A qualitative study on the psychological experience of caregivers of COVID-19 patients

Niuniu Sun, Luoqun Wei, Suling Shi, Dandan Jiao, Runluo Song, Lili Ma, Hongwei Wang, Chao Wang, Zhaoguo Wang, Yanli You, Shuhua Liu, Hongyun Wang, Niuniu Sun, Luoqun Wei, Suling Shi, Dandan Jiao, Runluo Song, Lili Ma, Hongwei Wang, Chao Wang, Zhaoguo Wang, Yanli You, Shuhua Liu, Hongyun Wang

Abstract

Background: The coronavirus disease 2019 (COVID-19) is spreading rapidly, bringing pressure and challenges to nursing staff.

Objective: To explore the psychology of nurses caring for COVID-19 patients.

Methods: Using a phenomenological approach, we enrolled 20 nurses who provided care for COVID-19 patients in the First Affiliated Hospital of Henan University of Science and Technology from January 20, to February 10, 2020. The interviews were conducted face-to-face or by telephone and were analysed by Colaizzi's 7-step method.

Results: The psychological experience of nurses caring for COVID-19 patients can be summarized into 4 themes. First, negative emotions present in early stage consisting of fatigue, discomfort, and helplessness was caused by high-intensity work, fear and anxiety, and concern for patients and family members. Second, self-coping styles included psychological and life adjustment, altruistic acts, team support, and rational cognition. Third, we found growth under pressure, which included increased affection and gratefulness, development of professional responsibility, and self-reflection. Finally, we showed that positive emotions occurred simultaneously with negative emotions.

Conclusions: During an epidemic outbreak, positive and negative emotions of the front-line nurses interweaved and coexisted. In the early stage, negative emotions were dominant and positive emotions appeared gradually. Self-coping styles and psychological growth played an important role in maintaining mental health of nurses.

Keywords: Coronavirus disease 2019 (COVID-19); Epidemic outbreak; Nurse; Psychological experience; Qualitative study.

Copyright © 2020 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

References

    1. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382:727–733.
    1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet North Am Ed. 2020;395:497–506.
    1. Interpretation of pneumonia diagnosis and treatment scheme for novel coronavirus infection (trial version 6) [EB/OL].(2020). Available at:. Accessed February 2, 2020
    1. WHO Novel Coronavirus(2019-nCoV) Situation Report –39[EB/OL]. (2020). Available at:. Accessed February 29, 2020
    1. Office of Health Emergency, National Health Commission. Update on pneumonia of new coronavirus infection as of 24:00 on February 28[EB/OL]. (2020). Available at:. Accessed February 29, 2020
    1. China Disease Control Report: more than 3,000 medical staff infected with new crown virus [EB / OL]. (2020). Available at: . Accessed February 18, 2020
    1. Aliakbari F, Hammad K, Bahrami M, et al. Ethical and legal challenges associated with disaster nursing. Nurs Ethics. 2015;22:493–503.
    1. O'Boyle C, Robertson C, Secor-Turner M. Nurses' beliefs about public health emergencies: fear of abandonment. Am J Infect Control. 2006;34:351–357.
    1. Chung BPM, Wong TKS, Suen ESB, Chung JWY. SARS: caring for patients in Hong Kong. J Clin Nurs. 2005;14:510–517.
    1. Kim Y. Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018;46:781–787.
    1. Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare worker semotions, perceived stressors and coping strategies during MERS-CoV outbreak. Clin Med Res. 2016;1303:1–22.
    1. Liu C, Wang H, Zhou L, et al. Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: a qualitative study. Int J Nurs Sci. 2019;6:187–191.
    1. Honey M, Wang W.Y. New Zealand nurses perceptions of caringfor patients with influenza A (H1N1) Nurs Crit Care. 2013;18:63–69.
    1. Su TP, Lien TC, Yang CY, et al. Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. J Psychiatr Res. 2007;41:119–130.
    1. Smith MW, Smith PW, Kratochvil CJ, et al. The psychosocial challenges of caring for patients with Ebola virus disease. Health security. 2017;15:104–109.
    1. Liu H, Liehr P. Instructive messages from Chinese nurses'stories of caring for SARS patients. J Clin Nurs. 2009;18:2880–2887.
    1. Hui DS, I Azhar E, Madani TA, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health—the latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020;91:264–266.
    1. Kang L, Li Y, Hu S, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020
    1. Xiang YT, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020
    1. Colaizzi PF. Oxford University Press; New York: 1978. Psychological Research as the Phenomenologist Views It. 1978.
    1. Kang HS, Son YD, Chae SM, et al. Working experiences of nurses during the Middle East respiratory syndrome outbreak. Int J Nurs Pract. 2018;24:e12664.
    1. Lee SH, Juang YY, Su YJ, et al. Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital. Gen Hosp Psychiatry. 2005;27:352–358. (Smith M W, 2017)
    1. National Health Commission of the People's Republic of China. The guideline of psychological crisis intervention for 2019-nCoV pneumonia. Available at: . Accessed January 27, 2020.
    1. Mak WWS, Law RW, Woo J, et al. Social support and psychological adjustment to SARS: the mediating role of self-care self-efficacy. Psychol Health. 2009;24:161–174.
    1. Main A, Zhou Q, Ma Y, et al. Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic. J Counsel Psychol. 2011;58:410.
    1. Wong TW, Yau JKY, Chan CLW, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med. 2005;12:13–18.
    1. Shih FJ, Liao YC, Chan SM, et al. The impact of the 9–21 earthquake experiences of Taiwanese nurses as rescuers. Soc Sci Med. 2002;55:659–672.
    1. Mishra P, Bhadauria US, Dasar PL, et al. Knowledge, attitude and anxiety towards pandemic flu a potential bio weapon among health professionals in Indore City. Przegl Epidemiol. 2016;70 41-5, 125-7.
    1. Aoyagi Y, Beck CR, Dingwall R, Nguyen-Van-Tam JS. Healthcare workers'willingness to work during an influenza pandemic: a systematic review and meta-analysis. Influenza Other Respir Viruses. 2015;9:120–130.
    1. Waugh CE. The Resilience Handbook: Approaches to Stress and Trauma. New York, NY: Routledge; 2013. The regulatory power of positive emotions in stress: a temporal functional approach; pp. 74–75.
    1. Carbone EG, Echols ET. Effects of optimism on recovery and mental health after a tornado outbreak. Psychol Health. 2017;32:530–548.

Source: PubMed

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