Coping in times of disruption and deprivation—Experiences of family members during COVID‐19 patients' critical illness: A qualitative study

Nursing Open, Год журнала: 2023, Номер 10(7), С. 4825 - 4837

Опубликована: Апрель 2, 2023

Abstract Aim To explore the experiences and needs of family members during course COVID‐19 critical illness from onset to rehabilitation. Design An exploratory qualitative study. Methods Twelve surviving critically ill patients restricted visiting patients, were interviewed digitally. Reflexive thematic analysis was used. Results Three themes generated data; ‘Experiencing a double burden’, ‘Becoming an insignificant other’ ‘Regaining significance’. Family often themselves, which represented extra burden when patient deteriorated. From admission, became bystanders, deprived most contact with as communication information intensive care unit appeared unstructured haphazard. However, discharged, great responsibility placed on members.

Язык: Английский

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Measuring moral distress in Swedish intensive care: Psychometric and descriptive results

Intensive and Critical Care Nursing, Год журнала: 2023, Номер 76, С. 103376 - 103376

Опубликована: Янв. 25, 2023

To investigate the construct validity and psychometric properties of Swedish version Moral Distress Scale-Revised to describe moral distress in an intensive care context.The Italian was translated semantically adjusted context. A web survey with 14 items, as well three additional eight background questions answered by critical nurses (N = 71) working units during second year coronavirus disease pandemic. Inferential descriptive statistics were used four-factor model examine nurses' distress.The result shows a factor four components differing from previous model. Critical demonstrated significant differences regarding priorities compared before pandemic, type household; experience whether they had supervised students pandemic.The component structure might have originated specific situation perceived The health organisations' role preventing healing effects is important for managers understand.Moral common it necessary use valid instrument when measuring it. psychometrical investigation Scale-Revised, adapted need further semantic cultural adaptation. Perceived household type, supervising pandemic related be aware conditions that may trigger such response.

Язык: Английский

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Critical Care Nurses’ Experiences Caring for Patients When Relatives Were not Allowed in the ICUs due to COVID-19 Pandemic

SAGE Open Nursing, Год журнала: 2022, Номер 8

Опубликована: Янв. 1, 2022

Health care workers faced new challenges during the COVID-19 pandemic when physical contact with relatives more or less disappeared.The aim of this study is to describe experiences critical nurses (CCNs) working in intensive units (ICUs) under visiting restrictions imposed as a result COVID-19.This followed qualitative design. The purposive sample included CCNs at least 1 year experience an ICU policy affected by pandemic. Data collection was carried out via semi-structured interviews and analyzed through content analysis inductive approach.The results are presented three categories 10 subcategories. value presence patients' bedside described many could not be present patient pandemic.Close able share essential information about patients provide much-needed emotional support them, relatives' role central importance their ICUs than any positive consequences them being there.

Язык: Английский

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The four domains of the person-centred practice framework from the perspective of critical care nurses in intensive care units during a pandemic

Intensive and Critical Care Nursing, Год журнала: 2023, Номер 78, С. 103449 - 103449

Опубликована: Май 9, 2023

Язык: Английский

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Intensive Care Managers’ Experiences of the COVID-19 Pandemic: A Dramatic Change of the Intensive Care Landscape

Journal of Nursing Management, Год журнала: 2023, Номер 2023, С. 1 - 12

Опубликована: Сен. 29, 2023

To describe intensive care managers' experiences of premises and resources in units during the COVID-19 pandemic. Intensive (ICUs) were enormously pressured pandemic from many ill patients, requiring advanced care. Hospital community volunteers increased staff strength. Obligatorily, recruitments also conducted using transfer different hospital departments. However, there is little knowledge about (ICMs) leadership A qualitative descriptive study was March to April 2022. Semistructured interviews held with 12 ICMs who purposively sampled ICU ten Swedish hospitals. Data analysed content analysis. Two themes emerged: a dramatic change landscape we could handle more than thought, but at steep price. Participants described that ICUs had perform extraordinary changes very fast pace, which initially created sense cohesion. Training introduction war-like conditions associated uncertainty meant support prioritising interventions. how stood strong against pandemic, stress, worries, anxiety took heavy toll on ICMs. The eroded resilience ICUs. deterioration health said sick leaves resignations occurred. Our findings show ICMs' as field tension between demands, whereby burden left weakened. Implications for Nursing Management. Findings emphasised importance creating working human materials order rebuild ability conduct safe patient

Язык: Английский

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Piloting and watch over in the end‐of‐life care of intensive care unit patients with COVID‐19—A qualitative study

Nursing in Critical Care, Год журнала: 2024, Номер 29(6), С. 1421 - 1428

Опубликована: Июль 18, 2024

During the COVID-19 pandemic, intensive care units (ICUs) were under heavy pressure, with a significantly increased number of severely ill patients. Hospitals introduced restrictions, and families could not visit their dying family members. Patients cared for without privacy, several died in shared patient rooms, leaving nurse to protect patient's need loving vulnerable situation at end life.

Язык: Английский

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Staff experiences, perceptions of care, and communication in the intensive care unit during the COVID-19 pandemic in Australia

Australian Critical Care, Год журнала: 2022, Номер 36(1), С. 66 - 76

Опубликована: Окт. 17, 2022

Язык: Английский

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Institutional Constraints as an Obstacle for Prioritizing Nursing Interventions During the COVID-19 Pandemic—Critical Care Nurses’ Experiences

SAGE Open Nursing, Год журнала: 2022, Номер 8

Опубликована: Янв. 1, 2022

The demands of the pandemic such as staff shortages and limited resources combined with new guidelines regarding infection control may have required prioritizing nursing interventions.The aim this study was to describe critical care nurses' experiences interventions for patients COVID-19 in intensive units (ICUs) during pandemic.A qualitative descriptive gathered from open-ended questions included a cross-sectional online questionnaire. Characteristics were presented using statistics, analyzed content analysis an inductive approach. conducted Sweden focused on nurses working ICUs spring 2021 second year pandemic.During pandemic, 87% had provided orientations co-workers, 52% supervised students. In all, 70 answered question whether they prioritized differently pandemic; 86% reported that 14% not. resulted one theme, Institutional constraints obstacle interventions, three categories: Prioritizing lifesaving Performing less frequently, Not able provide I wish provide.Institutional is overall theme. It illustrates how been forced prioritize, thereby not being wanted do provide, it describes their feelings situation. need recovery possibilities reflection. organization must also recover only return before but learn recent events take actions reduce long-term effects staffing.

Язык: Английский

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Induction, deduction and abduction

Evidence-Based Nursing, Год журнала: 2023, Номер 27(1), С. 6 - 7

Опубликована: Ноя. 10, 2023

Research made simple 10.1136

Язык: Английский

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Being an older hospitalized patient during the COVID-19 pandemic - A qualitative interview study

BMC Geriatrics, Год журнала: 2023, Номер 23(1)

Опубликована: Дек. 5, 2023

Abstract Background Older people hospitalized for COVID-19 are a vulnerable group due to the disease itself, aging and often loss of hearing vision. Person-centered care, where patients have opportunities communicate participate in their own is important. However, because healthcare staff needed wear personal protective equipment during pandemic, protect themselves, providing person-centered care was difficult. This study aims describe older patients’ experiences both being cared for, while having COVID-19, provided by wearing PPE. Methods Fourteen patients, over 65 years age, were interviewed, data analyzed using qualitative content analysis. The adhered Consolidated criteria reporting research guidelines. Results Three subthemes one overall theme, “The desire survival overshadows difficulties” , emerged main findings revealed that experienced they received from as satisfactory. reported understanding accepting pandemic situation meant ability with given lower priority. Conclusions need be situations such no exception. Care tasks not acute nature, e.g., planning return home, could conducted required

Язык: Английский

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