Critical Care Nurses' Experiences of Caring for Patients With COVID-19: Results of a Thematic Analysis.


Journal

American journal of critical care : an official publication, American Association of Critical-Care Nurses
ISSN: 1937-710X
Titre abrégé: Am J Crit Care
Pays: United States
ID NLM: 9211547

Informations de publication

Date de publication:
01 07 2022
Historique:
pubmed: 16 4 2022
medline: 6 7 2022
entrez: 15 4 2022
Statut: ppublish

Résumé

The COVID-19 pandemic has challenged health care professionals, especially those working in intensive care units (ICUs). To explore critical care nurses' experiences with and perceptions of the COVID-19 pandemic during the early phases of the pandemic. Data were from national surveys conducted during March and April 2020 to assess ICU providers' perceptions of the initial phases of the pandemic. A total of 831 responses from nurses to open-ended questions were examined by using thematic analysis. The questions assessed potentially limited resources in the ICU, adequacy of staffing, and measures used to reduce the possibility of spreading COVID-19 to family members. Overarching themes concerned access to equipment and preventive measures taken to reduce exposure to the virus. These themes included "sheltering the patient when I don't have enough" and "protecting those I love when I am a vector of transmission." Subthemes for the first overarching theme included not having enough personal protective equipment, not enough staff and not enough properly trained staff, and not enough institutional support. Subthemes for the second overarching theme included "isolating myself from everyone I care about" and "isolating everything I touch from everyone I care about." This thematic analysis identified several concerns of ICU nurses related to caring for patients in the initial phases of the COVID-19 pandemic. Ensuring adequate supplies, staffing, and administrative and emotional support are provided to frontline health care providers during the ongoing pandemic remains essential.

Sections du résumé

BACKGROUND
The COVID-19 pandemic has challenged health care professionals, especially those working in intensive care units (ICUs).
OBJECTIVES
To explore critical care nurses' experiences with and perceptions of the COVID-19 pandemic during the early phases of the pandemic.
METHODS
Data were from national surveys conducted during March and April 2020 to assess ICU providers' perceptions of the initial phases of the pandemic. A total of 831 responses from nurses to open-ended questions were examined by using thematic analysis. The questions assessed potentially limited resources in the ICU, adequacy of staffing, and measures used to reduce the possibility of spreading COVID-19 to family members.
RESULTS
Overarching themes concerned access to equipment and preventive measures taken to reduce exposure to the virus. These themes included "sheltering the patient when I don't have enough" and "protecting those I love when I am a vector of transmission." Subthemes for the first overarching theme included not having enough personal protective equipment, not enough staff and not enough properly trained staff, and not enough institutional support. Subthemes for the second overarching theme included "isolating myself from everyone I care about" and "isolating everything I touch from everyone I care about."
CONCLUSIONS
This thematic analysis identified several concerns of ICU nurses related to caring for patients in the initial phases of the COVID-19 pandemic. Ensuring adequate supplies, staffing, and administrative and emotional support are provided to frontline health care providers during the ongoing pandemic remains essential.

Identifiants

pubmed: 35425952
pii: 31733
doi: 10.4037/ajcc2022784
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

275-282

Informations de copyright

©2022 American Association of Critical-Care Nurses.

Auteurs

Sarah Gast (S)

Sarah Gast is an assistant professor at Vanderbilt University School of Nursing, Nashville, Tennessee.

Julie Barroso (J)

Julie Barroso is a professor at Vanderbilt University School of Nursing, Nashville, Tennessee.

Francesca A Blanchard (FA)

Francesca A. Blanchard is a PhD student at Vanderbilt University School of Nursing, Nashville, Tennessee.

Amy A Campbell (AA)

Amy A. Campbell is a PhD student at Vanderbilt University School of Nursing, Nashville, Tennessee.

Stacey J Carter (SJ)

Stacey J. Carter is a PhD student at Vanderbilt University School of Nursing, Nashville, Tennessee.

Emma V Clark (EV)

Emma V. Clark is a PhD student at Vanderbilt University School of Nursing, Nashville, Tennessee.

Rachel Hilton (R)

Rachel Hilton is a PhD student, Vanderbilt University School of Nursing, Nashville, Tennessee, and a psychiatric nurse practitioner, Dallas, Texas.

Richard Branson (R)

Richard Branson is a professor emeritus, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Steven Greenberg (S)

Steven Greenberg is vice chairperson of education, Department of Anesthesiology, Critical Care, and Perioperative Pain Medicine, NorthShore University Health System, and director of Critical Care Services/ECMO medical director, Evanston Hospital, Evanston, Illinois.

Ruth Kleinpell (R)

Ruth Kleinpell is a professor at Vanderbilt University School of Nursing, Nashville, Tennessee.

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