Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study

Meryem Türkan Işık; Rana Can Özdemir; Elif Karadeniz

Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study

Abstract

Protecting the health and safety of nurses and other health professionals taking an active role during the COVID-19 pandemic is important. Risks not understood by health professionals and inadequate working conditions cause concern and lead to ethical problems. This qualitative research study was conducted to gain an understanding of the difficulties and emotions nurses experience, and their awareness of the ethical problems experienced while providing nursing care in the COVID-19 clinic. Data was collected by two different methods; deep conversation and semi-structured interview and evaluated by content analysis. Using an empirical phenomenological approach, data analysis concluded with two main themes and eight sub-themes. The average age of the nurses is 32.8±6.7, 91.1% are female, 73.3% have a bachelor’s degree. Average weekly work hours before COVID-19 pandemic was 43.3± 4.6, after the pandemic 37.8± 5.5, 86.7% expressed that the care patients with COVID-19 received was adequate. The emotions experienced by the participants are positive, negative and ambivalent. During the COVID-19 outbreak, nurses were dominated by negative emotions intensified with the ethical issues surrounding the safety of patients, colleagues, families and themselves. Nurses primarily experience ethical problems related to their, patients’, colleagues’ and families’ safety. Positive emotions expressed by nurses; hopefulness, heroism, joy and success because of the patients’ recovery, respect and emotions of gratitude. Some of the difficulties experienced by the participants are difficulties in care due to protective gear worn, difficulty reaching the physician and communication problems. Different studies can be planned regarding the factors affecting healthcare professional-patient communication during the COVID-19 care and treatment process.

Keywords

References

1. Chang D, Xu H, Rebaza A, Sharma L, Dela Cruz CS. Protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med. 2020;8(3):13. doi: 10.1016/S2213-2600(20)30066-7.
2. Guidance for Managing Ethical Issues in Infectious Disease Outbreaks Spain: World Health Organization; 2016. 8-31 p.
3. Frezza E. Medical Ethics: A Reference Guide for Guaranteeing Principled Care and Quality.1st Ed., CRC Press. 2018.
4. Morley G, Grady C, Mccarthy J, Ulrich CM. Covid-19: Ethical challenges for nurses. Hastings Center Report, 2020;1-5.
5. Turale S, Meechamnan C, Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev. 2020;67(2):164-7. doi: 10.1111/inr.12598.
6. Sabatello M, Burke TB, McDonald KE, Appelbaum PS. Disability, ethics, and health care in the COVID-19 pandemic. Am J Public Health. 2020;110(10):1523-7.doi: 10.2105/AJPH.2020.305837.
7. Code of Ethics for Nurses with Interpretive Statements. Maryland. American Nurses Association, Silverspring.2015.1-62 p. Available: https://www.nursingworld.org/practice-policy.
8. Gómez-Vírseda C, De Maeseneer Y, Gastmans C. Relational autonomy in end-of-life care ethics: a contextualized approach to real-life complexities. BMC Med Ethics. 2020;21(1):1-14. doi: 10.1186/s12910-020-00495-1.

9. Sperling D. Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic. Nurs Ethics. 2020:0969733020956376. doi: 10.1177/0969733020956376.
10. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. JAMA. 2020;12:1-2. doi: 10.1001/jama.2020.3972.
11. Boddy CR. Sample size for qualitative research. Qualitative Market Research: An International Journal. 2016:19. doi: 10.1108/QMR-06-2016-0053.
12. Braun V, Clarke V. Novel insights into patients’ life-worlds: The value of qualitative research. Lancet Psy. 2019;6(9):720-21. doi: 10.1016/S2215-0366(19)30296-2.
13. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6);592-98. doi: 10.1016/j.ajic.2020.03.018.
14. Que J, Le Shi JD, Liu J, Zhang L, Wu S, Gong Y, et al. Psychological impact of the COVID-19 pandemic on healthcare workers: A cross-sectional study in China. Gen Psychiatr. 2020;33(3). doi: 10.1136/gpsych-2020-100259.
15. Ji D, Ji YJ, Duan XZ, Li WG, Sun ZQ, Song XA, et al. Prevalence of psychological symptoms among Ebola survivors and healthcare workers during the 2014-2015 Ebola outbreak in Sierra Leone: a cross-sectional study. Oncotarget. 2017;8(8):12784. doi: 10.18632/oncotarget.14498.
16. Liu Q, Dan L, Haase JE, Guo QH, Wang XQ, Liu S. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health. 2020;8:790-98. doi: 10.1016/S2214-109X(20)30204-7.
17. Leblebicioglu H, Nair-Aktas F. COVID-19 fighting with the Covid-19 outbreak: Intensive care nursing professional and personal ethics perspective. J Intensive Care Nurs. 2020;24(1): 73-80.
18. Aliakbari F, Hammad K, Bahrami M, Aein F. Ethical and legal challenges associated with disaster nursing. Nurs Ethics. 2015;22:493-503. doi: 10.1177/0969733014534877.
19. Bakewell F, Pauls MA, Migneault D. Ethical considerations of the duty to care and physician safety in the COVID-19 pandemic. CJEM. 2020;22(4):407-10. doi: 10.1017/cem.2020.376.
20. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3): e203976-e203976. doi:10.1001/jamanetworkopen.2020.3976.
21. Fraher EP, Pittman P, Frogner BK, Spetz J, Moore J, Beck AJ, et al. Ensuring and sustaining a pandemic workforce. NEJM. 2020;382(23):2181-83. doi: 10.1056/NEJMp2006376.22.
22. Kıraner E, Terzi B. Intensive care nursing in Covid-19 pandemic process. Yoğun Bakım Hemşireliği Dergisi. 2020; 24: 83-88.23.
23. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323:2133-34. doi:10.1001/jama.2020.5893.24.
24. Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection. 2020;105(2):183-7. doi: 10.1016/j.jhin.2020.04.012.25.
25. Maben J, Bridges J. COVID-19: Supporting nurses’ psychological and mental health. J Clin Nurs. 2020;29: 2742-50. doi:10.1111/jocn.15307.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Review Article

Authors

Meryem Türkan Işık This is me
0000-0002-4091-8583
Türkiye

Rana Can Özdemir This is me
0000-0003-0655-4736
Türkiye

Elif Karadeniz This is me
0000-0002-9495-9217
Türkiye

Publication Date

January 27, 2022

Submission Date

September 27, 2021

Acceptance Date

December 27, 2021

Published in Issue

Year 2022 Volume: 2 Number: 1

IZ

https://izlik.org/JA63RX58MM

Cite

RIS / Bibtex

APA

Işık, M. T., Can Özdemir, R., & Karadeniz, E. (2022). Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study. Health Sciences Quarterly, 2(1), 27-37. https://izlik.org/JA63RX58MM

AMA

1.Işık MT, Can Özdemir R, Karadeniz E. Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study. Health Sci. Q. 2022;2(1):27-37. https://izlik.org/JA63RX58MM

Chicago

Işık, Meryem Türkan, Rana Can Özdemir, and Elif Karadeniz. 2022. “Emotions, Care Difficulties and Ethical Problems Experienced by Nurses During the COVID-19 Pandemic: A Qualitative Study”. Health Sciences Quarterly 2 (1): 27-37. https://izlik.org/JA63RX58MM.

EndNote

Işık MT, Can Özdemir R, Karadeniz E (January 1, 2022) Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study. Health Sciences Quarterly 2 1 27–37.

IEEE

[1]M. T. Işık, R. Can Özdemir, and E. Karadeniz, “Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study”, Health Sci. Q., vol. 2, no. 1, pp. 27–37, Jan. 2022, [Online]. Available: https://izlik.org/JA63RX58MM

ISNAD

Işık, Meryem Türkan - Can Özdemir, Rana - Karadeniz, Elif. “Emotions, Care Difficulties and Ethical Problems Experienced by Nurses During the COVID-19 Pandemic: A Qualitative Study”. Health Sciences Quarterly 2/1 (January 1, 2022): 27-37. https://izlik.org/JA63RX58MM.

JAMA

1.Işık MT, Can Özdemir R, Karadeniz E. Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study. Health Sci. Q. 2022;2:27–37.

MLA

Işık, Meryem Türkan, et al. “Emotions, Care Difficulties and Ethical Problems Experienced by Nurses During the COVID-19 Pandemic: A Qualitative Study”. Health Sciences Quarterly, vol. 2, no. 1, Jan. 2022, pp. 27-37, https://izlik.org/JA63RX58MM.

Vancouver

1.Meryem Türkan Işık, Rana Can Özdemir, Elif Karadeniz. Emotions, care difficulties and ethical problems experienced by nurses during the COVID-19 pandemic: A qualitative study. Health Sci. Q. [Internet]. 2022 Jan. 1;2(1):27-3. Available from: https://izlik.org/JA63RX58MM