Education and Ethics In Nursing ISSN: 2322-5300

Psychological Experiences and problems of nurses in caring for cardiac patients with covid-19: a qualitative study

https://doi.org/10.22034/ethic.2024.2034218.1069
Volume 13, special issue
July 2024
Pages 9-19
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Fatemeh Lohrasbi 1
Farimah Shirani 2
Reyhane Niknejad 3
Mohsen Moradi 4
Jafar Moghadasi 5
Mahgol Nasr 6
Azadeh Nouri 7
Mohammad Akbari 8

1 Assistant Professor, Department of psychiatric nursing, Nursing and Midwifery Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor ,Special Care Nursing Department, Nursing and Midwifery Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Instructor, Department of Operating Room, Community Health Research Center, Islamic Azad University, Isfahan (Khorasgan) Branch, Iran

4 Instructor, Department of Psychiatry, Nursing Care Research Center, Shahrekord University of Medical Sciences, Iran

5 Assistant Professor, Adult Health Nursing Department, Nursing and Midwifery Research Center, Shahrekord University of Medical Sciences, Iran

6 Instructor, Department of Psychiatry, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

7 Assistant Professor, Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

8 Assistant Professor, Department of Psychiatric Nursing, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Introduction: Nurses, as the main caregivers of people infected with Covid-19, formed the highest percentage of the care team and were placed in the front line of patient care. These nurses, in parallel with caring for cardiovascular patients who were infected with Covid-19, endured a double burden in terms of care and psychology; So that the ground was provided for exhaustion and psychological analysis of these people; Therefore, the current research was conducted with the aim of understanding the experiences and psychological challenges of nurses caring for cardiac patients with covid-19.
Method & Materials: The present qualitative study was conducted in the analytical-content type. The participants included: nurses of the special care and respiratory isolation department of patients with covid-19 in Isfahan Shahid Dr. Chamran Cardiac Hospital. Sampling was done in a targeted manner (from April to May 1401) and the interviews were semi-structured and in-depth. Data analysis was performed using Gernheim and Lundman method and MAXQDA20 version 20.4.0 software.
Results: The participants in this research included 12 nurses working in the special cardiac care department. A total of 245 initial codes were obtained, which were classified into 14 subcategories and 3 main categories, including: "supportive dimensions", "motivation fluctuations" and "instability of care conditions and facilities".
Conclusion: Managers and politicians of this department should try to encourage and strengthen a supportive and ethical working atmosphere for better management of psychological issues and correct decision-making in the crisis of epidemics.

Keywords

Psychological
Nurses
Cardiovascular
Covid-19
  1. 1. Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC psychiatry. 2020;20(1):1-9.
  2. 2. Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update 2021 [Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/.
  3. 3. Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. New England Journal of Medicine. 2020.
  4. 4. Soto-Rubio A, Giménez-Espert MdC, Prado-Gascó V. Effect of Emotional Intelligence and Psychosocial Risks on Burnout, Job Satisfaction, and Nurses’ Health during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2020;17(21):7998.
  5. 5. Education MoHaM. COVID 19- Guide line 2020 [Available from: http://treatment.sbmu. ac.ir/uploads/12-1-dastoor_korona_2.pdf.
  6. 6. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. Jama. 2020;323(15):1439-40.
  7. 7. Agency TIRN. Statistics of Heaith Staffs with COVID-19 2020 [Available from: https://www.irna.ir/news/83856234/%DB%B5-%D9%87%D8%B2%D8%A7%D8%B1-%D9%BE%D8%B2%D8%B4%DA%A9-%D9%88-%D9%BE%D8%B1%D8%B3%D8%AA%D8%A7%D8%B1-%D8%A8%D9%87-%DA%A9%D8%B1%D9%88%D9%86%D8%A7-%D9%85%D8%A8%D8%AA%D9%84%D8%A7-%D8%B4%D8%AF%D9%86%D8%AF.
  8. 8. Pouyakian M. A Systemic Control Model for Covid-19 Outbreak from a Safety Engineering Perspective. Journal of Occupational Hygiene Engineering. 2020;7(2):49-56.
  9. 9. Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud. 2020;108:103632.
  10. 10. Polit DF, Beck CT. Nursing research generating and assessing evidence for nursing practice. Tenth edition ed: Wolters Kluwer; 2017.
  11. 11. Tobin G, Begley CM. Methodological rigour within a qualitative framework. Journal of Advanced Nursing. 2014;48(4):388-96.
  12. 12. Alsolami F. Working experiences of nurses during the novel coronavirus outbreak: A qualitative study explaining challenges of clinical nursing practice. Nursing Open. 2022;9(6):2761-70.
  13. 13. Gab Allah AR. Challenges facing nurse managers during and beyond COVID-19 pandemic in relation to perceived organizational support. Nursing forum. 2021;56(3):539-49.
  14. 14. Akbiyik A, ÇEtİN P, AkdaŞ B, Aydin F, Tokem Y. Work Motivation in Nurses Providing Nursing Services to Patients with COVID-19: A Descriptive Study. Turkiye Klinikleri Journal of Nursing Sciences. 2022;14:1107-17.
  15. 15. Muz G, Erdoğan Yüce G. Experiences of nurses caring for patients with COVID‐19 in Turkey: A phenomenological enquiry. Journal of nursing management. 2021;29(5):1026-35.
  16. 16. Mirzabeigi M, Mahdi E, Mirmehrabi A, Mirzabeigi A. Evaluation of effectiveness educational based on inter-professional approach on rate of empathy and inter-professional collaboration among nurses and physicians in emergency department during the Covid-19 pandemic. Quarterly Journal of Nursing Management. 2022;11(2):24-41.
  17. 17. Maben J, Bridges J. Covid-19: Supporting nurses' psychological and mental health. Journal of clinical nursing. 2020;29(15-16):2742-50.
  18. 18. Hojati rad N, Soltani Y, Fotokian Z, Hadizadeh M. Head nurses' perspective on nurses' performance in providing safe care to patients during corona outbreak. Journal of Caspian Health and Aging. 2023;8(2):0-.
  19. 19. Li X, Guan B, Su T, Liu W, Chen M, Bin Waleed K, et al. Impact of cardiovascular disease and cardiac injury on in-hospital mortality in patients with COVID-19: a systematic review and meta-analysis. Heart (British Cardiac Society). 2020;106(15):1142-7.
  20. 20. Aranda J, Loureiro-Amigo J, Murgadella A, Vàzquez N, Feria L, Muñoz M, et al. Changing Trends in the Global Consumption of Treatments Used in Hospitalized Patients for COVID-19: A Time Series Multicentre Study. Antibiotics (Basel, Switzerland). 2023;12(5).
  21. 21. Khalajinia Z, Mirzaie M, Heidarifar R, Shojaei S, Dehghani F. Challenges Related to Treatment/Care of Patients With COVID-19 Hospitalized in Forghani Hospital in Qom, Iran: A Qualitative Study. Qom University of Medical Sciences Journal. 2023;16(12):954-67.
  22. 22. Ding S, Deng S, Zhang Y, Wang Q, Liu Z, Huang J, et al. Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis. Frontiers in public health. 2022;10:805631.

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