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Ambrose JW, Catchpole K, Evans HL, Nemeth LS, Layne DM, Nichols M. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res 2024; 24:459. [PMID: 38609968 PMCID: PMC11010334 DOI: 10.1186/s12913-024-10895-3] [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: 02/25/2023] [Accepted: 03/25/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Resilience, in the field of Resilience Engineering, has been identified as the ability to maintain the safety and the performance of healthcare systems and is aligned with the resilience potentials of anticipation, monitoring, adaptation, and learning. In early 2020, the COVID-19 pandemic challenged the resilience of US healthcare systems due to the lack of equipment, supply interruptions, and a shortage of personnel. The purpose of this qualitative research was to describe resilience in the healthcare team during the COVID-19 pandemic with the healthcare team situated as a cognizant, singular source of knowledge and defined by its collective identity, purpose, competence, and actions, versus the resilience of an individual or an organization. METHODS We developed a descriptive model which considered the healthcare team as a unified cognizant entity within a system designed for safe patient care. This model combined elements from the Patient Systems Engineering Initiative for Patient Safety (SEIPS) and the Advanced Team Decision Making (ADTM) models. Using a qualitative descriptive design and guided by our adapted model, we conducted individual interviews with healthcare team members across the United States. Data were analyzed using thematic analysis and extracted codes were organized within the adapted model framework. RESULTS Five themes were identified from the interviews with acute care professionals across the US (N = 22): teamwork in a pressure cooker, consistent with working in a high stress environment; healthcare team cohesion, applying past lessons to present challenges, congruent with transferring past skills to current situations; knowledge gaps, and altruistic behaviors, aligned with sense of duty and personal responsibility to the team. Participants' described how their ability to adapt to their environment was negatively impacted by uncertainty, inconsistent communication of information, and emotions of anxiety, fear, frustration, and stress. Cohesion with co-workers, transferability of skills, and altruistic behavior enhanced healthcare team performance. CONCLUSION Working within the extreme unprecedented circumstances of COVID-19 affected the ability of the healthcare team to anticipate and adapt to the rapidly changing environment. Both team cohesion and altruistic behavior promoted resilience. Our research contributes to a growing understanding of the importance of resilience in the healthcare team. And provides a bridge between individual and organizational resilience.
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Affiliation(s)
- John W Ambrose
- College of Nursing, Medical University of South Carolina, Charleston, SC, USA.
| | - Ken Catchpole
- Department of Anesthesia and Perioperative Medicine, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Heather L Evans
- Department of Surgery, College of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Lynne S Nemeth
- College of Nursing, Medical University of South Carolina, Charleston, SC, USA
| | - Diana M Layne
- College of Nursing, Medical University of South Carolina, Charleston, SC, USA
| | - Michelle Nichols
- College of Nursing, Medical University of South Carolina, Charleston, SC, USA
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Liu SI, Greenway A, Sobocinski K, An A, Winchell RJ, Barie PS. Rapid Critical Care Training for Nurses Deployed to Intensive Care Units During the COVID-19 Surge. Am J Crit Care 2024; 33:140-144. [PMID: 38424011 DOI: 10.4037/ajcc2024922] [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: 03/02/2024]
Abstract
BACKGROUND During the first COVID-19 pandemic wave, non-intensive care unit (non-ICU) nurses were deployed to temporary ICUs to provide critical care for the patient surge. A rapid critical care training program was designed to prepare them to care for patients in either temporary or permanent ICUs. OBJECTIVE To evaluate the effectiveness of this training program in preparing non-ICU nurses to provide critical care for COVID-19 patients in temporary ICUs. METHODS A survey was used to evaluate the impact of rapid critical care training on nurses' critical care skills and compare the experiences of nurses deployed to temporary versus permanent ICUs. Data were analyzed with χ2 and Spearman ρ tests with α = .05. RESULTS Compared with nurses in other locations, nurses deployed to temporary ICUs were less likely to report improved capability in managing mechanical ventilation; infusions of sedative, vasoactive, and paralytic agents; and continuous renal replacement therapy. Nurses in temporary ICUs also reported being less prepared to care for critically ill patients (all P < .05). CONCLUSIONS The rapid training program provided basic critical care knowledge for nurses in temporary ICUs, but experiences differed significantly between those deployed to temporary versus permanent ICUs. Although participants believed they provided safe care, nurses with no critical care experience cannot be expected to learn comprehensive critical care from expedited instruction; more formal clinical support is needed for nurses in temporary ICUs. Rapid critical care training can meet emergency needs for nurses capable of providing critical care.
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Affiliation(s)
- Susan I Liu
- Susan I. Liu is a nurse clinician, Department of Nursing, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, New York
| | - Andrew Greenway
- Andrew Greenway is a clinical nurse specialist, Department of Nursing, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Kathryn Sobocinski
- Kathryn Sobocinski is a registered nurse, Department of Nursing, New York-Presbyterian Hospital/Weill Cornell Medical Center
| | - Anjile An
- Anjile An is a biostatistician, Division of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York
| | - Robert J Winchell
- Robert J. Winchell is chief, Division of Trauma, Burns, Acute and Critical Care, Department of Surgery, Weill Cornell Medicine, and a professor of medical ethics in medicine, Division of Medical Ethics, Department of Medicine, Weill Cornell Medicine
| | - Philip S Barie
- Philip S. Barie is a professor emeritus of surgery, Division of Trauma, Burns, Acute and Critical Care, Department of Surgery, Weill Cornell Medicine, and a professor emeritus of public health in medicine, Division of Medical Ethics, Department of Medicine, Weill Cornell Medicine
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Rourke S, Dimech A, Bacon R, Paterson C. The lived experiences of critical care nurses during the COVID-19 pandemic. A qualitative systematic review. Intensive Crit Care Nurs 2024; 80:103555. [PMID: 37837834 DOI: 10.1016/j.iccn.2023.103555] [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: 02/26/2023] [Revised: 08/24/2023] [Accepted: 09/17/2023] [Indexed: 10/16/2023]
Abstract
OBJECTIVES To critically synthesis the qualitative literature to understand the experiences of critical care nurses during the COVID-19 pandemic. RESEARCH METHODOLOGY A meta-aggregation systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Relevant online databases were searched using a wide range of keywords and subject headings. All qualitative studies were included to understand the lived experiences of critical care nurses in the intensive care unit during the COVID-19 pandemic. All studies were screened using a pre-eligibility screening criteria by three reviewers. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research was used to provide methodological appraisal. The JBI method of meta-aggregation was used to extract, synthesize, and categorise the data. FINDINGS 17 publications met the inclusion criteria. 136 individual findings were extracted, which were synthesised into 18 categories and eight synthesised findings. The eight synthesised findings included,1) Working as a team to adapt to the challenges of the pandemic, 2) Striving to provide patient centred care, 3) Coping with frequent deaths in the intensive care unit, 4) Challenges of supporting patients family from a distance, 5) The psychological impact of caring for critically unwell patients with COVID-19, 6) Working through the challenges of the intensive care unit setting during the pandemic, 7) The challenges of wearing personal protective equipment while undertaking patient care, 8) The impact of working in the intensive care unit during the pandemic on life at home.. CONCLUSION This qualitative systematic review has given new insight into the lived experiences of critical care nurses. There were significant psychological and physical impacts on critical care nurses working during the COVID-19 pandemic. Therefore, improving psychological support, maintaining adequate staffing levels/skill mix to ensure basic nursing care can be completed, and the attendance of leadership/management staff is essential to ensure the retention of critical care nurses and achieve optimal patient outcomes. IMPLICATIONS FOR CLINICAL PRACTICE This review has highlighted implications for staff retention (counselling, skills development, contingency staffing), the need for improved management/leadership strategies and human resource policies to support critical care nurses when hospitals are in crisis. Additionally, the presence and needs of the family members of critically unwell patients' needs to be prioritised in the intensive care unit.
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Affiliation(s)
- Shalyn Rourke
- Caring Futures Institute, Flinders University, Adelaide; Canberra Health Services & ACT Health, SYNERGY Nursing & Midwifery Research Centre, Canberra Hospital, Australia.
| | - Andrew Dimech
- Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - Rachel Bacon
- Faculty of Health, University of Canberra, Canberra
| | - Catherine Paterson
- Caring Futures Institute, Flinders University, Adelaide; Faculty of Health, University of Canberra, Canberra; Central Adelaide Local Health Network, Adelaide; Robert Gordon University, Aberdeen, Scotland, UK
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Castaño-García M, Granero-Molina J, Fernández-Férez A, Fernández-Medina IM, Ventura-Miranda MI, Jiménez-Lasserrotte MDM. "Who Takes Care of Carers?": Experiences of Intensive Care Unit Nurses in the Acute Phase of the COVID-19 Pandemic. Healthcare (Basel) 2024; 12:162. [PMID: 38255051 PMCID: PMC10815385 DOI: 10.3390/healthcare12020162] [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: 11/21/2023] [Revised: 12/28/2023] [Accepted: 01/08/2024] [Indexed: 01/24/2024] Open
Abstract
Introduction: The COVID-19 pandemic caused an international health emergency situation where nursing took on a fundamental role. The high number of patients in hospital ICUs led to a shift in nurses' working conditions and workload. Objective: The objective of this study was to describe the experiences of nurses who worked in ICUs during the acute phase of the COVID-19 pandemic. Methodology: A qualitative, descriptive study was carried out, with the participation of 21 nurses who worked in the ICU during the pandemic. Data collection took place between May and July 2021 through 21 in-depth interviews. Results: Three main themes emerged: (1) COVID-19 in ICUs: nurses on the frontline. (2) United against adversity: teamwork. (3) New optics of critical care and the nursing profession. COVID-19 was perceived with harshness, and the lack of knowledge about the virus generated confusion, anxiety and fear due to the risk of transmission to family members and relatives. The pandemic marked a shift in the management of human, material and economic resources. Novice nurses learned critical care at an accelerated pace, with significant physical and psychological strain. Expert nurses carried the burden of training new nurses. Although there were tense situations, experiencing these adverse situations as a team led to feelings of increased belonging, togetherness and professional bonding for nurses. While the participants noted an increase in motivation to continue in their profession, they also had a feeling of not having been cared for as they deserve by healthcare institutions.
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Affiliation(s)
| | - José Granero-Molina
- Nursing, Physiotheraphy and Medicine Department, University of Almería, 04120 Almería, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago 7500000, Chile
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Chen Y, Jiang H, Shen Y, Gu H, Zhou P. Nurse managers' experience during the COVID-19 pandemic in China: A qualitative study. Nurs Open 2023; 10:7255-7265. [PMID: 37605492 PMCID: PMC10563399 DOI: 10.1002/nop2.1978] [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: 09/15/2022] [Revised: 11/30/2022] [Accepted: 08/10/2023] [Indexed: 08/23/2023] Open
Abstract
AIMS The aim of the study was to explore the experiences of female new nurse managers during the COVID-19 pandemic. DESIGN This was a phenomenological study, and qualitative descriptive analysis was used. METHODS New nurse managers were defined as new nurse managers with less than 3 years of management experience in this study. During November and December of 2021, 18 female new nurse managers were interviewed face-to-face with a semi-structured interview guide in three municipal hospitals. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for evaluating qualitative research reports. Data analysis was performed using Colaizzi's seven-step method. RESULTS Four main themes and 10 sub-themes were extracted from the collected data. The four major themes were as follows: (1) a shift in stress; (2) work-related physical and psychological discomfort; (3) reflection on the cause; (4) coping and struggles. CONCLUSIONS New nurse managers were experiencing great stress and exhaustion in their roles. It is important that they are helped to handle situations. Providing them with readily accessible support, addressing their psychosocial needs and addressing exhaustion is necessary. Considering their short management time, the hospital should provide adequate support in human, financial and material areas and provide training to help new nurse managers better adapt to their new roles. In addition, nurse directors should create a culture of mutual respect, identify workplace bullying and create a harmonious and cooperation-oriented work environment for new nurse managers. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Yan Chen
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Huiping Jiang
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Ya Shen
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Huifeng Gu
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
| | - Peihong Zhou
- Nursing DepartmentHuzhou Maternity & Child Health Care HospitalHuzhouChina
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Mathey L, Jacquier M, Meunier-Beillard N, Andreu P, Roudaut JB, Labruyère M, Rigaud JP, Quenot JP, Ecarnot F. ICU stays that are judged to be non-beneficial: A qualitative study of the perception of nursing staff. PLoS One 2023; 18:e0289954. [PMID: 37561766 PMCID: PMC10414562 DOI: 10.1371/journal.pone.0289954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Accepted: 07/20/2023] [Indexed: 08/12/2023] Open
Abstract
INTRODUCTION Non-beneficial stays in the intensive care unit (ICU) may have repercussions for patients and their families, but can also cause suffering among the nursing staff. We aimed explore the perceptions of nursing staff in the ICU about patient stays that are deemed to be "non-beneficial" for the patient, to identify areas amenable to intervention, with a view to improving how the nursing staff perceive the patient pathway before, during and after intensive care. METHODS Multicentre, qualitative study using individual, semi-structured interviews. All qualified nurses and nurses' aides who were full-time employees in the ICU of three participating centres were invited to participate. Interviews were recorded, transcribed and analyzed using textual content analysis. RESULTS A total of 21 interviews were performed from February 2020 to October 2021, at which point saturation was reached in the data. Average age of participants was 38.5±7.5 years, and they had an average of 10.7±7.4 years of experience working in the ICU. Four major themes emerged from the interviews, namely: (1) the work is oriented towards life-threatening emergencies, technical procedures and burdensome care; (2) a range of specific criteria and circumstances influence the decisions to admit patients to ICU; (3) there are significant organisational, physical and psychological repercussions associated with a non-beneficial stay in the ICU; (4) respondents made some proposals for improvements to the patient care pathway. CONCLUSION Nursing staff have a similar perception to physicians regarding admission decisions and non-beneficial ICU stays. The possibility of future ICU admission needs to be anticipated, discussed systematically with patients and integrated into healthcare goals that are consistent with the patient's wishes and preferences, in multi-professional collaboration including nursing and medical staff.
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Affiliation(s)
- Lucas Mathey
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon, France
| | - Marine Jacquier
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon, France
- Equipe Lipness, Centre de Recherche INSERM UMR1231 et LabEx LipSTIC, Université de Bourgogne-Franche Comté, Dijon, France
| | - Nicolas Meunier-Beillard
- INSERM, CIC 1432, Module Épidémiologie Clinique, Université de Bourgogne-Franche Comté, Dijon, France
- DRCI, USMR, CHU Dijon Bourgogne, Dijon, France
| | - Pascal Andreu
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon, France
| | | | - Marie Labruyère
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon, France
- INSERM, CIC 1432, Module Épidémiologie Clinique, Université de Bourgogne-Franche Comté, Dijon, France
| | - Jean-Philippe Rigaud
- Department of Intensive Care, Centre Hospitalier de Dieppe, Dieppe, France
- Espace de Réflexion Éthique de Normandie, University Hospital Caen, Caen, France
| | - Jean-Pierre Quenot
- Service de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon, France
- Equipe Lipness, Centre de Recherche INSERM UMR1231 et LabEx LipSTIC, Université de Bourgogne-Franche Comté, Dijon, France
- INSERM, CIC 1432, Module Épidémiologie Clinique, Université de Bourgogne-Franche Comté, Dijon, France
- Espace de Réflexion Éthique Bourgogne Franche-Comté (EREBFC), Dijon, France
| | - Fiona Ecarnot
- EA3920, Department of Cardiology, University Hospital Besancon, Besancon, France
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Nasaif H, Aldiabat K, Alshammari M, Albloushi M, Alblooshi SM, Yaqoob S. The Lived Experiences of Nurses Caring for Patients With COVID-19 in Arabian Gulf Countries: A Multisite Descriptive Phenomenological Study. Glob Qual Nurs Res 2023; 10:23333936231155052. [PMID: 36855739 PMCID: PMC9969219 DOI: 10.1177/23333936231155052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 01/11/2023] [Accepted: 01/16/2023] [Indexed: 02/27/2023] Open
Abstract
Since the beginning of the COVID-19 pandemic, several studies worldwide have explored nurses' experiences of caring for COVID-19 patients in various healthcare settings. However, these studies were conducted in context, culture, and healthcare systems that differ greatly from the Arabian Gulf context. This descriptive phenomenological study aimed to understand nurses' lived experiences caring for patients diagnosed with COVID-19 in Arabian Gulf countries. Individual virtual interviews were conducted with 36 nurses from five countries and were analyzed using Giorgi's methodology. Four main themes were identified: (1) living with doubts, (2) living through the chaos of challenges, (3) moving toward professional resilience, and (4) reaching the maximum level of potential. The findings from this study hopefully will guide health organizations in this region in developing strategies and policies to support and prepare nurses for future outbreaks.
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Affiliation(s)
- Husain Nasaif
- Royal College of Surgeons in
Ireland-Medical University of Bahrain, Busaiteen, Kingdom of Bahrain,Husain Nasaif, Royal College of Surgeons in
Ireland-Medical University of Bahrain, Building No: 2441, Road: 2835, Busaiteen,
228, Kingdom of Bahrain.
| | | | - Muna Alshammari
- The Public Authority for Applied
Education and Training, Safat, Kuwait
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Elliott R, Crowe L, Pollock W, Hammond NE. The impact of the COVID-19 pandemic on critical care healthcare professionals' work practices and wellbeing: A qualitative study. Aust Crit Care 2023; 36:44-51. [PMID: 36371294 PMCID: PMC9550671 DOI: 10.1016/j.aucc.2022.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 09/26/2022] [Accepted: 10/02/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Burnout and other psychological comorbidities were evident prior to the COVID-19 pandemic for critical care healthcare professionals (HCPs) who have been at the forefront of the health response. Current research suggests an escalation or worsening of these impacts as a result of the COVID-19 pandemic. OBJECTIVES The objective of this study was to undertake an in-depth exploration of the impact of the evolving COVID-19 pandemic on the wellbeing of HCPs working in critical care. METHODS This was a qualitative study using online focus groups (n = 5) with critical care HCPs (n = 31, 7 medical doctors and 24 nurses) in 2021: one with United Kingdom-based participants (n = 11) and four with Australia-based participants (n = 20). Thematic analysis of qualitative data from focus groups was performed using Gibbs framework. FINDINGS Five themes were synthesised: transformation of anxiety and fear throughout the pandemic, the burden of responsibility, moral distress, COVID-19 intruding into all aspects of life, and strategies and factors that sustained wellbeing during the pandemic. Moral distress was a dominant feature, and intrusiveness of the pandemic into all aspects of life was a novel finding. CONCLUSIONS The COVID-19 pandemic has adversely impacted critical care HCPs and their work experience and wellbeing. The intrusiveness of the pandemic into all aspects of life was a novel finding. Moral distress was a predominate feature of their experience. Leaders of healthcare organisations should ensure that interventions to improve and maintain the wellbeing of HCPs are implemented.
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Affiliation(s)
- Rosalind Elliott
- Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital and Centre for Nursing and Midwifery Research, Northern Sydney Local Health District, Pacific Highway, St Leonards NSW 2065 Australia; Faculty of Health, University of Technology, Ultimo NSW 2007 Australia.
| | - Liz Crowe
- School of Medicine, Brisbane, The University of Queensland, 20 Weightman Street, Herston QLD 4006 Australia; Queensland Children's Hospital, 501 Stanley Street, South Brisbane, QLD 4101 Australia.
| | - Wendy Pollock
- Faculty of Medicine, Nursing and Health Sciences, Monash University, 35 Rainforest Walk, Clayton, VIC 3800, Australia; Department of Nursing, Midwifery and Health, Northumbria University, Benton, Newcastle-upon-Tyne, NE7 7XA, UK.
| | - Naomi E Hammond
- Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital and Centre for Nursing and Midwifery Research, Northern Sydney Local Health District, Pacific Highway, St Leonards NSW 2065 Australia; Critical Care Division, The George Institute for Global Health and University of NSW, Level 5, 1 King Street, Newtown NSW 2042 Australia.
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Pan A, Zhao Y, Yu W, Chen L, Wu X, Liu J, Zhao Y, Wang Y, Wang J, Zhang L. The construction and practice of a standardized nursing service system based on the designated hospital for the treatment of COVID-19 in China. Arch Med Sci 2023; 19:292-297. [PMID: 36817665 PMCID: PMC9897101 DOI: 10.5114/aoms/158550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 12/26/2022] [Indexed: 01/18/2023] Open
Affiliation(s)
- Aihong Pan
- Nursing Department, The First People’s Hospital of Hefei, Hefei, China
| | - Yu Zhao
- Gerontology Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Weihua Yu
- Dean’s Office, The First People’s Hospital of Hefei, Hefei, China
| | - Lili Chen
- Infection Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Xufeng Wu
- Department of Critical Care Medicine, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Jing Liu
- Emergency Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Yating Zhao
- Graduate School, Wannan Medical College, Wuhu, China
| | - Yuqing Wang
- Graduate School, Wannan Medical College, Wuhu, China
| | - Jin Wang
- Department of Cardiology, The First People’s Hospital of Hefei, Hefei, China
| | - Linmei Zhang
- Infection Department, The First People’s Hospital of Hefei, Hefei, China
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Asakura K, Gheorghe RM, Rieger D, Tarshis S, Borgen S, D’Angiulli A. Exploring Shared Trauma in the Time of COVID: A Simulation-Based Survey Study of Mental Health Clinicians. CLINICAL SOCIAL WORK JOURNAL 2022; 51:163-174. [PMID: 36536816 PMCID: PMC9751501 DOI: 10.1007/s10615-022-00860-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
From fear of contracting the virus, isolation from physical distancing, to navigating lifework balance, the COVID-19 pandemic is expected to leave long-lasting psychosocial impacts on many. Shared trauma refers to similar psychological reactions to an extraordinary community event when experienced by both the clinicians and clients. We examined the experiences mong mental health clinicians in Canada and the United States (n = 196) in this online survey study during the second phase of the pandemic (Spring 2021). In addition to using traditional survey items (e.g., demographics, scales, and short answers), we also used video-recorded Simulated Clients (SC; i.e., professional actors) as a novel method to elicit the participants' assessment of the SCs and the psychosocial impacts of the COVID-19 pandemic. Using shared trauma as a theoretical framework, we analyzed both quantitative and qualitative data. Quantitative results suggested that although these mental health clinicians certainly reported experiencing psychosocial impacts of the pandemic themselves, these shared experiences with client and general populations did not greatly impact how they understood the SCs. Qualitative results helped further contextualize the clinicians' own personal and professional lives. Implications for clinical practice and further research related to shared trauma are discussed.
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Affiliation(s)
- Kenta Asakura
- Smith College School for Social Work, Northampton, MA USA
| | | | - Danielle Rieger
- Department of Psychology, Carleton University, Ottawa, ON Canada
| | - Sarah Tarshis
- Carleton University School of Social Work, Ottawa, ON Canada
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Fundamental drivers of nurses' experiences of ICU surging during the coronavirus disease 2019 (COVID-19) pandemic. Curr Opin Crit Care 2022; 28:645-651. [PMID: 36170062 PMCID: PMC9612415 DOI: 10.1097/mcc.0000000000000995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
PURPOSE OF REVIEW Nurses working in intensive care units have been heavily impacted by the coronavirus disease 2019 (COVID-19) pandemic. This review summarizes the current state of the evidence regarding intensive care nurses experience of the pandemic. RECENT FINDINGS The pandemic has had an impact on: nursing workload, the organization of nurse staffing, experiences of staff redeployed into ICU, nurses' perceptions of the safety and quality of patient care, and staff health. In the few comparative studies, mental health was worse for nurses than other healthcare workers in intensive care. Despite some of this evidence being published early in the pandemic, no studies were found to evaluate interventions to improve nurses' experiences. SUMMARY IMPLICATIONS FOR PRACTICE OR RESEARCH Many of the adverse impacts of the pandemic are interdependent; for example, reducing nurses' workload is likely to have benefits for mental health indicators.Adverse mental health outcomes are likely to have an impact on future recruitment and retention for intensive care nursing.More studies are needed to understand the longer term impact of the pandemic on intensive care nurses.
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