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Firouzkouhi M, Abdollahimohammad A, Alimohammadi N, Naderifar M, Akbarizadeh M. Lived Experiences of Critically Ill COVID-19 Patients About Death and Dying: A Descriptive Phenomenology. OMEGA-JOURNAL OF DEATH AND DYING 2024; 89:333-346. [PMID: 35098799 PMCID: PMC8801334 DOI: 10.1177/00302228211073269] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Thinking about death is one of the most common problems of critically ill patients with COVID-19 in ICUs. Therefore, this study aims to explore the experiences of critically ill patients with COVID-19 about death and dying. This is a descriptive phenomenology approach. Participants in this study had 12 participants who were purposefully selected. The data collection method was semi-structured through interviews. Data were analyzed based on Colaizzi's approach. Data analysis generated two main themes, including personal, and non-personal; challenge thinking about death, and eight sub-themes. Thinking about the death of critically ill COVID-19 patients is a significant challenge that affects the patient's health and prolongs the treatment process. Therefore, it should be careful in the patient's treatment and care program.
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Affiliation(s)
- Mohammadreza Firouzkouhi
- Department of Medical Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Abdolghani Abdollahimohammad
- Department of Medical Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Nasrollah Alimohammadi
- Department of Nursing Intensive Care, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahin Naderifar
- Department of Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Majidreza Akbarizadeh
- Department of Pediatrics, Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran
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Tacchini-Jacquier N, Bonvin E, Monnay S, Verloo H. Perceived stress, trust, safety and severity of SARS-CoV-2 infection among patients discharged from hospital during the COVID-19 pandemic's first wave: a PREMs survey. BMJ Open 2022; 12:e060559. [PMID: 35710249 PMCID: PMC9207576 DOI: 10.1136/bmjopen-2021-060559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
AIM To investigate experiences of stress, feelings of safety, trust in healthcare staff and perceptions of the severity of a SARS-CoV-2 infection among inpatients discharged from Valais Hospital, Switzerland, during the COVID-19 pandemic's first wave. METHODS Discharged patients aged 18 years or more (n=4665), hospitalised between 28 February and 11 May 2020, whether they had been infected by SARS-CoV-2 or not, were asked to complete a self-reporting questionnaire, as were their informal caregivers, if available (n=866). Participants answered questions from Cohen's Perceived Stress Scale (PSS) (0=no stress, 40=severe stress), Krajewska-Kułak et al's Trust in Nurses Scale and Anderson and Dedrick's Trust in Physician Scale (10=no trust, 50=complete trust), the severity of a SARS-CoV-2 infection (1=not serious, 5=very serious), as well as questions on their perceived feelings of safety (0=not safe, 10=extremely safe). RESULTS Of our 1341 respondents, 141 had been infected with SARS-CoV-2. Median PSS score was 24 (IQR1-3=19-29), median trust in healthcare staff was 33 (IQR1-3=31-36), median perceived severity of a SARS-CoV-2 infection was 4 (IQR1-3=3-4) and the median feelings of safety score was 8 (IQR1-3=8-10). Significant differences were found between males and females for PSS scores (p<0.001) and trust scores (p<0.001). No significant differences were found between males and females for the perceived severity of SARS-CoV-2 infection scores (p=0.552) and the feelings of safety (p=0.751). Associations were found between age and trust scores (Rs=0.201), age and perceived SARS-CoV-2 severity scores (Rs=0.134), sex (female) and perceived stress (Rs=0.114), and sex (female) and trust scores (Rs=0.137). Associations were found between SARS-CoV-2 infected participants and the perceived SARS-CoV-2 severity score (Rs=-0.087), between trust scores and feelings of safety (Rs=0.147), and perceived severity of a SARS-CoV-2 infection (Rs=0.123). DISCUSSION The results indicated that inpatients experienced significant feelings of stress regarding perceived symptoms of the illness, yet this did not affect their feelings of safety, trust in healthcare staff or perception of the severity of SARS-CoV-2 infection. Future patient-reported experience measures research is needed to give a voice to healthcare users and facilitate comparison measures internationally.
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Affiliation(s)
| | - Eric Bonvin
- General Direction, Valais Hospital, Sion, Switzerland
| | | | - Henk Verloo
- Department of Nursing, Haute Ecole Specialisee de Suisse Occidentale, Delemont, Switzerland
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Abdul Latif NI, Mohamed Ismail NA, Loh SYE, Nur Azurah AG, Midin M, Shah SA, Kalok A. Psychological Distress and COVID-19 Related Anxiety among Malaysian Women during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4590. [PMID: 35457456 PMCID: PMC9024897 DOI: 10.3390/ijerph19084590] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/07/2022] [Accepted: 04/08/2022] [Indexed: 12/23/2022]
Abstract
The combination of COVID-19 outbreaks and nationwide lockdown led to an increased prevalence of psychological distress among the population, especially women, as they have to cope with greater family and work demands. We aimed to identify the factors contributing to psychological distress among Malaysian women during the COVID-19 pandemic. A cross-sectional study was conducted between October 2020 and April 2021, in a teaching hospital in Kuala Lumpur, Malaysia. A self-administered questionnaire was distributed among women, which consisted of (1) Participant's demographics, (2) COVID-19 knowledge and awareness, (3) Depression, Anxiety, Stress Scale-21 (DASS-21), and (4) COVID-19-related anxiety. Chi-square test and univariate analysis were performed to determine the significant factors associated with psychological distress. The mean scores for knowledge, COVID-19 anxiety, and DASS-21 subcomponents were compared using the Mann-Whitney U test. A total of three hundred and thirty-eight women completed the survey. The majority of respondents demonstrated adequate knowledge (95.6%) on COVID-19. The proportion of our women who reported symptoms of depression, anxiety, and stress were 17.2%, 25.1%, and 0.9%, respectively, resulting in a prevalence of psychological distress of 27.8%. Low education level (p = 0.017), unemployment (p = 0.028), loss of income (p = 0.033), and hospital admission for surgical procedures (p = 0.021) were significantly associated with a higher psychological burden. A greater level of COVID-19 anxiety was found among Malays (p = 0.027), pregnant women (p = 0.013), and those who suffered a loss of income (p = 0.038) during this pandemic. The COVID-19 pandemic had a negative effect on women's psychological wellbeing, especially those from the lower socio-economic background. Therefore, adequate information, as well as support, must be provided to the vulnerable groups during the ongoing pandemic, to lessen their psychological burden.
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Affiliation(s)
- Nurul Ilani Abdul Latif
- Obstetrics & Gynaecology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia; (N.I.A.L.); (N.A.M.I.); (S.Y.E.L.); (A.G.N.A.)
| | - Nor Azlin Mohamed Ismail
- Obstetrics & Gynaecology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia; (N.I.A.L.); (N.A.M.I.); (S.Y.E.L.); (A.G.N.A.)
| | - Sweet Yi Esther Loh
- Obstetrics & Gynaecology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia; (N.I.A.L.); (N.A.M.I.); (S.Y.E.L.); (A.G.N.A.)
| | - Abdul Ghani Nur Azurah
- Obstetrics & Gynaecology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia; (N.I.A.L.); (N.A.M.I.); (S.Y.E.L.); (A.G.N.A.)
| | - Marhani Midin
- Psychiatry Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia;
| | - Shamsul Azhar Shah
- Community Health Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia;
| | - Aida Kalok
- Obstetrics & Gynaecology Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, National University of Malaysia, Kuala Lumpur 56000, Malaysia; (N.I.A.L.); (N.A.M.I.); (S.Y.E.L.); (A.G.N.A.)
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Leonardi G, Colonnello V, Farinelli M, Bertoletti E, Russo PM. One size does not fit all: individual differences in attachment style and fear of COVID-19 in hospitalized elderly patients. Psychogeriatrics 2021; 21:848-849. [PMID: 34180108 PMCID: PMC8447056 DOI: 10.1111/psyg.12719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 05/09/2021] [Indexed: 12/05/2022]
Affiliation(s)
- Gloria Leonardi
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.,Santa Viola Hospital, Colibrì Consortium, Bologna, Italy
| | - Valentina Colonnello
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Marina Farinelli
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.,Clinical Psychology Service, Villa Bellombra Rehabilitation Hospital, Colibrì Consortium, Bologna, Italy
| | | | - Paolo Maria Russo
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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Colonnello V, Carnevali L, Russo PM, Ottaviani C, Cremonini V, Venturi E, Mattarozzi K. Reduced recognition of facial emotional expressions in global burnout and burnout depersonalization in healthcare providers. PeerJ 2021; 9:e10610. [PMID: 33520445 PMCID: PMC7811292 DOI: 10.7717/peerj.10610] [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: 09/23/2020] [Accepted: 11/30/2020] [Indexed: 11/20/2022] Open
Abstract
The healthcare provider profession strongly relies on the ability to care for others' emotional experiences. To what extent burnout may relate to an actual alteration of this key professional ability has been little investigated. In an experimentally controlled setting, we investigated whether subjective experiences of global burnout or burnout depersonalization (the interpersonal component of burnout) relate to objectively measured alterations in emotion recognition and to what extent such alterations are emotion specific. Healthcare workers (n = 90) completed the Maslach Burnout Inventory and a dynamic emotion recognition task in which faces with neutral emotional expressions gradually changed to display a specific basic emotion (happiness, anger, fear, or sadness). Participants were asked to identify and then classify each displayed emotion. Before the task, a subsample of 46 participants underwent two salivary cortisol assessments. Individuals with global burnout were less accurate at recognizing others' emotional expressions of anger and fear, tending to misclassify these as happiness, compared to individuals without global burnout. Individuals with high burnout depersonalization were more accurate in recognizing happiness and less accurate in recognizing all negative emotions, with a tendency to misclassify the latter as positive ones, compared to healthcare workers with moderate/low depersonalization. Moreover, individuals with high depersonalization-but not participants with global burnout-were characterized by higher cortisol levels. These results suggest that the subjective burnout experience relates to an actual, but selective, reduction in the recognition of facial emotional expressions, characterized by a tendency to misclassify negative emotional expressions as positive ones, perhaps due to an enhanced seeking of positive social cues. This study adds to the understanding of emotional processing in burnout and paves the way for more nuanced studies on the role of altered processing of threat signals in the development and/or persistence of burnout.
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Affiliation(s)
- Valentina Colonnello
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Luca Carnevali
- Stress Physiology Lab, Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parma, Italy
| | - Paolo Maria Russo
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Cristina Ottaviani
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Neuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy
| | - Valeria Cremonini
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Emanuele Venturi
- IRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy
| | - Katia Mattarozzi
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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