Lived experience of nurses at two covid-19 designated hospitals: a phenomenological study

Lina Berliana Togatorop; Ni Gusti Ayu Eka; Ester Silitonga; Alberta Adina Ndruru

doi:10.15562/bmj.v11i2.2815

Lived experience of nurses at two covid-19 designated hospitals: a phenomenological study

Lina Berliana Togatorop ,

Ni Gusti Ayu Eka ,

Ester Silitonga ,

Alberta Adina Ndruru ,

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DOI: https://doi.org/10.15562/bmj.v11i2.2815 |
Published: 2022-06-28

Abstract

Introduction: The COVID-19 pandemic has fundamentally altered how society functions, including the conditions under which health professionals work. Nurses, who are at the forefront of providing care to COVID-19 patients, spend extended periods in close contact with infected patients. These stressful conditions may increase nurses' risk of developing depression and other mental health problems. This study aimed to explore the experiences of Indonesian nurses working in two COVID-19-designated hospitals that provide direct patient care.

Methods: The qualitative phenomenological design was used in this study. Between June and December 2020, 15 nurses at two COVID-19-designated hospitals participated in in-depth telephone interviews, and four nurses were selected to participate in a focus group discussion for data triangulation. Following that, data were analyzed according to Colizzi's phenomenological method.

Results: The data were categorized into four themes: 1) Responsibility to maintain nursing professionalism; 2) Challenges in caring for COVID-19 patients; 3) Support in caring for COVID-19 patients; 4) Increase insights while caring for COVID-19 patients. These themes indicate that, while nurses felt supported by hospital administration and close family members, they were also affected by the high workload, which resulted in behavioral changes associated with mental illness.

Conclusion: These findings shed light on the benefits and drawbacks of nurses caring for COVID-19 patients. These findings can serve as a starting point for hospital administration in developing policies and systems that promote nursing staff well-being.

References

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WHO. Coronavirus Disease 2019 (COVID-19) Situation Report - 51. WHO. 2020.
Keputusan Presiden. KEPPRES No 12 Tahun 2O2O Tentang Penetapan Bencana Nonalam Penyebaran Corona Virus Disease 2019 Sebagai Bencana Nasional. 2020. p. 18=30.
Satgas COVID-19 Indonesia. Peta Sebaran Kasus Per Provinsi. Satgas COVID-19 Indonesia. 2020.
Tangerang Banten District. Peta Sebaran Coronavirus COVID-19 Kabupaten Tangerang. Satgas COVID Kab. Tangerang. 2020.
Lishan Huang, Lin G, Tang L, Yu L, Zhou Z. Special Attention to Nurses’ Protection during the COVID-19 Epidemic. BMC. 2020;24:120.
Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk Factors of Healthcare Workers with Coronavirus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China. Clin Infect Dis. 2020;71(16):2218–21.
Mulyanti BN, Handoyo T, Murbawani EA, Indrastuti L, Purwoko Y, Ngestiningsih D, et al. Frail geriatric patient with covid-19 infection: A case report. Bali Med J. 2021;10(1):491–3.
Sun N, Shi S, Jiao D, Song R, Ma L, Wang H, et al. A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients. Am J Infect Control. 2020;20(January):592–8.
Häussl A, Ehmann E, Pacher A, Knödl K, Huber T, Neundlinger L, et al. Psychological, physical, and social effects of the COVID-19 pandemic on hospital nurses. Int Nurs Rev. 2021;68(4):482–92.
Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The Experiences of Health-Care Providers during the COVID-19 Crisis in China: A Qualitative Study. Lancet Glob Heal. 2020;8(6):e790–8.
Gunawan J, Aungsuroch Y. S A phenomenological study of the lived experience of nurses in the battle of COVID-19. Nurs Outlook. 2021;69(January):652–9.
Polit D., Beck C. Essentials of Nursing Research: Appraising Evidence for Nursing Practice: Appraising evidence for nursing practice. Wolters Kluwer. 2018.
Morrow R, Student P, Alison H, Senior R. Colaizzi’s descriptive phenomenological method Rosie. 2015;28(August):643–4.
Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring Nurses’ Perception of Taking Care of Patients with Coronavirus Disease (COVID-19): A Qualitative Study. Nurs Open. 2021;8(1):171–9.
Eftekhar Ardebili M, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare Providers Experience of Working during the COVID-19 Pandemic: A Qualitative Study. Am J Infect Control. 2020;000:1–8.
Kim Y. Nurses’ Experiences of Care for Patients with Middle East Respiratory Syndrome-Coronavirus in South Korea. Am J Infect Control. 2018;46(7):781–7.
Sun N, Wei L, Wang H, Wang X, Gao M, Hu X. Qualitative Study of the Psychological Experience of COVID-19 Patients during Hospitalization. J Affect Disord. 2020;278(January):15–22.
Algunmeeyn A, El-dahiyat F, Altakhineh MM, Azab M, Babar Z-U-D. Understanding the Factors Influencing Healthcare Providers’ Burnout during the Outbreak of COVID-19 in Jordanian Hospitals. J Pharm. 2020;13(53):1–8.
Karimi Z, Fereidouni Z, Behnammoghadam M, Alimohammadi N, Mousavizadeh A, Salehi T, et al. The Lived Experience of Nurses Caring for Patients with COVID-19 in Iran: A Phenomenological Study. Risk Manag Healthc Policy. 2020;13:1271–8.
Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses. Int J Environ Res Public Health. 2020;17(21):1–12.
Hashmi F, Iqbal Q, Haider S, Ahmed F ud D, Saleem F, Bashaar M. Response to and Perception of Nurses during the COVID-19: a Qualitative Assessment. 2020;1–21.
Buheji M, Buhaid N. Nursing Human Factor During COVID-19 Pandemic. Int J Nurs Sci. 2020;10(1):12–24.

[1] Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP, et al. A Rapid Advice Guideline for the Diagnosis and Treatment of 2019 Novel Coronavirus (2019-nCoV) Infected Pneumonia (Standard Version). Med J Chinese People’s Lib Army. 2020;45(1):1–20.

[2] WHO. Coronavirus Disease 2019 (COVID-19) Situation Report - 51. WHO. 2020.

[3] Keputusan Presiden. KEPPRES No 12 Tahun 2O2O Tentang Penetapan Bencana Nonalam Penyebaran Corona Virus Disease 2019 Sebagai Bencana Nasional. 2020. p. 18=30.

[4] Satgas COVID-19 Indonesia. Peta Sebaran Kasus Per Provinsi. Satgas COVID-19 Indonesia. 2020.

[5] Tangerang Banten District. Peta Sebaran Coronavirus COVID-19 Kabupaten Tangerang. Satgas COVID Kab. Tangerang. 2020.

[6] Lishan Huang, Lin G, Tang L, Yu L, Zhou Z. Special Attention to Nurses’ Protection during the COVID-19 Epidemic. BMC. 2020;24:120.

[7] Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk Factors of Healthcare Workers with Coronavirus Disease 2019: A Retrospective Cohort Study in a Designated Hospital of Wuhan in China. Clin Infect Dis. 2020;71(16):2218–21.

[8] Mulyanti BN, Handoyo T, Murbawani EA, Indrastuti L, Purwoko Y, Ngestiningsih D, et al. Frail geriatric patient with covid-19 infection: A case report. Bali Med J. 2021;10(1):491–3.

[9] Sun N, Shi S, Jiao D, Song R, Ma L, Wang H, et al. A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients. Am J Infect Control. 2020;20(January):592–8.

[10] Häussl A, Ehmann E, Pacher A, Knödl K, Huber T, Neundlinger L, et al. Psychological, physical, and social effects of the COVID-19 pandemic on hospital nurses. Int Nurs Rev. 2021;68(4):482–92.

[11] Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The Experiences of Health-Care Providers during the COVID-19 Crisis in China: A Qualitative Study. Lancet Glob Heal. 2020;8(6):e790–8.

[12] Gunawan J, Aungsuroch Y. S A phenomenological study of the lived experience of nurses in the battle of COVID-19. Nurs Outlook. 2021;69(January):652–9.

[13] Polit D., Beck C. Essentials of Nursing Research: Appraising Evidence for Nursing Practice: Appraising evidence for nursing practice. Wolters Kluwer. 2018.

[14] Morrow R, Student P, Alison H, Senior R. Colaizzi’s descriptive phenomenological method Rosie. 2015;28(August):643–4.

[15] Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring Nurses’ Perception of Taking Care of Patients with Coronavirus Disease (COVID-19): A Qualitative Study. Nurs Open. 2021;8(1):171–9.

[16] Eftekhar Ardebili M, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare Providers Experience of Working during the COVID-19 Pandemic: A Qualitative Study. Am J Infect Control. 2020;000:1–8.

[17] Kim Y. Nurses’ Experiences of Care for Patients with Middle East Respiratory Syndrome-Coronavirus in South Korea. Am J Infect Control. 2018;46(7):781–7.

[18] Sun N, Wei L, Wang H, Wang X, Gao M, Hu X. Qualitative Study of the Psychological Experience of COVID-19 Patients during Hospitalization. J Affect Disord. 2020;278(January):15–22.

[19] Algunmeeyn A, El-dahiyat F, Altakhineh MM, Azab M, Babar Z-U-D. Understanding the Factors Influencing Healthcare Providers’ Burnout during the Outbreak of COVID-19 in Jordanian Hospitals. J Pharm. 2020;13(53):1–8.

[20] Karimi Z, Fereidouni Z, Behnammoghadam M, Alimohammadi N, Mousavizadeh A, Salehi T, et al. The Lived Experience of Nurses Caring for Patients with COVID-19 in Iran: A Phenomenological Study. Risk Manag Healthc Policy. 2020;13:1271–8.

[21] Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses. Int J Environ Res Public Health. 2020;17(21):1–12.

[22] Hashmi F, Iqbal Q, Haider S, Ahmed F ud D, Saleem F, Bashaar M. Response to and Perception of Nurses during the COVID-19: a Qualitative Assessment. 2020;1–21.

[23] Buheji M, Buhaid N. Nursing Human Factor During COVID-19 Pandemic. Int J Nurs Sci. 2020;10(1):12–24.

Lived experience of nurses at two covid-19 designated hospitals: a phenomenological study

Abstract

References

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