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SHAHOEI R, NEMATI SM, VALIEE S. Exploring the Experience of Nurses in Providing Care to Patients With COVID-19: A Qualitative Study. J Nurs Res 2022; 30:e217. [PMID: 35576060 PMCID: PMC9301688 DOI: 10.1097/jnr.0000000000000498] [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: 10/06/2020] [Accepted: 05/19/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has caused conflicts in the world health system. The role of nurses is prominent because of their close contact with patients. PURPOSE The aim of this study was to explore the experiences of nurses in providing care to patients with COVID-19. METHODS This phenomenological study was conducted in 2020. Purposive sampling was used and continued until data saturation. Semistructured interviews were conducted with 14 nurses at Tohid Hospital, Sanandaj, Iran, all of whom had experience providing care to patients with COVID-19. Interviews were transcribed verbatim and analyzed using Colaizzi's phenomenological method. RESULTS The participants included four men and 10 women. Data analysis revealed four main themes (14 subthemes) related to the experience of the participants in providing care to patients with COVID-19. These themes included (a) fear (fear of being infected, fear of being a carrier, fear of the disease, and high mortality of patients), (b) compulsion (compulsion to care, being under pressure), (c) distinct experience (need for self-care, working with personal protective equipment, and ambiguity in care/treatment), and (d) sacrifice (altruism, compassion, self-sacrifice, and being proud of yourself). CONCLUSIONS/IMPLICATIONS FOR PRACTICE The experience of participants in caring for patients with COVID-19, in addition to the unique experience of care, was associated with fear, compulsion, and sacrifice. Because of the ongoing COVID-19 pandemic and the unique experience of nurses serving in COVID-19 units, it is necessary to educate and support nurses to deal effectively with this situation.
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Affiliation(s)
- Roonak SHAHOEI
- PhD, Associate Professor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Syede Mona NEMATI
- MSN, RN, Instructor, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Sina VALIEE
- PhD, RN, Professor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
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Nouhi E, Faramarzpour V, Shahrbabaki PM. Iranian nurses' educational needs and competence in palliative cancer care. Int J Palliat Nurs 2021; 27:418-426. [PMID: 34672785 DOI: 10.12968/ijpn.2021.27.8.418] [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: 11/11/2022]
Abstract
AIM This study was conducted to determine the competence and educational needs of Iranian nurses in the field of palliative cancer care. METHOD This cross-sectional study was performed on nurses working in oncology departments of hospitals in Kerman, in southeast Iran. The data were collected using nurses' core competence in palliative care inventory and a questionnaire for assessing the educational needs of nurses in the field of palliative cancer care. Pearson correlation coefficient, Independent t-test, ANOVA and Linear regression were used to examine the data. RESULTS 210 nurses participated in this study and the response rate was 98.13%. The results showed that the mean score of educational needs in palliative cancer care was 3.6±0.7. The highest average score was observed in the mental and psychological (3.83±0.89) dimensions, and the lowest in the social dimension (3.34±0.84). The mean score of nurses' competence in palliative cancer care was 1.78±0.51. The highest mean score was related to interpersonal skills (2.28±0.74), and the lowest mean score belonged to the use of Edmonton symptoms evaluation (1.10±1.27). There was a low significant and inverse correlation between nurses' competence and their educational needs. (P<0.001, r=- 0.242). CONCLUSION This study showed that Iranian nurses have the need for palliative cancer care training. Therefore, it is necessary to assign a higher priority to the evaluation of the clinical competence and educational needs of nurses in different healthcare centres.
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Affiliation(s)
- Esmat Nouhi
- Associate Professor, Nursing Research Center, Department of Medical Surgical Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Vahid Faramarzpour
- MSN, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Parvin Mangolian Shahrbabaki
- Assistant Professor, Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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Johnstone J, Duncan D. Coronavirus: the 7th C affecting the 6Cs. A focus on compassion, care and touch. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2021; 30:928-933. [PMID: 34379479 DOI: 10.12968/bjon.2021.30.15.928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The C0VID-19 pandemic has challenged everyone in society, from children who are no longer able to attend school and nursery to adults trying to juggle working at home and vulnerable members of society who have needed to self-isolate. NHS staff and key workers also need to juggle their family situations and many will have to adapt their practice and ways of working to address the demands placed on the NHS during this time. The current pandemic has altered the nature of services being provided to patients, and staff are now wearing personal protective equipment, with many being redeployed to ward areas. This article considers the 6Cs of nursing and the challenges faced by staff during the COVID-19 pandemic, with a primary focus on care and compassion. The vital role that touch has in the care of the patient and family is also considered.
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Affiliation(s)
| | - Debbie Duncan
- Lecturer in Nursing, Queen's University Belfast, Northern Ireland
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Hasanpour M, Pouraboli B, Mohammadpour M, Tahmasebi M, Sabeti F. Challenges of paediatric palliative care in the intensive care unit during the COVID-19 pandemic. Int J Palliat Nurs 2021; 27:303-315. [PMID: 34459244 DOI: 10.12968/ijpn.2021.27.6.303] [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: 11/11/2022]
Abstract
BACKGROUND The integration of paediatric palliative care into the Iranian health system is essential. AIMS The aim of this study was to identify the challenges of palliative care in the paediatric intensive care unit during COVID-19 through the experiences of healthcare providers. METHODS A qualitative study with content analysis approach was conducted. Fifteen physicians and nurses were selected by purposeful sampling. The semi-structured, in-depth interviews were applied in the data collection. FINDINGS Ten main categories were extracted from data analysis, including 'caring in COVID-19', 'communication and family centre care', 'breaking bad news', palliative care training', 'pain and symptom management', 'support of the child, family and clinical team', 'physical environment', 'guidelines', 'specialised staff' and 'home based palliative care'. CONCLUSION Palliative care in the PICU faces several challenges, especially during COVID-19, but the clinical team are making every attempt to improve the comprehensive care of children and their families. Telehealth is important in COVID-19, and education is also a key component to improve palliative care in the PICU in Iran.
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Affiliation(s)
- Marzieh Hasanpour
- Professor of Nursing, NIDCAP Professional, Member of Iranian Scientific Association of Medical Education, International Coordinator of Paediatric and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Batool Pouraboli
- Associate Professor of Nursing, Paediatric and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoud Mohammadpour
- Assistant Professor, Paediatric Intensivist, Paediatric Critical Care Division, Department of Paediatrics, Children's Medical Centre, Tehran University of Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
| | - Mamak Tahmasebi
- Associate Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medicine, Cancer Institute, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Fahimeh Sabeti
- Nursing Candidate, Paediatric and Neonatal Intensive Care Nursing Education Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Omidi K, Dehghan M, Shahrbabaki PM. Effectiveness of A Traditional Training Method in Increasing Long-Term End-of-Life Care Perception and Clinical Competency among Oncology Nurses: A Pilot Clinical Trial. Asia Pac J Oncol Nurs 2020; 7:287-294. [PMID: 32642501 PMCID: PMC7325772 DOI: 10.4103/apjon.apjon_15_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 04/17/2020] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Patients with cancer face numerous problems at the end of their lives, which makes palliative care necessary for a peaceful death. Considering the important role nurses play in the provision of end-of-life care, the present study was conducted to study the effect of a traditional training method on nurses' perception of and clinical competency in providing end-of-life care to patients with cancer in a hospital in Southeastern Iran. METHODS This was a pilot clinical trial in which the nurses in an oncology ward were allocated to two groups, experimental (n = 24) and control (n = 33), using a table of random numbers. The experiment group received three sessions of workshop training. The nurses' perception and clinical competency were measured before and 3 months postintervention. RESULTS The results showed the perception scores in the experimental and control groups to be 171.75 ± 19.54 and 170.03 ± 17.03 before education and 176.16 ± 19.54 and 176.12 ± 16.12 postintervention, respectively. The scores of clinical competency were 98.71 ± 10.24 and 99.58 ± 12.17 before education and 101.5 ± 14.67 and 104.97 ± 12 postintervention in the experimental and control groups, respectively. According to the findings, neither of the groups showed a significant difference between pre- and post-intervention in terms of perception of or clinical competency in end-of-life care. CONCLUSIONS A traditional training method such as workshop training cannot cause long-term improvement in nurses' end-of-life care perception or clinical competency. It seems that nurses would benefit from acquiring cognitive and behavioral skills and knowledge through a more continuous form of instruction delivered through modern blended educational methods.
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Affiliation(s)
- Khaled Omidi
- School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Mahlagha Dehghan
- Nursing Research Center, Razi School of Nursing and Midwifery, Department of Critical Care Nursing, Kerman University of Medical Sciences, Kerman, Iran
| | - Parvin Mangolian Shahrbabaki
- Nursing Research Center, Razi School of Nursing and Midwifery, Department of Critical Care Nursing, Kerman University of Medical Sciences, Kerman, Iran
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Mojarad FA, Jouybari L, Sanagoo A. Rocky Road Ahead Of Nursing Presence in the Oncology Care Unit: A Qualitative Study. Open Access Maced J Med Sci 2018; 6:2221-2227. [PMID: 30559892 PMCID: PMC6290433 DOI: 10.3889/oamjms.2018.426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Revised: 10/19/2018] [Accepted: 10/20/2018] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND: Cancer patients need not only well-planned treatment, but also comprehensive nursing care provided with compassion, competence, and conscience. Nursing presence is an essential part of the care process in all nursing interventions. AIM: This study aimed to identify the barriers to the nursing presence in oncology care units. MATERIALS AND METHODS: A qualitative content analysis study was carried out with the participation of 27 nurses who were chosen by purposive sampling. The data collection instruments were semi-structured interviews and observation. The interviews were recorded and transcribed, and then coded and analysed by the Graneheim and Lundman’s content analysis methodology. The criteria proposed by Guba and Lincoln were used to ensure the validity of the research. RESULTS: From the data analysis, the researchers were able to obtain a primary theme labelled “Rocky road ahead of nursing presence” and two subthemes labelled “Difficult and stressful work environment” and “Dysfunctional rules and regulations” with several subcategories including “exposure to violence”, “shortage of nursing staff”, “inattention to the needs of nurses”, “organizational unfairness”, “excessive paperwork”, and “need for detailed documentation”. CONCLUSION: There are numerous challenges ahead of achieving satisfactory nursing presence and quality care in the oncology care units. The findings highlight the key role of organisational conditions in the nursing presence and the dire need to pay further attention to the motivational factors.
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Affiliation(s)
| | - Leila Jouybari
- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Akram Sanagoo
- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
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Shahrki SK, Abazari F, Nayer ND, Pouraboli B. An ethnographic study in nursing homes in Iran. Int J Palliat Nurs 2018; 24:540-547. [PMID: 30457466 DOI: 10.12968/ijpn.2018.24.11.540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND: The approach of death is an undeniable part of ageing and death is the most important concern for elderly people who live in nursing homes. This study examines describes how care home residents feel when they recognise that they are close to death. AIMS: The aim of this study was to explore the experiences of elderly residents who are dying in nursing homes as well as their caregivers toward death in an Iranian context. METHODS: A focused ethnographic research design was chosen. The research sample consisted of 25 nursing home staff-three nurses, 18 healthcare assistants, two administrators, a social worker and a psychologist-and 10 elderly people in two nursing homes in Iran. Data was collected through field notes, observations and semistructured, in-depth interviews. Data was analysed using thematic analysis. FINDINGS: There were two main themes of: seeking the embrace of a calm death; and waiting for death. Within these, four subthemes were identified. CONCLUSION: The perceptions of the participants originated from the nursing home culture and their beliefs in eternal life. Training staff about the cultural needs of dying people and end-of-life care would be the most effective way to improve the experience of dying for nursing home residents.
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Affiliation(s)
| | - Farokh Abazari
- Assistant Professor, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Nahid Dehghan Nayer
- Professor, Nursing Management Department, School of Nursing and Midwifery. Tehran University of Medical Sciences, Tehran, Iran
| | - Batool Pouraboli
- Assistant Professor of nursing, School of Nursing and Midwifery, Department of Pediatric and Neonatal Nursing, Tehran University of Medical Sciences, Tehran, Iran
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Sinclair S, Hack TF, Raffin-Bouchal S, McClement S, Stajduhar K, Singh P, Hagen NA, Sinnarajah A, Chochinov HM. What are healthcare providers' understandings and experiences of compassion? The healthcare compassion model: a grounded theory study of healthcare providers in Canada. BMJ Open 2018; 8:e019701. [PMID: 29540416 PMCID: PMC5857658 DOI: 10.1136/bmjopen-2017-019701] [Citation(s) in RCA: 59] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Healthcare providers are considered the primary conduit of compassion in healthcare. Although most healthcare providers desire to provide compassion, and patients and families expect to receive it, an evidence-based understanding of the construct and its associated dimensions from the perspective of healthcare providers is needed. OBJECTIVES The aim of this study was to investigate healthcare providers' perspectives and experiences of compassion in order to generate an empirically derived, clinically informed model. DESIGN Data were collected via focus groups with frontline healthcare providers and interviews with peer-nominated exemplary compassionate healthcare providers. Data were independently and collectively analysed by the research team in accordance with Straussian grounded theory. SETTING AND PARTICIPANTS 57 healthcare providers were recruited from urban and rural palliative care services spanning hospice, home care, hospital-based consult teams, and a dedicated inpatient unit within Alberta, Canada. RESULTS Five categories and 13 associated themes were identified, illustrated in the Healthcare Provider Compassion Model depicting the dimensions of compassion and their relationship to one another. Compassion was conceptualised as-a virtuous and intentional response to know a person, to discern their needs and ameliorate their suffering through relational understanding and action. CONCLUSIONS An empirical foundation of healthcare providers' perspectives on providing compassionate care was generated. While the dimensions of the Healthcare Provider Compassion Model were congruent with the previously developed Patient Model, further insight into compassion is now evident. The Healthcare Provider Compassion Model provides a model to guide clinical practice and research focused on developing interventions, measures and resources to improve it.
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Affiliation(s)
- Shane Sinclair
- Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Thomas F Hack
- Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
- Psychosocial Oncology and Cancer Nursing Research, St. Boniface Research Centre, Winnipeg, Manitoba, Canada
| | | | - Susan McClement
- Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Kelli Stajduhar
- School of Nursing and Institute on Aging and Lifelong Health, University of Victoria, Victoria, British Columbia, Canada
| | - Pavneet Singh
- Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
| | - Neil A Hagen
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Departments of Clinical Neurosciences and Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Aynharan Sinnarajah
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Palliative/End of Life Care, Calgary Zone, Alberta Health Services, Calgary, Alberta, Canada
| | - Harvey Max Chochinov
- Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnipeg, Manitoba, Canada
- Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada
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