PMC10698926 DOI: 10.1186/s12877-023-04562-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 12/04/2023] [Indexed: 12/07/2023] Open
Abstract
BACKGROUND Older people hospitalized for COVID-19 are a vulnerable group due to the disease itself, aging and often loss of hearing and vision. Person-centered care, where patients have opportunities to communicate and participate in their own care, is important. However, because healthcare staff needed to wear personal protective equipment during the pandemic, to protect the patients and themselves, providing person-centered care was often difficult. This study aims to describe older hospitalized patients' experiences both of being cared for, while having COVID-19, and of the care provided by healthcare staff wearing PPE. METHODS Fourteen older patients, over 65 years of age, were interviewed, and the data were analyzed using qualitative content analysis. The study adhered to Consolidated criteria for reporting qualitative research guidelines. RESULTS Three subthemes and one overall theme, "The desire for survival overshadows difficulties", emerged in the analysis. The main findings revealed that the older hospitalized patients experienced the care they received from the healthcare staff as satisfactory. The older patients reported understanding and accepting that the pandemic situation meant that their ability to participate in their own care and communicate with healthcare staff were given lower priority. CONCLUSIONS Older hospitalized patients need to be provided person-centered care, and situations such as a pandemic are no exception. Care tasks that are not acute in nature, e.g., planning for patients' return home, could be conducted by healthcare staff not required to wear PPE.
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Affiliation(s)
- Ann-Sofi Östlund
- Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, S-801 76, Sweden
| | - Julia Högnelid
- Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, S-801 76, Sweden
| | - Annakarin Olsson
- Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, S-801 76, Sweden.
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8
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Candan HD, Yıldırım N. Factors Associated With Psychological Distress of Individuals With COVID-19 Isolating at Home: A Cross-Sectional Correlational Study. J Psychosoc Nurs Ment Health Serv 2023; 61:27-36. [PMID: 37256743 DOI: 10.3928/02793695-20230524-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The purpose of the current study was to clarify the effects of illness perceptions, coping styles, and social support on psychological distress of individuals with coronavirus disease 2019 (COVID-19) isolating at home. A cross-sectional study was performed in a state hospital in Turkey with 112 individuals with confirmed cases of COVID-19. Data were collected online using self-report scales between June 8, 2020, and December 25, 2020. Regression models were used to determine predictors of psychological distress. Significant predictors were cognitive and emotional illness representations, self-blame, and positive reinterpretation coping methods. Health care providers should consider individuals' illness perceptions and coping methods and their effect on psychological distress when providing in-home and follow-up care. [Journal of Psychosocial Nursing and Mental Health Services, 61(12), 27-36.].
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9
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Jefferies D, Ramjan LM, Stanbrook T, Reilly Z, Ratnayake S. "Their tenacity to just keep going": Nurses' experiences in medical hotel quarantine during the COVID-19 pandemic. J Adv Nurs 2023; 79:4280-4291. [PMID: 37395435 DOI: 10.1111/jan.15758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 06/01/2023] [Accepted: 06/15/2023] [Indexed: 07/04/2023]
Abstract
AIM To explore how nurses and nursing knowledge contributed to the success of an Australian nurse-led medical hotel quarantine facility during the COVID-19 pandemic. The facility was established to accommodate returning travellers who were COVID-19 positive or at risk of becoming positive, to travellers requiring complex care and expanded to community members who could not quarantine at home. DESIGN This descriptive qualitative study explored how nurses and nursing knowledge in the quarantine facility contributed to the low transmission incidence of COVID-19 infection. METHOD Twelve semi-structured interviews were conducted via ZOOM from February to May 2022 with all levels of nursing staff (nurse managers to assistants in nursing) who had worked in the facility for 3 months or more. The nurses were asked to describe their experiences, the challenges they faced and how they overcame them. The data were rich and were analysed using Braun and Clarke's six-step thematic analysis. RESULTS Four broad themes were generated demonstrating how nurses played a pivotal role in the success of the facility. First: nursing knowledge was evident through the development of policies, which minimized risks to nurses and patients. Second: a community of learning was developed as nurses supported upskilling and capacity building of staff, particularly new graduates with the facility. Third: a supportive management structure promoted teamwork and a positive workplace culture. And finally: the nurses were encouraged to develop techniques that promoted self-care which enabled them to develop resilience. CONCLUSION This was a nurse-led service that developed strategies to manage care delivery and overcame unanticipated difficulties in a unique clinical setting. REPORTING METHOD The quality of the research design was ensured by using the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Diana Jefferies
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
| | - Lucie M Ramjan
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
| | - Tracy Stanbrook
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
| | - Zac Reilly
- Palliative Care, Aged Care, Immunology & Infectious Diseases, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
| | - Shyama Ratnayake
- School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
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Fahed G, Fares AH, Ghosn A, Greige A, Hebbo E, Naja K, Moukarzel P, Haddad S, Finianos A, Honein G, Akl EA. The lived experiences of patients with cancer during the COVID-19 pandemic: a qualitative study. Ecancermedicalscience 2023; 17:1598. [PMID: 37799953 PMCID: PMC10550325 DOI: 10.3332/ecancer.2023.1598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Indexed: 10/07/2023] Open
Abstract
Background The objective of this study was to explore the impact of COVID-19 on the lived experiences of patients with cancer in Lebanon. Methods We adopted a descriptive phenomenological approach. We included adults who had been diagnosed with cancer before the pandemic and undergoing treatment at the American University of Beirut Medical Centre. We conducted virtual, semi-structured in-depth interviews with either video or audio recordings. Two team members coded the transcripts independently and identified common themes and patterns. Results We recruited 11 participants for the study. The analysis identified the following six themes: perceived seriousness of COVID-19, fear of COVID-19 versus fear of cancer, coping mechanisms, treatment availability and accessibility, compliance with public health and social measures and precautionary measures in the healthcare system. The coping mechanisms included staying positive, seeking normalcy, using family support, religiosity and fatalism. Conclusion Faced with many challenges during the COVID-19 pandemic, patients with cancer resorted to a range of coping strategies.
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Affiliation(s)
- Gracia Fahed
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Angie H Fares
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Aya Ghosn
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Alain Greige
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Elsa Hebbo
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Kim Naja
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
- Equal contribution
| | - Pamela Moukarzel
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
| | - Salame Haddad
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
| | - Antoine Finianos
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
| | - Gladys Honein
- American University of Beirut Hariri School of Nursing, Beirut 1107, Lebanon
| | - Elie A Akl
- American University of Beirut Faculty of Medicine, Beirut 1107, Lebanon
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11
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Romulo SG, Urbano RC. Separation and Discrimination: The Lived Experience of COVID-19 Survivors in Philippine Isolation Centers. ILLNESS, CRISES, AND LOSS 2023; 31:525-539. [PMID: 38603122 PMCID: PMC8958303 DOI: 10.1177/10541373221090019] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Social isolation in times of pandemic can affect the well-being of individuals infected with a contagious disease. This study explores the lived experience of the 12 COVID-19 survivors placed in community-based isolation centers in Cebu City, Philippines and whose cases were mild and asymptomatic. In describing their lived experience, we employed Max van Manen's phenomenology of practice. Results show that the COVID-19 survivors have suffered more from the consequences of separation and discrimination than the disease's physiological effects. Educating the whole community about social responsibility and ethical behavior in dealing with COVID-19 survivors is essential to minimize social stigma and discrimination.
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Affiliation(s)
| | - Ryan C. Urbano
- College of Arts and Sciences, Cebu Technological University, Cebu City, Philippines
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12
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Kaufman J, Bagot KL, Williams T, Jos C, Danchin M. Exploring the lived experience of families with a COVID-19 positive child: The journey from a critical grounded theory approach. PLoS One 2023; 18:e0282481. [PMID: 36857356 PMCID: PMC9977002 DOI: 10.1371/journal.pone.0282481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 02/16/2023] [Indexed: 03/02/2023] Open
Abstract
COVID-19 and associated public health policies have significantly disrupted the lives of both adults and children. Experiences of COVID-positive adults are well described but less is known about the experiences of families of children who receive a positive diagnosis, and the impact of public health policies on this experience. This study aimed to develop a framework to understand the lived experience of families with a child testing positive for COVID-19. We applied a qualitative study design, using grounded theory. The study took place in Melbourne, Australia between July and December 2020, during the first major Australian COVID-19 wave. Parents of children 0-18 years tested at a walk-in clinic at a paediatric tertiary referral hospital were invited to participate. Two interviewers jointly undertook in-depth interviews with parents of children who tested positive. Interviews were transcribed and two analysts used an inductive, critical realist analysis approach with NVivo and a virtual whiteboard. Results are presented incorporating a stratified reality (empirical, actual, real). Families described seven sequential stages of the COVID-19 positive testing journey: COVID-19 close to home; time to be tested; waiting for the test result; receiving the result; dealing with the diagnosis; coping with isolation; and moving forward/looking back. Our findings highlight how public health policies and messages targeting the general (adult) public were experienced by families. We provide a framework that families move through when their child tests positive for COVID-19. Within each phase, we report unmet needs and identify strategies to improve future pandemic planning for parents and children.
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Affiliation(s)
- Jessica Kaufman
- Murdoch Children’s Research Institute, Vaccine Uptake Group, Parkville, VIC, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia
| | - Kathleen L. Bagot
- Murdoch Children’s Research Institute, Vaccine Uptake Group, Parkville, VIC, Australia
| | - Tria Williams
- Murdoch Children’s Research Institute, Vaccine Uptake Group, Parkville, VIC, Australia
| | - Carol Jos
- Murdoch Children’s Research Institute, Vaccine Uptake Group, Parkville, VIC, Australia
| | - Margie Danchin
- Murdoch Children’s Research Institute, Vaccine Uptake Group, Parkville, VIC, Australia
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia
- The Royal Children’s Hospital, Parkville, VIC, Australia
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Engel FD, da Fonseca GGP, Cechinel-Peiter C, Backman C, da Costa DG, de Mello ALSF. Impact of the COVID-19 Pandemic on the Experiences of Hospitalized Patients: A Scoping Review. J Patient Saf 2023; 19:e46-e52. [PMID: 36459699 PMCID: PMC9940789 DOI: 10.1097/pts.0000000000001084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
OBJECTIVE This study aimed to identify the factors that exerted an impact on the experiences of hospitalized patients during the COVID-19 pandemic from the quality and safety perspectives. METHOD A scoping review that followed the 5 stages described by Arksey and O'Malley was used. A systematized search of original studies was conducted in 9 databases: PubMed/MEDLINE, BDENF, CINAHL, LILACS, SciELO, Embase, Scopus, Web of Science, and Google Scholar. The factors that exerted an impact on patients' experiences were summarized, considering the perspective of quality and patient safety in health institutions. The factors were categorized using the Content Analysis technique. RESULTS A total of 6950 studies were screened, and 32 met the eligibility criteria. The main factors that exerted an impact on the patients' experience were as follows: caregiver/family concern with the patients' well-being during hospitalization, search for alternative communication and interaction means between the patients and their family, and changes in health care organization. The restrictions inherent to the policy regarding visits and companions exerted a negative impact on the experiences, increasing the patients' feelings of loneliness and isolation. Negative impacts were also evidenced in the hospital admission and discharge process and in the limitation of treatment possibilities offered to the patients, because of contact restrictions. CONCLUSIONS The factors that exerted an impact on the patients' experiences permeate communication between professionals, patients, and family members, with implications for health care quality.
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Affiliation(s)
- Franciely Daiana Engel
- From the Graduate Program in Nursing, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | - Caroline Cechinel-Peiter
- From the Graduate Program in Nursing, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Chantal Backman
- School of Nursing, Faculty of Health Sciences, University of Ottawa
- Ottawa Hospital Research Institute
- Bruyère Research Institute, Ottawa, Ontario, Canada
| | - Diovane Ghignatti da Costa
- From the Graduate Program in Nursing, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
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14
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Sugg HVR, Richards DA, Russell AM, Burnett S, Cockcroft EJ, Thompson Coon J, Cruickshank S, Doris FE, Hunt HA, Iles-Smith H, Kent M, Logan PA, Morgan LM, Morley N, Rafferty AM, Shepherd MH, Singh SJ, Tooze SJ, Whear R. Nurses' strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the 'COVID-NURSE' survey. J Adv Nurs 2023; 79:1003-1017. [PMID: 35467757 PMCID: PMC9111453 DOI: 10.1111/jan.15261] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 03/03/2022] [Accepted: 04/04/2022] [Indexed: 11/29/2022]
Abstract
AIMS To identify strategies used by registered nurses and non-registered nursing care staff in overcoming barriers when providing fundamental nursing care for non-invasively ventilated inpatients with COVID-19. DESIGN Online survey with open-ended questions to collect qualitative data. METHODS In August 2020, we asked UK-based nursing staff to describe any strategies they employed to overcome barriers to delivering care in 15 fundamental nursing care categories when providing care to non-invasively ventilated patients with COVID-19. We analysed data using Framework Analysis. RESULTS A total of 1062 nurses consented to participate in our survey. We derived four themes. 1) Communication behaviours included adapting verbal and non-verbal communication with patients, using information technology to enable patients' significant others to communicate with staff and patients, and establishing clear information-sharing methods with other staff. 2) Organizing care required clustering interventions, carefully managing supplies, encouraging patient self-care and using 'runners' and interdisciplinary input. 3) Addressing patients' well-being and values required spending time with patients, acting in loco familiae, providing access to psychological and spiritual support, obtaining information about patients' wishes early on and providing privacy and comforting/meaningful items. 4) Management and leadership behaviours included training, timely provision of pandemic information, psychological support, team huddles and facilitating regular breaks. CONCLUSIONS Our respondents identified multiple strategies in four main areas of clinical practice. Management and leadership are crucial to both fundamental care delivery and the well-being of nurses during pandemics. Grouping strategies into these areas of action may assist nurses and leaders to prepare for pandemic nursing. IMPACT As these strategies are unlikely to be exclusive to the COVID-19 pandemic, their global dissemination may improve patient experience and help nurses deliver fundamental care when planning pandemic nursing. However, their effectiveness is unknown. Therefore, we are currently evaluating these strategies in a cluster randomized controlled trial.
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Affiliation(s)
- Holly V R Sugg
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - David A Richards
- College of Medicine and Health, University of Exeter, Exeter, UK.,Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | | | - Sarah Burnett
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Emma J Cockcroft
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Jo Thompson Coon
- College of Medicine and Health, University of Exeter, Exeter, UK.,The National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South West Peninsula (PenARC), Exeter, UK
| | | | - Faye E Doris
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Harriet A Hunt
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Heather Iles-Smith
- School of Health and Society, University of Salford, Salford, UK.,Northern Care Alliance NHS Group, Salford, UK
| | - Merryn Kent
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Philippa A Logan
- School of Medicine, University of Nottingham, Queens Medical centre, Nottingham, UK
| | - Leila M Morgan
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Naomi Morley
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Anne Marie Rafferty
- Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK
| | - Maggie H Shepherd
- College of Medicine and Health, University of Exeter, Exeter, UK.,NIHR Exeter Clinical Research Facility, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
| | - Sally J Singh
- Department of Respiratory Science, University of Leicester, Leicester, UK.,University Hospitals of Leicester NHS Trust, Biomedical Research Centre - Respiratory, Glenfield Hospital, Leicester, UK
| | - Susannah J Tooze
- College of Medicine and Health, University of Exeter, Exeter, UK
| | - Rebecca Whear
- College of Medicine and Health, University of Exeter, Exeter, UK
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15
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Téllez-López AM, Bermudez-Camps IB, Reyes-Hernández I, Fegadolli C, Gómez-Oliván LM. Methodological - Theoretical approach to phenomenological studies on the experience of medication use: A systematic review. Res Social Adm Pharm 2023; 19:845-858. [PMID: 36878811 DOI: 10.1016/j.sapharm.2023.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 02/04/2023] [Accepted: 02/16/2023] [Indexed: 02/25/2023]
Abstract
BACKGROUND The study of medication use should include pharmacological, family, and social dimensions to explain how the lived experiences, beliefs, and perceptions of everyone, and their social and cultural environment affects consumption, using for this purpose the qualitative approach. OBJECTIVE To conduct a systematic review of the theoretical-methodological approaches to phenomenology to identify studies that allow an understanding of patients' experiences with the use of medications.a. METHODS A systematic literature search was conducted following the PRISMA guidelines to identify studies that address phenomenological research on patients' experiences of medications used and to apply them in subsequent studies. A thematic analysis was performed using ATLAS.ti software to facilitate data management. RESULTS Twenty-six articles were identified, most of them including adult patients diagnosed with chronic degenerative diseases. The semantic network obtained places Phenomenology at the center as the interpretative referential framework, with three theoretical approaches: descriptive, interpretative, and perceptual under the philosophies of Husserl, Heidegger, and Merleau-Ponty respectively; two techniques to collect data which are in-depth interview and focus groups; and to explore the life experiences of patients and understand the meaning in the context of their lives, thematic analysis, content analysis, and interpretative phenomenological analysis were identified. CONCLUSIONS It was evidenced that Qualitative Research approaches, methodologies, and techniques are applicable to describe people's experiences towards the use of medications. Phenomenology constitutes a useful referential framework in qualitative research to explain the experiences and perceptions about the disease and the use of medicines.
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16
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Edwards K, Cowan D, Brunero S. Perspective: Coping with Covid-19: An isolation risk assessment and management guideline for healthcare staff. Int J Ment Health Nurs 2023; 32:337-347. [PMID: 36385730 DOI: 10.1111/inm.13093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/25/2022] [Indexed: 11/18/2022]
Abstract
The mental health consequences of pandemic isolation have been well documented extending from psychological conditions such as anxiety and depression to increased falls risk, medication errors and delirium. Whilst risk factors associated with isolation are known, there remains a gap in the guidance for healthcare staff on how to assess for these risks and develop effective management plans. Using a structured professional judgement (SPJ) approach and the author's recent experience providing consultation and leadership to clinical staff working with at-risk patients during the pandemic, an isolation risk assessment and management guideline was developed. SPJ is an evidenced-based analytical method used to understand and mitigate risk that was primarily developed for the assessment and management of aggression and violence. This paper discusses an evidenced-based process used to develop the guideline and the application of its use from the author's clinical experience.
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Affiliation(s)
- Kim Edwards
- Integrated Mental Health and Alcohol and Other Drugs Services, Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia
| | - Darrin Cowan
- Integrated Mental Health and Alcohol and Other Drugs Services, Mid North Coast Local Health District, Port Macquarie, New South Wales, Australia
| | - Scott Brunero
- Mental Health Liaison, Prince of Wales Hospital, Randwick, New South Wales, Australia.,Casual Academic University of Technology, Sydney, New South Wales, Australia
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17
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Parisi S, Lehner N, Schrader H, Kierer L, Fleischer A, Miljukov O, Borgulya G, Rüter G, Viniol A, Gágyor I. Experiencing COVID-19, home isolation and primary health care: A mixed-methods study. Front Public Health 2023; 10:1023431. [PMID: 36703817 PMCID: PMC9872200 DOI: 10.3389/fpubh.2022.1023431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 12/12/2022] [Indexed: 01/12/2023] Open
Abstract
Objectives Although the vast majority of COVID-19 cases are treated in primary care, patients' experiences during home isolation have been little studied. This study aimed to explore the experiences of patients with acute COVID-19 and to identify challenges after the initial adaptation of the German health system to the pandemic (after first infection wave from February to June 2020). Methods A mixed-method convergent design was used to gain a holistic insight into patients experience. The study consisted of a cross-sectional survey, open survey answers and semi-structured telephone interviews. Descriptive analysis was performed on quantitative survey answers. Between group differences were calculated to explore changes after the first infection wave. Qualitative thematic analysis was conducted on open survey answers and interviews. The results were then compared within a triangulation protocol. Results A total of 1100 participants from all German states were recruited by 145 general practitioners from August 2020 to April 2021, 42 additionally took part in qualitative interviews. Disease onset varied from February 2020 to April 2021. After the first infection wave, more participants were tested positive during the acute disease (88.8%; 95.2%; P < 0.001). Waiting times for tests (mean 4.5 days, SD 4.1; 2.7days, SD 2.6, P < 0.001) and test results (mean 2.4 days, SD 1.9; 1.8 days, SD 1.3, P < 0.001) decreased. Qualitative results indicated that the availability of repeated testing and antigen tests reduced insecurities, transmission and related guilt. Although personal consultations at general practices increased (6.8%; 15.5%, P < 0.001), telephone consultation remained the main mode of consultation (78.5%) and video remained insignificant (1.9%). The course of disease, the living situation and social surroundings during isolation, access to health care, personal resilience, spirituality and feelings of guilt and worries emerged as themes influencing the illness experience. Challenges were contact management and adequate provision of care during home isolation. A constant contact person within the health system helped against feelings of care deprivation, uncertainty and fear. Conclusions Our study highlights that home isolation of individuals with COVID-19 requires a holistic approach that considers all aspects of patient care and effective coordination between different care providers.
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Affiliation(s)
- Sandra Parisi
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
| | - Nina Lehner
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
| | - Hanna Schrader
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
| | - Leonard Kierer
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
| | - Anna Fleischer
- Division of Medical Psychosomatics, University Hospital Würzburg, Würzburg, Germany
| | - Olga Miljukov
- Institute of Clinical Epidemiology and Biometry, Julius Maximilian University of Würzburg, Würzburg, Germany
| | - Gabor Borgulya
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
| | - Gernot Rüter
- Academic Teaching Practice, Mentoring Team of the Competence-Based Continuing Education Baden-Württemberg Kompetenzzentrum Weiterbildung Baden-Württemberg (KWBW), University of Tübingen, Tübingen, Germany
| | - Annika Viniol
- Department of General Practice, University of Marburg, Marburg, Germany
| | - Ildikó Gágyor
- Department of General Practice, University Hospital Würzburg, Würzburg, Germany
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18
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Matić Z, Sala MFW, Tonetto LM, Campiglia GC, Morgan J, DuBose JR, Zimring CM, Kraft CS. Understanding Experience of Patients With Highly Infectious Diseases During Extended Isolation: A Design Perspective. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2023; 16:97-112. [PMID: 36164757 DOI: 10.1177/19375867221128916] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVES This study aimed to develop a better understanding of the unique needs of patients with highly infectious diseases and their perceptions of being placed in isolation. We explore the subjective experiences of patients treated for Ebola in a biocontainment unit (BCU) and the healthcare personnel who cared for them. BACKGROUND The 2014 Ebola outbreak and the COVID-19 pandemic have brought to focus some major challenges of caring for patients with serious infectious diseases. Previous studies on BCU design have looked at ways to prevent self- and cross-contamination, but very few have examined how the built environment can support an improved patient experience. METHOD A qualitative study was conducted with four patients treated for Ebola and two critical care nurses who provided direct care to them at a single BCU in the U.S. Data were collected through in-depth semi-structured interviews to capture the actual patients' perception and experience of isolation. The interviews were analyzed using the thematic analysis approach. RESULTS The Ebola patients placed in source isolation perceived the BCU as an artificial environment where they lacked control, agency, autonomy, and independence. The physical separation from other patients, visitor restrictions, and staff wearing PPE contributed to feelings of social and emotional isolation, and loneliness. CONCLUSIONS The isolation can take a toll on physiological and psychological well-being. A thoughtful design of isolation units may improve patients' experience by supporting human and social interactions, empowering patients through space flexibility and personalization of space, and supporting a more holistic approach to isolation care.
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Affiliation(s)
| | - Maria F Wong Sala
- SimTigrate Design Lab, Georgia Institute of Technology, Atlanta, GA, USA
| | | | | | | | - Jennifer R DuBose
- SimTigrate Design Lab, Georgia Institute of Technology, Atlanta, GA, USA
| | - Craig M Zimring
- SimTigrate Design Lab, Georgia Institute of Technology, Atlanta, GA, USA
| | - Colleen S Kraft
- Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA
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19
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Kaewchandee C, Hnuthong U, Thinkan S, Rahman MS, Sangpoom S, Suwanbamrung C. The experiences of district public health officers during the COVID-19 crisis and its management in the upper southern region of Thailand: A mixed methods approach. Heliyon 2023; 9:e12558. [PMID: 36573081 PMCID: PMC9771841 DOI: 10.1016/j.heliyon.2022.e12558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 05/19/2022] [Accepted: 12/14/2022] [Indexed: 12/24/2022] Open
Abstract
District public health officers (DPHO) are the major health care providers and vital resources for tackling the coronavirus disease 2019 (COVID-19) outbreak in Thailand. No studies have been published on their experiences of combating COVID-19 in Thailand. To guide and improve COVID-19 control efforts, we aimed to describe their experiences and analyze associated factors for tackling the outbreak. This mixed-methods design involved providing structured questionnaires to selected DPHOs across 52 districts of seven provinces in the upper southern region Thailand. We performed data analysis using descriptive and multivariate statistics. The quantitative approach used questionnaires that demonstrated the content validity and reliability. Data collection involved Google forms, analyzed by multivariate statistics. The qualitative approach comprised an online in-depth interview of 11 DPHOs and a thematic analysis. Results found of the 52 DPHOs, 41 were men (78.8%), and the mean age was 50.02 years (SD = 8.52 years). Their proactive experiences were significantly associated with sex (ORadj = 2.38, 95% CI = 1.11-3.30), age (ORadj = 1.73, 95% CI = 1.09-2.76), the length of experience in the current position (ORadj = 2.27, 95% CI = 1.43-3.63), and working time in the current position (ORadj = 2.27, 95% CI = 1.43-3.63). There was no significant association between marital status, knowledge, understanding, opinion, proactive practice, and participation experiences. These results were related to six themes of the qualitative approach as follows: High morbidity and mortality of COVID-19, COVID-19 concomitant with several problems, Reaching out to the community for better COVID-19 solutions, The importance of regular reports and feedback, Solution planning based on the situation, and Providing relief to all stakeholders from COVID-19 issue. Proactive experiences of district public health officers are important for sustainable COVID-19 solutions. Disseminating relevant equipment, guidelines, policy, and government regulations is necessary to promote preparedness and efficacy in the crisis management of COVID-19.
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Affiliation(s)
- Chuthamat Kaewchandee
- Department of Research and Medicine Innovation, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand
| | - Unchalee Hnuthong
- School of Public Health, Walailak University, Nakhon Si Thammarat, 80160, Thailand
| | - Sudarat Thinkan
- School of Public Health, Walailak University, Nakhon Si Thammarat, 80160, Thailand
| | - Md. Siddikur Rahman
- Department of Statistics, Begum Rokeya University, Rangpur, 5404, Bangladesh
| | - Suttida Sangpoom
- School of Science, Walailak University, Nakhon Si Thammarat, 80160, Thailand,Excellent Center for Dengue and Community Public Health: EC for DACH; MPH. and PhD. in Public Health Research Program, Walailak University, 80160, Thailand
| | - Charuai Suwanbamrung
- School of Public Health, Walailak University, Nakhon Si Thammarat, 80160, Thailand,Excellent Center for Dengue and Community Public Health: EC for DACH; MPH. and PhD. in Public Health Research Program, Walailak University, 80160, Thailand,Corresponding author
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20
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Eqylan SB, Safadi RR, Swigart V. The Lived Experience of Critically-Ill Muslim Patients in Isolation. Int J Qual Stud Health Well-being 2022; 17:2032548. [PMID: 35133254 PMCID: PMC8925921 DOI: 10.1080/17482631.2022.2032548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Purpose This study explored critically ill Muslim patients’ experiences and perceptions related to confinement to isolation rooms. Methods The descriptive–interpretive lens of phenomenology was employed to explore and illuminate the isolation experience of critically ill Muslim patients). Semi-structured, face-to-face, audiotaped interviews were conducted . Colaizzi’s method of data analysis, in combination with an interpretive analysis supported by van Manen’s “lifeworld constituents” were used. Results Data analysis revealed four themes: Feeling isolated and imprisoned; losing basic patients’ rights; feeling rejected by healthcare providers; and accepting isolation and its adversity. Findings were illuminated by applying van Manen’s lifeworld constituents: spatiality, temporality, relationality and corporeality. The patients described the overwhelming impact of isolation on their physical, emotional, social and spiritual health. Conclusions This study provides healthcare providers with an in-depth understanding of critically ill patients’ physical, psychological and spiritual needs. Although the unique needs of Muslim patients are highlighted, it is evident that patients’ suffering in isolation is universal. Healthcare providers are encouraged to consider creative measures to support and help patients cope with the adversity of isolation.
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Affiliation(s)
- Sondos B. Eqylan
- Clinical Nurse Specialist, Al-Hussein Salt New Hospital, Salt, Jordan
| | - Reema R Safadi
- Maternity and Child Health Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan
| | - Valerie Swigart
- Professor, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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21
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Rodríguez-Martín B, Ramírez-Moreno JM, Caro-Alonso PÁ, Novo A, Martínez-Andrés M, Clavijo-Chamorro MZ, Rodríguez-Almagro J, López-Espuela F. The psychological impact on frontline nurses in Spain of caring for people with COVID-19. Arch Psychiatr Nurs 2022; 41:27-34. [PMID: 36428059 PMCID: PMC9295376 DOI: 10.1016/j.apnu.2022.07.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/31/2022] [Accepted: 07/10/2022] [Indexed: 12/14/2022]
Abstract
AIM To understand the perceptions of National Health System nurses who have been working on the frontline of the psychological impact of caring for people with COVID-19 during the first and second waves. METHODS A qualitative study, the design and analysis of which was based on phenomenology. For data collection, a semi-structured interview was administered to a sample of nurses who worked on the frontline in public hospitals in Extremadura and Madrid, Spain. The interviews, which followed a script including various topics, were conducted between May and November 2020 so as to include the experiences of the first and second waves of the pandemic. Sample collection continued until data saturation. The data were analysed following the phenomenological method of Giorgi with the help of the Atlas-Ti software. RESULTS Two main themes emerged from the data analysis that explained the nurses' perceptions: (i) the main psychological repercussions of being frontline carers (anxiety, fear, stress, impotence, frustration, and an increase in obsessions and obsessive behaviours) and (ii) psychological coping strategies (collapse in the face of the situation, dissociative amnesia, leaning on colleagues and working as a team, resigning oneself, perceiving the situation as a war, and being aware of psychological repercussions). DISCUSSION Caring as the first line causes great psychological repercussions for nurses. It is necessary to implement psychological and emotional support programmes to address the post-traumatic stress that nurses can suffer.
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Affiliation(s)
- Beatriz Rodríguez-Martín
- Department of Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Toledo, Spain.
| | - José María Ramírez-Moreno
- Department of Biomedical Sciences, Extremadura University Medical School, University of Extremadura, Badajoz, Spain; Neurology Department, Hospital Universitario Infanta Cristina, Stroke Center, Badajoz, Spain; Multidisciplinary Research Group GRIMEX, Extremadura, Spain.
| | - Pedro Ángel Caro-Alonso
- Department of Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, Talavera de la Reina, Toledo, Spain.
| | - André Novo
- Instituto Politécnico de Bragança, CINTESIS: NursID, Portugal.
| | - María Martínez-Andrés
- Department of Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha, Albacete, Spain.
| | | | - Julián Rodríguez-Almagro
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla La-Mancha, Ciudad Real, Spain.
| | - Fidel López-Espuela
- Metabolic Bone Diseases Research Group, Department of Nursing, Faculty of Nursing and Occupational Therapy, University of Extremadura, Extremadura, Spain.
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22
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Socan M, Erčulj VI. Confronting SARS-CoV-2 Infection: Patients' Experience in the First Pandemic Wave-Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12743. [PMID: 36232041 PMCID: PMC9566657 DOI: 10.3390/ijerph191912743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Revised: 09/30/2022] [Accepted: 10/02/2022] [Indexed: 06/16/2023]
Abstract
The aim of the study was to investigate the real-life experience of persons infected with SARS-CoV-2 in Slovenia in the first pandemic wave and how the buffering effect of social and informational support affected negative feelings. We used a self-administrated questionnaire. There were 1182 eligible notified cases with the response rate 64.9%. At least 62% of responders were able to follow the isolation rules, while 21.1% did not or could not organize their living separately from other household members. The main providers during the isolation period were close family members. The most prevalent emotion in our study was worry (70.3%) and fear (37.6%). Worry and fear during the illness were less probable for men than women, but more probable for older patients. Participants with strong emotional support had lower odds of being sad. Those who were exposed to a larger number of sources of information had higher odds of being worried. Those patients who used a higher number of more credible sources of information had higher odds of being afraid during illness. Pets did not play a special role in psychological well-being. The role of the media and public health communications should be explored further to achieve an improved response.
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Affiliation(s)
- Maja Socan
- National Institute of Public Health, 1000 Ljubljana, Slovenia
| | - Vanja Ida Erčulj
- Faculty of Criminal Justice and Security, University of Maribor, 2000 Maribor, Slovenia
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23
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Mestres‐Soler O, Leyva‐Moral JM, Aguayo‐González M, Zuriguel‐Pérez E, Rosales M, Gómez‐Ibáñez R. Autonomy and isolation experienced by patients and primary caregivers during COVID-19 hospitalization in Barcelona (Spain). Nurs Health Sci 2022; 24:853-861. [PMID: 36117318 PMCID: PMC9537796 DOI: 10.1111/nhs.12986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 09/12/2022] [Accepted: 09/13/2022] [Indexed: 12/27/2022]
Abstract
This study aims to describe patients' and family caregivers' hospitalization experiences during the COVID-19 pandemic. Using qualitative exploratory descriptive methods, 13 patients admitted to the largest hospital in Barcelona (Spain) due to COVID-19 were interviewed by telephone once discharged, as were eight primary caregivers. Data were analyzed using the content analysis method proposed by Krippendorff. Two main themes were identified: (i) Acceptance of mandatory isolation for patients and family caregivers, which refers to the verbalization of a feeling that justifies the imposed isolation and the need for the use of personal protective equipment by the health team for everyone's safety; and (ii) Limited autonomy during hospitalization for patients and family caregivers, which describes participants' perceptions of autonomy during hospitalization. Patients and caregivers experienced feelings of loneliness, which negatively affected their emotional health. In addition, they experienced reduced autonomy due to new habits and routines intended to control the pandemic for the benefit of public and global health.
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Affiliation(s)
- Olga Mestres‐Soler
- Nursing Department. Faculty of Medicine. Grupo de Investigación Enfermera en Vulnerabilidad y Salud (GRIVIS)Universitat Autónoma de Barcelona, Avda. Can Domènech s/n, 08193BellaterraBarcelonaSpain
| | - Juan M. Leyva‐Moral
- Universitat Autònoma de Barcelona, Department of Nursing. Faculty of Medicine.Grupo de Investigación Enfermera en Vulnerabilidad y Salud (GRIVIS), Universitat Autonoma de Barcelona, Avda. Can Domenech, Building M. Office M3/211, 08193 Bellaterra (Cerdanyola del Vallès)BarcelonaSpain
| | - Mariela Aguayo‐González
- Nursing Department. Faculty of Medicine. Grupo de Investigación Enfermera en Vulnerabilidad y Salud (GRIVIS)Universitat Autónoma de Barcelona, Avda. Can Domènech s/n, 08193BellaterraBarcelonaSpain
| | - Esperanza Zuriguel‐Pérez
- Department of Knowledge Management and EvaluationVall d'Hebron University Hospital. Barcelona, Spain. Head of Multidisciplinary Nursing Research Group. Vall d’Hebron Research Institute (VHIR)BarcelonaSpain
| | - Marta Rosales
- Hospitalization nurse at the Vall d’Hebron General HospitalBarcelonaSpain
| | - Rebeca Gómez‐Ibáñez
- Nursing Department. Faculty of Medicine. Grupo de Investigación Enfermera en Vulnerabilidad y Salud (GRIVIS)Universitat Autónoma de Barcelona, Avda. Can Domènech s/n, 08193BellaterraBarcelonaSpain
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Zhong Y, Zhao H, Lee TY, Yu T, Liu MF, Ji J. Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study. BMJ Open 2022; 12:e065799. [PMID: 36104127 PMCID: PMC9475958 DOI: 10.1136/bmjopen-2022-065799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES This study aimed to examine COVID-19 patients' experiences in a Fangcang shelter hospital in China, to provide insights into the effectiveness of this centralised isolation strategy as a novel solution to patient management during emerging infectious disease outbreaks. DESIGN This study adopted a qualitative descriptive design. Data were collected by individual semistructured interviews and analysed using thematic analysis. SETTING This study was undertaken in 1 of the 16 Fangcang shelter hospitals in Wuhan, China between 28 February 2020 and 7 March 2020. Fangcang shelter hospitals were temporary healthcare facilities intended for large-scale centralised isolation, treatment and disease monitoring of mild-to-moderate COVID-19 cases. These hospitals were an essential component of China's response to the first wave of the COVID-19 pandemic. PARTICIPANTS A total of 27 COVID-19 patients were recruited by purposive sampling. Eligible participants were (1) COVID-19 patients; (2) above 18 years of age and (3) able to communicate effectively. Exclusion criteria were (1) being clinically or emotionally unstable and (2) experiencing communication difficulties. RESULTS Three themes and nine subthemes were identified. First, COVID-19 patients experienced a range of psychological reactions during hospitalisation, including fear, uncertainty, helplessness and concerns. Second, there were positive and negative experiences associated with communal living. While COVID-19 patients' evaluation of essential services in the hospital was overall positive, privacy and hygiene issues were highlighted as stressors during their hospital stay. Third, positive peer support and a trusting patient-healthcare professional relationship served as a birthplace for resilience, trust and gratitude in COVID-19 patients. CONCLUSIONS Our findings suggest that, while sacrificing privacy, centralised isolation has the potential to mitigate negative psychological impacts of social isolation in COVID-19 patients by promoting meaningful peer connections, companionship and support within the shared living space. To our knowledge, this is the first study bringing patients' perspectives into healthcare service appraisal in emergency shelter hospitals.
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Affiliation(s)
- Yaping Zhong
- Academic Nursing Unit, Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia
| | - Huan Zhao
- Institute of Innovation, Science and Sustainability, Federation University Australia - Berwick Campus, Berwick, Victoria, Australia
| | - Tsorng-Yeh Lee
- School of Nursing, York University, Toronto, Ontario, Canada
| | - Tianchi Yu
- Department of Nephrology and Urology, Sir Run Run Hospital Nanjing Medical University, Nanjing, Jiangsu, China
- Kidney Disease Centre, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, Zhejiang, China
| | - Ming Fang Liu
- Operation Room, Sir Run Run Hospital Nanjing Medical University, Nanjing, Jiangsu, China
| | - Ji Ji
- Department of Nursing, Shandong First Medical University, Jinan, China
- Department of Nursing, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 250021 Jinan, Shandong, China
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Demir G, Seki Öz H. Psychological Experiences of Elderly Patients With Covid-19 Diagnosis in Intensive Care: A Qualitative Study. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221126212. [PMID: 36069594 DOI: 10.1177/00302228221126212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
In the study, it was aimed to determine the experiences of elderly COVID-19 patients hospitalized in intensive care units. The study was conducted based on the phenomenological design, one of the qualitative research methods. In-depth interviews were conducted using a semi-structured interview form with 15 participants, who were determined by the homogeneous and criterion sampling methods, two of the purposive sampling methods. Data were analyzed using Colaizzi's seven-step method. After the interviews, four themes were determined: intensive care experiences, importance of nursing care, intensive care environment and coping mechanisms related to COVID-19 disease, and post-intensive care realizations. In addition, 13 sub-themes were determined. This study provided a better understanding of the psychological experiences of elderly individuals during the disease, who have been hospitalized in intensive care unit and survived COVID-19.
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Affiliation(s)
- Gökçe Demir
- Faculty of Health Sciences, Department of Nursing, Kırşehir Ahi Evran University, Kırşehir, Turkey
| | - Hilal Seki Öz
- Faculty of Health Sciences, Department of Nursing, Kırşehir Ahi Evran University, Kırşehir, Turkey
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Deng Y, Li H, Park M. Emotional Experiences of COVID-19 Patients in China: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9491. [PMID: 35954856 PMCID: PMC9368303 DOI: 10.3390/ijerph19159491] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 07/26/2022] [Accepted: 07/29/2022] [Indexed: 12/23/2022]
Abstract
This study explored the emotional experiences of COVID-19 patients in China. Thirty-four patients diagnosed with COVID-19 participated in semi-structured telephone interviews. We used qualitative methods to investigate the distribution patterns and characteristics of patients' emotional experiences. The results indicated that emotional experiences showed different characteristics at different stages during isolation and treatment. COVID-19 patients' emotional discourse encompassed eight main themes, namely, feelings of shock at the diagnosis, yearning for future life, attachment to one's family, depression during the treatment, self-restriction due to probable contagiousness, powerlessness about the disease, open-mindedness about death, and faith in the joint efforts to fight COVID-19. These themes related to experiences concerning infection, isolation, outlook on life and death, stigma, and macro-identity. The findings suggest that the unexpected experience of COVID-19 infection exacerbated patients' negative emotions. COVID-19 patients' emotional stress stemmed from isolated environments, physiological effects of the disease, panic about the unknown, and realistic economic pressure. The government, medical staff, family members of patients, and the media should therefore work together to ensure proper emotional care for COVID-19 patients.
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Affiliation(s)
- Yu Deng
- College of Language Intelligence, Sichuan International Studies University, Chongqing 400031, China
| | - Huimin Li
- School of English, Sichuan International Studies University, Chongqing 400031, China;
| | - Minjun Park
- Chinese Language and Literature, Duksung Women’s University, Seoul 01369, Korea
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Psychological Experiences of Patients with Coronavirus Disease 2019 (COVID-19) during and after Hospitalization: A Descriptive Phenomenological Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148742. [PMID: 35886593 PMCID: PMC9322637 DOI: 10.3390/ijerph19148742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 07/15/2022] [Accepted: 07/16/2022] [Indexed: 11/18/2022]
Abstract
During an infectious disease pandemic, patients may experience various psychological issues. Few studies have focused on survivors’ experiences in Hong Kong. This study aimed to assess the psychological impacts of coronavirus disease 2019 (COVID-19) on survivors during admission to and discharge from COVID-19 wards using a descriptive phenomenological design. Purposive sampling was used to recruit 20 participants aged 30–77 years recently discharged from an isolation ward at an acute care facility and transferred to a community center specializing in pulmonary rehabilitation. Sampling was performed from 1 March 2022 to 3 April 2022. Semi-structured in-person interviews were conducted and transcribed verbatim; data analysis was performed using Colaizzi’s approach. The patients experienced two exclusive psychological phases during and after admission. The analysis of the patients’ experiences revealed three themes: (i) navigating uncertainties with mixed feelings and emotions during admission, (ii) adjusting to normal daily life after discharge, and (iii) self-growth after discharge. Our findings may provide empirical evidence for formulating pre-emptive strategies to mitigate the long-term psychological impacts of COVID-19. This investigation is timely and internationally relevant, and policymakers can use these findings to make informed decisions when developing guidelines for structuring the care of patients with COVID-19 during and after hospitalization. Based on our findings, we recommended that psychological support, particularly the provision of time to address patients’ concerns, may be integrated into the care of patients with COVID-19. Additionally, the structure of care may extend beyond the biomedical aspects of the illness to encompass the emotional and social dimension of the patients. To reduce stigmatization, we advise that public health authorities release clear information timely to clarify the misconceptions of the local community.
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Wasilewski MB, Szigeti Z, Sheppard CL, Minezes J, Hitzig SL, Mayo AL, Robinson LR, Lung M, Simpson R. Infection prevention and control across the continuum of COVID-19 care: A qualitative study of patients', caregivers' and providers' experiences. Health Expect 2022; 25:2431-2439. [PMID: 35818850 PMCID: PMC9350031 DOI: 10.1111/hex.13558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 06/07/2022] [Accepted: 06/09/2022] [Indexed: 11/30/2022] Open
Abstract
Introduction Healthcare facilities adopted restrictive visitor policies as a result of the COVID‐19 (COVID) pandemic. Though these measures were necessary to promote the safety of patients, families and healthcare providers, it led to isolation and loneliness amongst acute care inpatients that can undermine patient rehabilitation and recovery. The study objectives were to (1) explore how infection prevention and control (IP&C) measures impacted stakeholders' perceptions of care quality and interactions with others and (2) investigate how these experiences and perceptions varied across stakeholder groups and care settings. Methods A qualitative descriptive study was conducted. Patients and their families from an inpatient COVID rehabilitation hospital and healthcare providers from an acute or rehabilitation COVID hospital were interviewed between August 2020 and February 2021. Results A total of 10 patients, 5 family members and 12 healthcare providers were interviewed. Four major themes were identified: (1) IP&C measures challenged the psychosocial health of all stakeholders across care settings; (2): IP&C measures precipitated a need for greater relational care from HCPs; (3) infection prevention tenets perpetuated COVID‐related stigma that stakeholders experienced across care settings; and (4) technology was used to facilitate human connection when IP&C limited physical presence. Conclusion IP&C measures challenged psychosocial health and maintenance of vital human connections. Loneliness and isolation were felt by all stakeholders due to physical distancing and COVID‐related stigma. Some isolation was mitigated by the relational care provided by HCPs and technological innovations used. The findings of the study underscore the need to balance safety with psychosocial well‐being across care settings and beyond the patient–provider dyad. Patient and Public Contribution This study was informed by the Patient‐Oriented Research Agenda and developed through consultations with patients and family caregivers to identify priority areas for rehabilitation research. Priority areas identified that informed the current study were (1) the need to focus on the psychosocial aspects of recovery from illness and injury and (2) the importance of exploring patients' recovery experiences and needs across the continuum of care. The study protocol, ethics submission, analysis and manuscript preparation were all informed by healthcare providers with lived experience of working in COVID care settings.
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Affiliation(s)
- Marina B Wasilewski
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.,Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Zara Szigeti
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Christine L Sheppard
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada
| | - Jacqueline Minezes
- Musculoskeletal/STAR Rehab and Restorative Transitional Unit, St. John's Rehab, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
| | - Sander L Hitzig
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.,Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Amanda L Mayo
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.,Musculoskeletal/STAR Rehab and Restorative Transitional Unit, St. John's Rehab, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.,Division of Physical Medicine and Rehabilitation, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Lawrence R Robinson
- St. John's Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada.,Division of Physical Medicine and Rehabilitation, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Maria Lung
- Musculoskeletal/STAR Rehab and Restorative Transitional Unit, St. John's Rehab, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
| | - Robert Simpson
- Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.,Division of Physical Medicine and Rehabilitation, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
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Zhang H, Xie F, Yang B, Zhao F, Wang C, Chen X. Psychological experience of COVID-19 patients: A systematic review and qualitative meta-synthesis. Am J Infect Control 2022; 50:809-819. [PMID: 35121042 PMCID: PMC8806710 DOI: 10.1016/j.ajic.2022.01.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 01/20/2022] [Accepted: 01/22/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) has not only placed an unprecedented strain on healthcare systems worldwide, but has also caused irreparable physical and psychological damage to those infected. It is essential to understand the disease process and psychological experience of patients with COVID-19, to provide them with efficacious psychological guidance and interventions. This qualitative systematic review sought to explore the experience of COVID-19 patients. METHODS The meta-analysis methodology developed by the Joanna Briggs Institute guided this systematic review and qualitative meta-analysis. Seven databases were searched, with no language restrictions. This study was registered with PROSPERO under accession number CRD42021279266. RESULTS A total of 3107 potentially eligible articles were identified through database and reference list searches, among which 23 studies (from 10 countries) were ultimately included in our analysis. Five interrelated themes emerged: the complex psychological course of COVID-19 patients; the impact of the disease on the body; the expectation of support and guidance from multiple sources; coping strategies; and post-traumatic growth. CONCLUSIONS Psychological distress among patients with COVID-19 was found to be widespread. Healthcare providers should pay attention to the psychological changes in patients, ensure continuity of care and provide professional support from hospital to home, and build patients' confidence so that they can return to their families and society. Long-term follow-up studies may provide deeper insight into the psychological needs of survivors.
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Zhao Y, Leach LS, Walsh E, Batterham PJ, Calear AL, Phillips C, Olsen A, Doan T, LaBond C, Banwell C. COVID-19 and mental health in Australia - a scoping review. BMC Public Health 2022; 22:1200. [PMID: 35705931 PMCID: PMC9200373 DOI: 10.1186/s12889-022-13527-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 04/29/2022] [Indexed: 12/13/2022] Open
Abstract
Background The COVID-19 outbreak has spread to almost every country around the world and caused more than 3 million deaths. The pandemic has triggered enormous disruption in people’s daily lives with profound impacts globally. This has also been the case in Australia, despite the country’s comparative low mortality and physical morbidity due to the virus. This scoping review aims to provide a broad summary of the research activity focused on mental health during the first 10 months of the pandemic in Australia. Results A search of the Australian literature was conducted between August-November 2020 to capture published scientific papers, online reports and pre-prints, as well as gaps in research activities. The search identified 228 unique records in total. Twelve general population and 30 subpopulation group studies were included in the review. Conclusions Few studies were able to confidently report changes in mental health driven by the COVID-19 context (at the population or sub-group level) due to a lack of pre-COVID comparative data and non-representative sampling. Never-the-less, in aggregate, the findings show an increase in poor mental health over the early period of 2020. Results suggest that young people, those with pre-existing mental health conditions, and the financially disadvantaged, experienced greater declines in mental health. The need for rapid research appears to have left some groups under-researched (e.g. Culturally and Linguistically Diverse populations and Indigenous peoples were not studied), and some research methods under-employed (e.g. there was a lack of qualitative and mixed-methods studies). There is a need for further reviews as the follow-up results of longitudinal studies emerge and understandings of the impact of the pandemic are refined. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13527-9.
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Affiliation(s)
- Yixuan Zhao
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia.
| | - Liana S Leach
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Erin Walsh
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Philip J Batterham
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Alison L Calear
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Christine Phillips
- The ANU Medical School, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Anna Olsen
- The ANU Medical School, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Tinh Doan
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Christine LaBond
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Cathy Banwell
- The Research School of Population Health (RSPH), College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
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Piras I, Piazza MF, Piccolo C, Azara A, Piana A, Finco G, Galletta M. Experiences, Emotions, and Health Consequences among COVID-19 Survivors after Intensive Care Unit Hospitalization. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106263. [PMID: 35627801 PMCID: PMC9141708 DOI: 10.3390/ijerph19106263] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 05/18/2022] [Accepted: 05/19/2022] [Indexed: 12/24/2022]
Abstract
Literature suggested that COVID-19 patients experienced hospitalization as a physically and psychologically stressful event, with the risk to develop post-traumatic stress symptoms. The study aimed to understand psychological experiences of COVID-19 survivors with severe complications during and after ICU hospitalization, and any relevant health consequences. From October 2020 to January 2021, a qualitative study was conducted in Italy via semi-structured interviews by phone or video call addressed to COVID-19 survivors, randomly enrolled among people who released their stories publicly on newspapers, television, or social media. Fifteen individuals (three women and twelve men with average age of 56.4 years) were interviewed. Four main themes emerged: (i) emotion of fear; (ii) isolation and loneliness; (iii) unawareness about the gravity of the situation as a protective factor; (iv) “Long COVID” as consequences of the disease on physical and psychological health. During hospitalization, 66.7% of participants had mild or moderate values of anxiety and depression. After discharge, 86.7% moved to normal values. The results suggest that long-COVID is an important problem to manage to improve patients’ quality of life. It is essential to guarantee a holistic take in charge starting before the discharge and continuing care after discharge in the community where they live.
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Affiliation(s)
- Ilenia Piras
- Department of Biomedical Sciences, PhD School in Biomedical Sciences (Public Health), University of Sassari, 07100 Sassari, Italy
- Emergency Department SS. Trinità Hospital, ASL Cagliari, 09121 Cagliari, Italy
- Correspondence: or ; Tel.: +39-079228638
| | | | - Cristina Piccolo
- Intensive Care Unit SS. Trinità Hospital, ASL Cagliari, 09121 Cagliari, Italy;
| | - Antonio Azara
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy; (A.A.); (A.P.)
| | - Andrea Piana
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy; (A.A.); (A.P.)
| | - Gabriele Finco
- Intensive Care Unit Policlinico Universitario, Azienda Ospedaliero Universitaria Cagliari, 09042 Monserrato, Italy;
- Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy;
| | - Maura Galletta
- Department of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy;
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One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19094954. [PMID: 35564348 PMCID: PMC9106002 DOI: 10.3390/ijerph19094954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 04/05/2022] [Accepted: 04/15/2022] [Indexed: 11/24/2022]
Abstract
The COVID-19 pandemic emotionally affected the lives of patients cared for in different settings. However, a comprehensive view of the whole experience as lived by survived patients, from the onset of the disease and over time, is substantially unknown to date. A descriptive qualitative design was implemented according to the Standards for Reporting Qualitative Research. Adult patients (=1067) cared for during the first wave (March/April 2020) capable of answering an interview and willing to participate were interviewed (=397) by phone with an interview guide including open- and closed-ended questions. In this context, they were asked to summarise with a metaphor their entire COVID-19 experience at six months. Then, the emotional orientation (positive, neutral, or negative) of the metaphors expressed was identified. The participants were mainly female (206; 51.9%), with an average age of 52.6 years (CI 95% 50.4–53.6), reporting a mild severity of COVID-19 disease at the onset (261; 65.7%) and the perception of being completely healed (294; 70%) at six months. The patients summarised their experiences mainly using negative-oriented (248; 62.5%) metaphors; only 54 (13.6%) reported positive-oriented metaphors and a quarter (95; 23.95) neutral-oriented metaphors. Nearly all positive-oriented metaphors were reported by patients with symptoms at the onset (53; 98.1%), a significantly higher proportion compared to those reporting negative- (219; 88.3%) and neutral–oriented (78; 82.1%) metaphors (p = 0.014). While no other clinical features of the disease were associated, among females, significantly more negative-oriented metaphors emerged. Moreover, neutral-oriented metaphors were reported by younger patients (49.5 years, CI 95% 64.11–52.92) as compared to those negative and positive that were reported by more mature patients (53.9; CI 95% 52.04–55.93 and 54.8; CI 95% 50.53–59.24, respectively) (p = 0.044). Nurses and healthcare services require data to predict the long-term needs of patients. Our findings suggest that, for many patients, the COVID-19 lived experience was negative over time.
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Moyo I, Ndou-Mammbona AA, Mavhandu-Mudzusi AH. Challenges faced by healthcare workers at a central hospital in Zimbabwe after contracting COVID-19: An interpretive phenomenological analysis study. S Afr Fam Pract (2004) 2022; 64:e1-e9. [PMID: 35384678 PMCID: PMC8990508 DOI: 10.4102/safp.v64i1.5428] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 12/20/2021] [Accepted: 01/12/2022] [Indexed: 01/13/2023] Open
Abstract
Background Healthcare workers play a critical role in the delivery of healthcare services. Because of the high risk of exposure to healthcare workers, the emergence of coronavirus disease 2019 (COVID-19) has had a significant impact as they struggled to contain the pandemic. The purpose of this study was to explore and describe the challenges they faced after contracting COVID-19. Methods An interpretative phenomenological analysis (IPA) design was employed to gain insight into the lived experiences of healthcare workers who contracted COVID-19 in the course of their duties. This study involved participants who were healthcare workers based at a central hospital in Bulawayo, Zimbabwe. Data were collected through in-depth interviews that were audio recorded. A sample size of ten was reached based on data saturation. Results The study showed that healthcare workers lacked psychosocial support, experienced economic challenges as they incurred diagnostic and treatment costs. The study also found that the healthcare workers experienced stigma and discrimination both at work and in the community. Findings also indicate that healthcare workers did not receive institutional support. The study demonstrated lack of preparedness at the institution evidenced by inadequate testing for COVID-19 and shortage of personal protective equipment. Conclusion This study’s findings will be critical for health authorities, programmers and policymakers to facilitate planning and preparedness for pandemics. The researchers recommend setting up a differentiated service delivery support system for healthcare workers to cater for their mental health and well-being and that of their families.
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Affiliation(s)
- Idah Moyo
- HIV Services, Population Services International Zimbabwe, Harare, Zimbabwe; and, Department Health Sciences, College of Human Sciences, University of South Africa, Pretoria.
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Heiberg KE, Jøranson N, Heggestad AKT, Breievne G, Lausund H, Myrstad M, Ranhoff AH, Walle-Hansen MM, Bruun-Olsen V. “This path I must walk alone”. Challenges experienced by older patients while recovering from severe COVID-19 – a qualitative study. BMC Geriatr 2022; 22:253. [PMID: 35346076 PMCID: PMC8959550 DOI: 10.1186/s12877-022-02959-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 03/11/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
In March 2020, the COVID-19 pandemic challenged both the Norwegian population and healthcare system. In this study we explored how older men and women experienced rehabilitation and recovery after hospitalisation due to severe COVID-19.
Methods
Semi-structured interviews with 17 participants aged 60–96 years were performed 6 months after discharge from hospital. A thematic descriptive analysis was conducted.
Results
The results revealed that the participants experienced a challenging span between loneliness and companionship in recovering from severe COVID-19. The four subthemes highlighted experiences of being discharged to home and left to themselves, the importance of exercise and companionship at rehabilitation stay, requirement of self-effort and time to recover, and the challenging span between loneliness and companionship when being with family.
Conclusion
Among participants, the experiences of loneliness throughout the recovery period were striking. An individualised approach including psychological support should be emphasized in primary healthcare to promote recovery in older survivors after severe COVID-19 and their next-of-kin.
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Yan YY, Fan TY, Zheng YL, Yang HQ, Li TS, Wang HT, Gu YF, Xiao X, Du ZH, Sun XM. Prevention and control of COVID-19 by primary health care facilities in China: a field-survey-based qualitative study in three typical cities. BMC Health Serv Res 2022; 22:399. [PMID: 35346179 PMCID: PMC8960212 DOI: 10.1186/s12913-022-07770-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 03/11/2022] [Indexed: 11/12/2022] Open
Abstract
Background During the coronavirus disease 2019 (COVID-19) containment, primary health care (PHC) facilities inChina played an important role in providing both healthcare and public care services to community populations. The tasks of COVID-19 containment facilitated by PHC facilities were different among different regions and during different periods of COVID-19 pandemic. We sought to investigate the gaps on task participation, explore existing problems and provide corresponding solutions. Methods Semi-structured face-to-face interviews with COVID-19 prevention and control management teams of PHC facilities were conducted. Purposive stratified sampling was used and 32 team members of 22 PHC facilities were selected from Wuhan (as high-risk city), Shanghai (as medium-risk city) and Zunyi (as low-risk city). Framework analysis was employed to analyze the transcribed recordings. Results The main tasks of PHC facilities during the early period of the pandemic included assisting in contact tracing and epidemiological investigation, screening of populations at high-risk at travel centers/internals, house-by-house, or pre-examination/triage within PHC facilities; at-home/ centralized quarantine management; the work of fever sentinel clinics. Further analyses revealed the existing problems and suggestions for improvement or resolutions. Regular medical supply reserves were recommended because of the medical supply shortage during the pre-outbreak period. Temporarily converted quarantine wards and centralized quarantine centers could be used to deal with pressures on patients’ treatment and management of the febrile patients. Only after strict evaluation of nucleic acid testing (NAT) results and housing conditions, decision on quarantine at-home or centralized quarantine centers could be made. Settings of fever sentinel clinics at PHC facilities allowed fever patients with no COVID-19 infection risks for treatment without being transferred to fever clinics of the designed secondary hospitals. Psychological intervention was sometimes in need and really helped in addressing individuals’ mental pressures. Conclusions During the COVID-19 containment, PHC facilities in China were responsible for different tasks and several problems were encountered in the working process. Accordingly, specific and feasible suggestions were put forward for different problems. Our findings are highly beneficial for healthcare teams and governments in handling similar situations. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-07770-4.
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Wunadavalli LT, Satpathy S, Satapathy S, Singh S, Singh AR, Kumar Chadda R, Tiwari SK, Barre VP. Patient Satisfaction Scale for Hospitalized COVID-19 Patients: Development and Psychometric Properties. J Patient Exp 2022; 9:23743735221086762. [PMID: 35342789 PMCID: PMC8943485 DOI: 10.1177/23743735221086762] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective: Patients' appraisal of health care delivery system and services during COVID-19 could be an important yardstick for hospital administration and policy makers. The study attempted to develop and test the psychometric properties of a new patient satisfaction scale for COVID-19 patients. Methods: A total of 446 COVID-19-hospitalized COVID-19 patients in a tertiary care designated COVID-19 care hospital constituted the sample. Factor structure of scale was obtained using exploratory factor analysis (EFA). Internal consistency, split-half reliability, and validity (e.g., content, convergent, and divergent) were also evaluated. Results: Item reduction resulted in a 21-item scale consisting of three factors, namely COVID-19-focused treatment facility, COVID-19-appropriate hospital facility, and COVID-19-specific daily needs service facility. It demonstrated excellent internal consistency and reliability (Cronbach's alpha [α]: 0.93; Split-half reliability: 0.90), excellent content validity, and adequate convergent and divergent validity. The scale had no floor effects. Inter-index correlations were significant. To our knowledge: this scale is the first such psychometrically robust self-rated scale for patients' perception about hospital services during COVID-19. Available in both Hindi and English languages, the scale provides a quick measure of patient experience regarding CCOVID-19-specific hospital services.
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Affiliation(s)
- Laxmi Tej Wunadavalli
- Department of Hospital Administration, National Cancer Institute, Jhajjar, AIIMS, New Delhi, India
| | - Sidhartha Satpathy
- Department of Hospital Administration, National Cancer Institute, Jhajjar, AIIMS, New Delhi, India
| | | | - Sheetal Singh
- Department of Hospital Administration, National Cancer Institute, Jhajjar, AIIMS, New Delhi, India
| | - Angel Rajan Singh
- Department of Hospital Administration, National Cancer Institute, Jhajjar, AIIMS, New Delhi, India
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'Brain fog', guilt, and gratitude: experiences of symptoms and life changes in older survivors 6 months after hospitalisation for COVID-19. Eur Geriatr Med 2022; 13:695-703. [PMID: 35267190 PMCID: PMC8908746 DOI: 10.1007/s41999-022-00630-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/16/2022] [Indexed: 11/16/2022]
Abstract
Aim The aim of the study is to explore older participants’ experiences of symptoms and life changes approximately 6 months after hospitalisation for COVID-19. Findings The participants experienced various persistent physical and cognitive symptoms. At the same time, they experienced gratitude for having survived and for having achieved new life perspectives. Message Despite suffering from the post-COVID-19 condition the older adults’ coping resources helped them achieve new life perspectives. Purpose Several of those who have been infected with COVID-19 suffer from the post-COVID-19 condition months after the acute infection. Little is known about how older survivors have experienced the consequences and how these have affected their lives. The aim of this study was to explore how older survivors experienced post-COVID-19 condition and life changes approximately 6 months after hospitalisation for COVID-19. Methods The study had an explorative and descriptive design. Semi-structured interviews were performed with 17 participants from two local hospitals, 11 men and 6 women, aged 60 years and older (age range 60–96), approximately 6 months after hospitalisation for COVID-19. A thematic descriptive analysis inspired by Braun and Clarke was used. Results Two main themes and seven subthemes were revealed. The main themes were: From few to various persistent symptoms and Existential thoughts and reflections. Most of the participants experienced various physical and/or cognitive symptoms, such as reduced physical fitness, heavy breathing, fatigue, and ‘brain fog’. On the other hand, they also experienced guilt and gratitude for having survived. The recognition of having achieved other life perspectives was also present. Conclusion Six months after undergone COVID-19 the participants still experienced various distressing symptoms, which were in line with larger studies. The novel findings of this study were connected to the existential area, where the patients’ thoughts and reflections of guilt, gratitude, and new life perspectives were revealed. These findings are important for health professionals to consider when treating patients after COVID-19.
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Alkaissi A, Zaben F, Abu-Rajab M, Alkony M. Lived experiences of Palestinian patients with COVID-19: a multi-center descriptive phenomenological study of recovery journey. BMC Public Health 2022; 22:470. [PMID: 35264129 PMCID: PMC8905007 DOI: 10.1186/s12889-022-12868-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Accepted: 02/25/2022] [Indexed: 11/10/2022] Open
Abstract
Background Exploring lived experiences of recovered COVID-19 patients might have scientific, social, and policy relevance that can apply to the healthcare infrastructure. This multi-center descriptive phenomenological study was conducted to explore lived experiences of Palestinian patients who recovered from COVID-19. Methods This was a descriptive phenomenological study. A purposive sampling technique was used to recruit the study participants. Semi-structured qualitative interviews were conducted with patients who recovered from COVID-19 (n = 20). The interviews were transcribed verbatim. The transcripts were analyzed using Colaizzi’s phenomenological approach which consisted of the following steps: 1) familiarization, 2) identification of significant statements, 3) formulation of the meanings, 4) clustering the themes, 5) development of an exhaustive description of the phenomenon, 6) production of the fundamental structure, and 7) verification of the fundamental structure. Results Semi-structured interviews were conducted with 14 male and 6 female patients who recovered from COVID-19. The total duration of the interview time was 998 min (16.6 h). The qualitative data collected during the interviews were categorized into 5 major themes and 16 subthemes that exhaustively described the phenomenon. The major themes were relevant to: 1) emotions after learning about the infection, 2) experiencing social exclusion and stigma, 3) the experienced symptoms, 4) supportive treatments, herbs, rituals, and social support, 5) and life after recovery. Conclusion The interviewees recounted experiencing negative emotions, social exclusion, and stigma because of their infection. It may be important for mental health promotion to be an integral part of the care plan for patients with COVID-19. More studies are still needed to investigate if introducing mental healthcare providers to the care team of patients with COVID-19 can improve the experiences of the patients. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-12868-9.
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Affiliation(s)
- Aidah Alkaissi
- Nursing and Midwifery Department, Faculty of Medicine & Health Sciences- An-Najah National University, Nablus, Palestine.
| | - Fadi Zaben
- Nursing and Midwifery Department, Faculty of Medicine & Health Sciences- An-Najah National University, Nablus, Palestine
| | - Mohammad Abu-Rajab
- Nursing and Midwifery Department, Faculty of Medicine & Health Sciences- An-Najah National University, Nablus, Palestine
| | - Mahdia Alkony
- Nursing and Midwifery Department, Faculty of Medicine & Health Sciences- An-Najah National University, Nablus, Palestine
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Satpathy S, Wundaville LT, Satapathy S, Malik A, Singh S, Singh AR, Chadda R, Barre VP, Tiwari SK. A Systematic Review of Patient Satisfaction Scales and Their Applicability to Covid-19 Hospitalized Patients: Gaps and Emerging Needs. J Patient Exp 2022; 9:23743735221079132. [PMID: 35237716 PMCID: PMC8883383 DOI: 10.1177/23743735221079132] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Sidhartha Satpathy
- Department of Hospital Administration, NCI, Jhajjar, AIIMS, New Delhi, India
| | | | - Sujata Satapathy
- Clinical Psychology, Department of Psychiatry, AIIMS, New Delhi, India
| | - Apoorva Malik
- Clinical Psychology, Department of Psychiatry, AIIMS, New Delhi, India
| | - Sheetal Singh
- Department of Hospital Administration, NCI, Jhajjar, AIIMS, New Delhi, India
| | - Angel Rajan Singh
- Department of Hospital Administration, NCI, Jhajjar, AIIMS, New Delhi, India
| | - Rakesh Chadda
- Clinical Psychology, Department of Psychiatry, AIIMS, New Delhi, India
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Gray L, MacDonald C, Puloka A, Bocock C, Gwyther R, Rushton A, Puloka V, Becker JS, Kvalsvig A, Baker MG. The lived experience of hotel isolation and quarantine at the Aotearoa New Zealand border for COVID-19: A qualitative descriptive study. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2022; 70:102779. [PMID: 36569446 PMCID: PMC9764876 DOI: 10.1016/j.ijdrr.2021.102779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 12/28/2021] [Accepted: 12/30/2021] [Indexed: 06/17/2023]
Abstract
Hotel-based Managed Isolation and Quarantine (MIQ) is a key public health intervention in Aotearoa New Zealand's (NZ) COVID-19 border control strategy for returning citizens and permanent residents. We aimed to investigate the experience of transiting through MIQ in NZ, to inform future refinements of this type of system. A qualitative thematic analysis method was utilised to explore experiences in depth with seventy-five individuals who had undergone MIQ in NZ between April 2020 and July 2021. Participants were interviewed by telephone or Zoom or completed an online qualitative questionnaire. Interviews were audio recorded, transcribed and coded; questionnaire responses were sorted and coded. All data were subjected to thematic analysis. Three main themes described the key elements of the participants' experience of MIQ that influenced their overall experiences: 1) The MIQ process, 2) MIQ Hotels, and 3) Individual experience. The variation in participants' overall experience of MIQ was strongly influenced by their perceptions of how well the MIQ process was managed (including communication, flexibility, and compliance with disease prevention and control measures); and the quality of the hotels they were allocated to (in particular hotel staff, meals and information). This valuable insight into the experience of individuals in NZ MIQ hotels can inform better planning, management and implementation of the MIQ process for NZ and adds to the literature of countries utilising such strategies to minimise the transmission of COVID-19, whilst protecting the wellbeing of those using the system.
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Affiliation(s)
- Lesley Gray
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
- Joint Centre for Disaster Research, Massey University, Wellington, New Zealand
| | | | - Aivi Puloka
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
| | - Claudia Bocock
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
| | - Ruth Gwyther
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
| | - Ashleigh Rushton
- Joint Centre for Disaster Research, Massey University, Wellington, New Zealand
| | - Viliami Puloka
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
| | - Julia S Becker
- Joint Centre for Disaster Research, Massey University, Wellington, New Zealand
| | - Amanda Kvalsvig
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
| | - Michael G Baker
- University of Otago, Wellington, 6242, Aotearoa, New Zealand
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Kramer S, Omonaiye O, Digby R, Berry D, Considine J, Dunning T, Hutchinson AM, Hutchinson A, Manias E, Rasmussen B, Bucknall T. An evaluation of interventions to improve outcomes for hospitalized patients in isolation: A systematic review. Am J Infect Control 2022; 50:193-202. [PMID: 34525405 DOI: 10.1016/j.ajic.2021.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/16/2021] [Accepted: 09/06/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Isolation is effective in preventing transmission of infectious disease. However, it has been shown to have negative effects including increased anxiety and poor physical outcomes. OBJECTIVES To summarize the effects of interventions to improve safety and outcomes for patients in isolation DESIGN: Systematic review (PROSPERO protocol registration - CRD42020222779). SETTING Acute hospital PARTICIPANTS: Intervention studies including patients in preventative or protective isolation in a single room. METHODS MEDLINE, Global Health, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Excerpta Medica database were searched from 1996-October 2020. Two independent reviewers screened references and assessed risk of bias. One reviewer extracted data and was checked by another. Main outcomes were Quality of Life and mortality. RESULTS We identified 16,698 references and included 6 studies with different study designs. Average age ranged from 4-71 years. Samples sizes were small (range 10-49 participants) apart from one non-randomized controlled trial including >600 participants. Interventions were music therapy (n = 3), psychological counseling (n = 2) and exercise training (n = 1). One study reporting on Quality of Life and found no change after exercise. None of the studies reported on mortality. Due to heterogeneous results no meta-analyses were performed. CONCLUSIONS There is a lack of high-quality evidence for effective comprehensive interventions to manage adverse effects associated with isolation. Future studies should investigate the effect of multi-component interventions using rigorous methods to improve outcomes for hospitalized isolated patients.
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Affiliation(s)
- Sharon Kramer
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Alfred Health Partnership, Nursing Research, Melbourne, Australia.
| | - Olumuyiwa Omonaiye
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia
| | - Robin Digby
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Alfred Health Partnership, Nursing Research, Melbourne, Australia
| | - Debra Berry
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety, Research-Eastern Health Partnership, Nursing Research, Box Hill, Australia
| | - Julie Considine
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety, Research-Eastern Health Partnership, Nursing Research, Box Hill, Australia
| | - Trisha Dunning
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Barwon Health Partnership, Nursing Research, Geelong, Australia
| | - Alison M Hutchinson
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Monash Health Partnership, Nursing Research, Clayton, Australia
| | - Anastasia Hutchinson
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Epworth Healthcare Partnership, Nursing Research, Melbourne, Australia
| | - Elizabeth Manias
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia
| | - Bodil Rasmussen
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Western Health Partnership, Nursing Research, Sunshine, Australia
| | - Tracey Bucknall
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia; Centre for Quality and Patient Safety Research-Alfred Health Partnership, Nursing Research, Melbourne, Australia
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Kwok EYL, Chiu J, Rosenbaum P, Cunningham BJ. The process of telepractice implementation during the COVID-19 pandemic: a narrative inquiry of preschool speech-language pathologists and assistants from one center in Canada. BMC Health Serv Res 2022; 22:81. [PMID: 35034647 PMCID: PMC8761246 DOI: 10.1186/s12913-021-07454-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Accepted: 12/22/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens. METHODS The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the pandemic during videoconference interviews. A narrative inquiry approach was used to analyze interview transcripts to identify the processes (or steps) this program took to implement telepractice and to understand the facilitators and barriers to telepractice implementation during the pandemic. RESULTS The following six stages were identified from clinicians' narratives: abrupt lockdown; weeks of uncertainty; telepractice emerged as an option; preparation for telepractice; telepractice trials; and finally, full implementation of telepractice. The stages of events offered significant insights into how government public health measures influenced clinicians' decisions and their processes of adopting telepractice. In terms of barriers, clinicians reported a lack of knowledge, skills and experience with telepractice and a lack of technological support. The organization's learning climate and team approach to transitioning services were identified as the main facilitator of implementation. CONCLUSIONS Findings suggest a need for better coordination of public health measures and professional services, which would have eased clinicians' stress and facilitated an earlier transition to telepractice. Fostering an organization's learning climate may improve organization's resilience in response to emergency situations.
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Affiliation(s)
- Elaine Yuen Ling Kwok
- CanChild, McMaster University, Institute of Applied Health Sciences, Room 408, 1400 Main Street West, Hamilton, Ontario L8S 1C7 Canada
- Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL USA
| | - Jessica Chiu
- Faculty of Health Sciences, McMaster University, Institute of Applied Health Sciences, Room 403, 1400 Main St. W., Hamilton, Ontario L8S 1C7 Canada
| | - Peter Rosenbaum
- CanChild, McMaster University, Institute of Applied Health Sciences, Room 408, 1400 Main Street West, Hamilton, Ontario L8S 1C7 Canada
- Department of Pediatrics, McMaster University, 1280 Main Street West, Room 3A, Hamilton, Ontario L8S 4K1 Canada
| | - Barbara Jane Cunningham
- CanChild, McMaster University, Institute of Applied Health Sciences, Room 408, 1400 Main Street West, Hamilton, Ontario L8S 1C7 Canada
- School of Communication Sciences and Disorders, Western University, Rm 2516 Elborn College, 1201 Western Road, London, Ontario N6G 1H1 Canada
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Kim GM, Lee JU, Jung HK, Nam SG, Sim SH, Chang SJ. [Types of Perception Toward Quarantine Measures among Patients Infected with COVID-19]. J Korean Acad Nurs 2022; 51:661-677. [PMID: 35023856 DOI: 10.4040/jkan.21141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 09/23/2021] [Accepted: 10/01/2021] [Indexed: 11/09/2022]
Abstract
PURPOSE This study was conducted to identify the types of perception toward quarantine measures at hospitals or community treatment centers among patients infected with COVID-19. METHODS This study applied Q-methodology. Two hundred and nineteen Q populations were constructed based on related literature and in-depth interviews with 5 adults infected with COVID-19 and who experienced quarantine and hospitalization. Interviews were performed from November 14 to 29, 2020. A total of 45 Q samples were extracted and Q sorting was performed using a 9-point scale for 30 adult subjects who experienced quarantine at hospitals and community treatment centers. The data were analyzed using the PC-QUANL program. RESULTS The perception of subjects toward quarantine measures was classified into the following six types: 'passive acceptance', 'social stigma perception', 'appreciation of daily life through awareness of the realities of illness', 'why me?', 'fearful perception', and 'positive meaning'. CONCLUSION The perception of quarantine measure among patients with COVID-19 is identified as six types with positive and negative emotional characteristics. This result will contribute to the development of individualized strategies to address psychosocial health problems among patients with infectious diseases.
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Affiliation(s)
- Geun Myun Kim
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
| | - Jung Un Lee
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
| | - Hae Kyung Jung
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
| | - Soo Gyung Nam
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
| | - So Hyeong Sim
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea
| | - Soo Jung Chang
- Department of Nursing, Gangneung-Wonju National University, Wonju, Korea.
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Engström Å, Juuso P, Andersson M, Nordin A, Strömbäck U. The Meaning of Critical Illness for People Suffering From COVID-19: When a Frightening Unreality Becomes Reality. QUALITATIVE HEALTH RESEARCH 2022; 32:135-144. [PMID: 34839759 PMCID: PMC8739569 DOI: 10.1177/10497323211050048] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The aim of this study was to elucidate the meaning of critical illness for people with COVID-19. This study used a qualitative design. Thirteen people who were critically ill with COVID-19 during 2020 and admitted to a COVID-19 intensive care unit in northern Sweden participated in the study. Data collection was conducted as individual interviews with a narrative approach, and data were analyzed with phenomenological hermeneutic interpretation. The participants did not think they would get critically ill with this unexpected illness. They experienced terrible nightmares where their relatives had been killed, and they missed their relatives both in their dreams and in reality, as they had not been allowed to be with them due to the virus. Gratefulness was described for surviving. Participants described thoughts of not being able to imagine going through this again. They felt fear and loneliness, as a terrifying unreality had become a reality.
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Affiliation(s)
- Åsa Engström
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
| | - Päivi Juuso
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
| | - Maria Andersson
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
- Faculty of Health, Science, and Technology, Department of Health Science, Karlstad University, Karlstad, Sweden
| | - Anna Nordin
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
- Faculty of Health, Science, and Technology, Department of Health Science, Karlstad University, Karlstad, Sweden
| | - Ulrica Strömbäck
- Department of Health, Education and Technology, Division of Nursing and Medical Technology, Lulea University of Technology, Luleå, Sweden
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Zaidi A, Elmasaad A, Alobaidli H, Sayed R, Al-Ali D, Al-Kuwari D, Al-Kubaisi S, Mekki Y, Emara MM, Daher-Nashif S. Attitudes and Intentions toward COVID-19 Vaccination among Health Professions Students and Faculty in Qatar. Vaccines (Basel) 2021; 9:1275. [PMID: 34835206 PMCID: PMC8619275 DOI: 10.3390/vaccines9111275] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 10/15/2021] [Accepted: 10/30/2021] [Indexed: 01/22/2023] Open
Abstract
A population's desire to take the COVID-19 vaccine is an important predictor of a country's future pandemic management. This cross-sectional study examines the impact of psychological and sociodemographic factors on attitudes toward and intentions to take the COVID-19 vaccine among students and faculty at four colleges of health professions and sciences at Qatar University. The data were collected through an online survey using Google Forms. The survey was distributed through various online platforms. Data analysis was conducted using Stata 16. Of the 364 participants, 9.89% expressed a high mistrust of vaccine safety, and 21.7% were uncertain about their levels of trust; 28% expressed strong worries about unforeseen side effects, whereas 54.95% expressed moderate worries. Furthermore, 7.69% expressed strong concerns and 39.84% showed moderate concerns about commercial profiteering. Approximately 13% of the participants expressed a strong preference towards natural immunity, whilst 45.33% appeared to believe that natural immunity might be better than a vaccine. Importantly, 68.13% of the participants intended to receive the COVID-19 vaccine once it became available, compared to 17.03% who were uncertain and 14.83% who were unwilling to be vaccinated. Our findings differ from the data on vaccine hesitancy among the general population of Qatar. We argue that this gap is due to scientific knowledge and domain of education. Furthermore, although knowledge and awareness may affect vaccine attitudes, mental health and sociodemographic factors play a role in shaping attitudes towards vaccines.
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Affiliation(s)
- Amine Zaidi
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Amal Elmasaad
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Hend Alobaidli
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Rana Sayed
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Dana Al-Ali
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Dana Al-Kuwari
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Shaikha Al-Kubaisi
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Yosra Mekki
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
| | - Mohamed M. Emara
- Basic Medical Sciences Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar; (A.Z.); (A.E.); (H.A.); (R.S.); (D.A.-A.); (D.A.-K.); (S.A.-K.); (Y.M.); (M.M.E.)
- Biomedical and Pharmaceutical Research Unit, QU Health, Qatar University, Doha 2713, Qatar
| | - Suhad Daher-Nashif
- Population Medicine Department, College of Medicine, QU Health, Qatar University, Doha 2713, Qatar
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Bhandari S, Khakha DC, Kumar TKA, Verma R. "I might catch this infection again and this time I will not survive" - A qualitative study on lived-in experiences and coping strategies of COVID-19-positive individuals in India. Indian J Psychiatry 2021; 63:560-567. [PMID: 35136253 PMCID: PMC8793715 DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_196_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Revised: 06/08/2021] [Accepted: 09/23/2021] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND The clinical picture of COVID-19 is as complex as it is psychosocial impact. The sheer subjectivity of the illness experience demands that each individual affected be heard and noticed. AIMS To assess lived-in experiences and coping strategies of COVID-19 positive individuals. SETTINGS AND DESIGN The study was conducted at designated COVID care center of a tertiary care hospital using a hermeneutic phenomenological approach. MATERIALS AND METHODS Interviews were collected from 13 COVID-19-positive individuals using an open-ended interview guide and were recorded, transcribed and further analyzed. STATISTICAL ANALYSIS Analysis was done using Smith's Interpretative Phenomenological Approach. Themes and sub-themes were extracted and thematic schema was developed. RESULTS A total of 10 themes and 36 sub-themes were identified. The themes extracted with context to before being diagnosed with COVID-19 positive are impact of COVID-19 and preconception about hospitalization and hospitalized individuals. The themes with relation to active COVID-19 infection are psychological reactions, behavioral responses, positive experiences, negative experiences, stigma, coping strategies, and perceived needs. The theme re-adjustment with life was identified for postrecovery from COVID-19. CONCLUSIONS COVID-19-positive individuals have myriad of experiences from their transition of being positive to finally being free of infection. Their experience with the illness sheds light on the gray areas like stigma that demand immediate attention. Future policies need to be developed in accordance with the identified perceived needs to potentially guide the satisfaction and recovery of COVID-19-positive individuals.
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Affiliation(s)
- Sunidhi Bhandari
- Department of Nursing, College of Nursing, All India Institute of Medical Sciences, New Delhi, India
| | - Deepika Cecil Khakha
- Department of Nursing, College of Nursing, All India Institute of Medical Sciences, New Delhi, India
| | - T. K. Ajesh Kumar
- Department of Nursing, College of Nursing, All India Institute of Medical Sciences, New Delhi, India
| | - Rohit Verma
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
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A nurse is a gift to older parents with COVID-19. NURSING MADE INCREDIBLY EASY! 2021. [PMCID: PMC8500207 DOI: 10.1097/01.nme.0000793084.77160.c1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Read about how a son, who's also a nurse, cared for his mother after she was infected with COVID-19 and the universal lessons they learned. Read about how a son, who's also a nurse, cared for his mother after she was infected with COVID-19 and the universal lessons they learned.
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Lived Experience of Emergency Health Care Utilization during the COVID-19 Pandemic: A Qualitative Study. Prehosp Disaster Med 2021; 36:691-696. [PMID: 34622748 PMCID: PMC8523975 DOI: 10.1017/s1049023x21001126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Introduction: As the understanding of health care worker lived experience during coronavirus disease 2019 (COVID-19) grows, the experiences of those utilizing emergency health care services (EHS) during the pandemic are yet to be fully appreciated. Study Objective: The objective of this research was to explore lived experience of EHS utilization in Victoria, Australia during the COVID-19 pandemic from March 2020 through March 2021. Methods: An explorative qualitative design underpinned by a phenomenological approach was applied. Data were collected through semi-structured, in-depth interviews, which were transcribed verbatim and analyzed using Colaizzi’s approach. Results: Qualitative data were collected from 67 participants aged from 32 to 78-years-of-age (average age of 52). Just over one-half of the research participants were male (54%) and three-quarters lived in metropolitan regions (75%). Four key themes emerged from data analysis: (1) Concerns regarding exposure and infection delayed EHS utilization among participants with chronic health conditions; (2) Participants with acute health conditions expressed concern regarding the impact of COVID-19 on their care, but continued to access services as required; (3) Participants caring for people with sensory and developmental disabilities identified unique communication needs during interactions with EHS during the COVID-19 pandemic; communicating with emergency health care workers wearing personal protective equipment (PPE) was identified as a key challenge, with face masks reported as especially problematic for people who are deaf or hard-of-hearing; and (4) Children and older people also experienced communication challenges associated with PPE, and the need for connection with emergency health care workers was important for positive lived experience during interactions with EHS throughout the pandemic. Conclusion: This research provides an important insight into the lived experience of EHS utilization during the COVID-19 pandemic, a perspective currently lacking in the published peer-reviewed literature.
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Hsiao CT, Sun JJ, Chiang YH, Chen HL, Liu TY. Experience of patients with COVID-19 in hospital isolation in Taiwan. Nurs Health Sci 2021; 23:888-897. [PMID: 34468066 PMCID: PMC8662058 DOI: 10.1111/nhs.12878] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 08/01/2021] [Accepted: 08/08/2021] [Indexed: 12/20/2022]
Abstract
The COVID-19 pandemic has significantly impacted everyone's lives, challenging us in ways that can be frustrating, daunting, and intensely emotive. This qualitative study explored the isolation experiences of patients with COVID-19 in a hospital in northern Taiwan. We collected data from nine patients in June-July 2020, conducting semi-structured, virtual face-to-face, in-depth interviews to gather input on two topics: (1) the psychological effect of hospital isolation on patients, including the psychological burden, stress response, support, disease stigma, and fear of returning to society; and (2) the patients' cognition and behaviors, which included tracking epidemic information, monitoring disease progression, soliciting suggestions about hospital isolation, and gauging comprehension after recovery. The results confirmed that hospital isolation significantly impacts patients physically, psychologically, spiritually, and socially. Thus, the isolated patients faced the dual challenges of fighting, adapting to, and recovering from the disease itself and struggling in isolation to maintain positive beliefs, independently assess their condition, and gain strength from the knowledge of continuing social support.
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Affiliation(s)
- Chun-Ting Hsiao
- Department of Nursing, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan
| | - Jia-Jing Sun
- Department of Nursing, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan.,School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Yi-Hsuan Chiang
- College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Hsiu-Lien Chen
- Department of Nursing, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan
| | - Tsui-Yao Liu
- Department of Nursing, Taipei City Hospital, Heping Fuyou Branch, Taipei, Taiwan
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The Lived Experiences of COVID-19 Patients in South Korea: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147419. [PMID: 34299870 PMCID: PMC8307440 DOI: 10.3390/ijerph18147419] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 07/04/2021] [Accepted: 07/06/2021] [Indexed: 01/05/2023]
Abstract
The purpose of this qualitative study is to provide an in-depth understanding and description of the disease experiences of COVID-19 patients. The participants were 16 patients discharged from hospitals after receiving treatment for COVID-19 in isolation. Data collection was conducted through individual in-depth interviews until data saturation, and the interviews were recorded and transcribed verbatim. Data were analyzed using Colaizzi’s phenomenological method. The participants were quarantined after their COVID-19 diagnosis was confirmed, and they experienced desperate and uncertain times during treatment. The participants expressed shock and dissatisfaction due to an excessive invasion of privacy during the quarantine process and in the quarantine system. As confirmed COVID-19 cases, the participants experienced social stigma and feelings of guilt, negative attitudes from others and society, and negative influences from social networking services and the media. The participants also experienced mental and physical difficulties due to COVID-19 symptoms. However, they rediscovered meaningful relationships through the support of their family and friends in the midst of adversity. It is necessary to provide an integrated psychosocial rehabilitation program to reduce social stigma and improve the resilience of COVID-19 patients.
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