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Perceptions Of Nurses Working In The Covid-19 Wards Of A University Hospital On Being A Covid-19 Nurse: A Metaphor Analysis

Year 2023, Volume: 10 Issue: 3, 729 - 744, 31.12.2023
https://doi.org/10.21020/husbfd.1296965

Abstract

Aim: The aim of this study is to determine the views and perceptions of nurses, who provide care to COVID-19 patients, on COVID-19 nursing.
Methods: This study was conducted with a descriptive qualitative research design. The population of the study consisted of nurses who had worked and are working in the COVID-19 wards of the Gazi University Health, Research and Application Center. The sample have consisted of 116 nurses who agreed to participate in the study and met the inclusion criteria. The data were collected using a Nurse Information Form and the metaphor perception of being a nurse during the COVID-19 pandemic. The nurses’ responses to the open-ended metaphor questions were systematically evaluated in the data system using content analysis. The study was structured and reported in accordance with the Consolidated Criteria for Reporting Qualitative Research Checklist.
Results: The majority of nurses (88.2%) were female and had a bachelor’s degree (85.4 %). While nearly half of the nurses worked at COVID-19 wards for 1 to 5 months, 40% worked in the profession for 1 to 5 years. As a result of the nurses’ answers, it was determined that a total of six categories and 89 metaphors were established in the study. These categories and some important metaphors are listed as uncertainty (bridge, candle), hope (shadow, mother), guardianship (atom), self-sacrifice (organ, artificial lung), vital importance (worker bee, white blood cells), and COVID-19 nurse as a warrior (diving without scuba gear, fluttering in the swamp).
Conclusion: The results of the study revealed that the nurses playded a key role during the pandemic period. It was observed that the nurses were generally hopeful during this period, but they thought that the process was uncertain.Based on the results of the study, it can be suggested to make planing to protect and maintain the psychosocial health of nurses, and to increase emotional support.

References

  • Aquila, I., Sacco, M. A., Ricci, C., Gratteri, S., Montebianco Abenavoli, L., Oliva, A., & Ricci, P. (2020). The role of the COVID-19 pandemic as a risk factor for suicide: What is its impact on the public mental health state today? Psychological Trauma: Theory, Research, Practice and Policy, 12(S1), 120–122. https://doi.org/10.1037/tra0000616
  • Arcadi, P., Simonetti V., Ambrosca, R., Cicolini, G., Simeone, S., Pucciarelli, G., Alvaro, R., Vellone, E., & Durante, A. (2021). Nursing during the COVID-19 outbreak: A phenomenological study. Journal of Nursing Mangaement, 29(5):1111-1119. Doi: 10.1111/jonm.13249.
  • Bookey-Bassett, S., Purdy, N., & Van Deursen, A. (2020). Safeguarding and inspiring: In-patient nurse managers’ dual roles during COVID-19. Nursing Leadership, 33(4), 20–28. https://doi.org/10.12927/cjnl.2021.26424
  • Cheng, L., Guo, X., Liu, H., Chen, Q., & Cui, R. (2021). Hope, death anxiety and simplified coping style scores of nursing students during the outbreak of COVID-19: A cross-sectional study. Medicine, 100(34), e27016. https://doi.org/10.1097/MD.0000000000027016
  • Choi, S. P., Cheung, K., & Pang, S. M. (2014). A field study of the role of nurses in advocating for safe practice in hospitals. Journal of Advanced Nursing, 70(7), 1584–1593. https://doi.org/10.1111/jan.12316
  • Dalcalı, B. K., & Kaya, H. (2020). Mental images of nursing students regarding nursing profession: A metaphoric study. International Journal of Caring Sciences, 13(3), 1621–1628.
  • Dikmen, Y., Aydın, Y., & Tabakoğlu, P. (2016). Compassion fatigue: A Study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879–2884. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/3752
  • Durgun, H., Köktürk Dalcalı, B., & Bayraktar, F. (2022). Mental images of nurses regarding COVID-19: A metaphor study. Journal of Nursing Management, 30(1), 53–61. https://doi.org/10.1111/jonm.13482 Felepchuk, E., & Finley, B. (2021). Playing the Changes: Improvisation, Metaphor, and COVID-19. Critical Studies in Improvisation/Études Critiques en Improvisation, 14(1), 1–13. https://doi.org/10.21083/csieci.v14i1.6510
  • Fernández-Castillo, R. J., González-Caro, M. D., Fernández-García, E., Porcel-Gálvez, A. M., & Garnacho-Montero, J. (2021). Intensive care nurses' experiences during the COVID-19 pandemic: A qualitative study. Nursing in Critical Care, 26(5), 397–406. https://doi.org/10.1111/nicc.12589
  • Haresh, D., & Brown, A.D. (2020). Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychological Trauma: Theory. Research, Practice, and Policy, 12(4):331–35. doi: 10.1037/tra0000592.
  • Horton, R. (2020). Offline: COVID-19 bewilderment and candour. The Lancet, 395(10231), 1178. https://doi.org/10.1016/S0140-6736(20)30850-3.
  • Hong, P. Y. P., Hodge, D. R., & Choi, S. (2015). Spirituality, hope, and self-sufficiency among low-income job seekers. Social Work, 60(2), 155-164.https://doi.org/10.1093/sw/swu059
  • Işık, B., Kaya, H., & Ozel, H. (2020). Nurses’ metaphorical perceptions of“care”. International Journal of Caring Sciences, 13(3), 1678–1688
  • Kaçkin Ö., Çiydem E., Acı Ö. S., & Kutlu F. Y. (2020). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. International Journal of Social Psychiatry, 1-10.
  • Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., Wang, Y., Hu, J., Lai, J., Ma, X., Chen, J., Guan, L., Wang, G., Ma, H., & Liu, Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3), 14. https:// doi.org/10.1016/S2215-0366(20)30047-X.
  • Kearns, A., J. (2021). The principle of salvage in the context of COVID-19. Nursing Inquiry, 28(1), e12389. https://doi.org/10.1111/nin.12389
  • Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020a). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6),790-798. https://doi.org/10.1016/S2214-109X(20)30204-7
  • Liu, S., Yang, L., Zhang, C., Xiang, Y. T., Liu, Z., Hu, S., & Zhang, B. (2020b). Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry, 7: 17–18.
  • Marey-Sarwan, I., Hamama-Raz, Y., Asadi, A., Nakad, B., & Hamama, L. (2021). "It's like we're at war": Nurses' resilience and coping strategies during the COVID-19 pandemic. Nursing Inquiry, e12472. Advance Online Publication. https://doi.org/10.1111/nin.12472
  • Monjazebi, F., Dolabi, S. E., Tabarestani, N. D., Moradian, G., Jamaati, H., & Peimani, M. (2021). Journey of Nursing in COVID-19 Crisis: A Qualitative Study. Journal of Patient Experience, 8. https://doi.org/10.1177/2374373521989917
  • Moradi, Y., Mollazadeh, F., Karimi, P., Hosseingholipour, K., & Baghaei, R. (2020). Psychological disturbances of survivors throughout COVID-19 crisis: A qualitative study. BMC Psychiatry, 20(1), 1–8. https://doi.org/10.1186/s12888-020-03009-w
  • Muz, G., & Erdoğan Yüce, G. (2021). Experiences of nurses caring for patients with COVID-19 in Turkey: A phenomenological enquiry. Journal of Nursing Management, 29(5), 1026–1035. https://doi.org/10.1111/jonm.13240
  • Saban A. (2009). Öğretmen adaylarının öğrenci kavramına ilişkin sahip oldukları zihinsel imgeler. Türk Eğitim Bilimleri Dergisi, 7:281–326.
  • Schroeder, K., Norful, A. A., Travers, J., & Aliyu, S. (2020). Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. International Journal of Nursing Studies Advances, 2 https://doi.org/10.1016/j.ijnsa.2020.100006
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
  • Wu, X., Xu, H., Zhang, X., Han, S., Ge, L., Li, X., & Zhang, X. (2019). Self-efficacy, hope as mediators between positive coping and resilience among patientswith gastric cancer before the first chemotherapy. Cancer Nursing, 44(1), 79-85. https://doi.org/10.1097/NCC.0000000000000753
  • Vázquez-Calatayud, M., Regaira-Martínez, E., Rumeu-Casares, C., Paloma-Mora, B., Esain, A., & Oroviogoicoechea, C. (2022). Experiences of frontline nurse managers during the COVID-19: A qualitative study. Journal of Nursing Management, 30(1), 79–89. https://doi.org/10.1111/jonm.13488
  • Yao, C., Jiang, T., Chen, X., & Zheng, Z. (2020). Qualitative study on work stress of first-line nursing staff in children’s hospital against new coronavirus pneumonia. Journal of Nursing Rehabilitation, 19, 66–69.
  • Yıldırım, N., Aydoğan, A., & Bulut, M. (2021). A qualitative study on the experiences of the first nurses assigned to COVID-19 units in Turkey. Journal of Nursing Management, 29(6), 1366–1374. https://doi.org/10.1111/jonm.13291
  • Yıldırım A., & Şimşek H. (2008). Sosyal bilimlerde nitel araştırma yöntemleri. Seçkin Yayıncılık, Ankara.

Bir Üniversite Hastanesinin Covid-19 Servislerinde Çalışan Hemşirelerin Covid-19 Hemşiresi Olmaya İlişkin Algıları: Bir Metafor Analizi

Year 2023, Volume: 10 Issue: 3, 729 - 744, 31.12.2023
https://doi.org/10.21020/husbfd.1296965

Abstract

Amaç: Bu çalışmanın amacı, COVID-19 hastalarına bakım veren hemşirelerin COVID-19 hemşireliği ile ilgili düşünce ve algılarını belirlemektir.
Yöntem: Bu araştırma, tanımlayıcı nitel araştırma deseninde yürütülmüştür. Araştırmanın evreni Gazi Üniversitesi Sağlık, Araştırma ve Uygulama Merkezi COVID-19 servislerinde çalışmış ve çalışmakta olan hemşirelerden oluşmuştur. Örneklem, araştırmaya katılmayı kabul eden ve dahil edilme kriterlerini karşılayan 116 hemşireden oluşturulmuştur. Veriler, Hemşire Bilgi Formu ve COVID-19 pandemisi sürecinde hemşire olma metaforu algısı kullanılarak toplanmıştır. Hemşirelerin açık uçlu metafor sorularına verdikleri yanıtlar veri sisteminde içerik analizi kullanılarak sistematik olarak değerlendirilmiştir. Araştırma, Niteliksel Araştırma Raporlama için Konsolide Kriterler Kontrol Listesi'ne uygun olarak yapılandırılmış ve raporlanmıştır.
Bulgular: Hemşirelerin çoğunluğu (%88,2) kadın ve lisans mezunuydu (%85,4). Hemşirelerin yaklaşık yarısı COVID-19 servislerinde 1 ila 5 ay, %40'ı ise meslekte 1 ila 5 yıl çalışmıştır. Hemşirelerin verdikleri yanıtlar sonucunda araştırmada toplam altı kategori ve 89 metafor oluşturulduğu belirlenmiştir. Bu kategoriler ve önemli bazı metaforlar; belirsizlik (köprü, mum), umut (gölge, anne), koruyuculuk (atom), fedakarlık (organ, yapay akciğer), hayati önem (işçi arı, beyaz kan hücreleri) ve savaşçı olarak Covid hemşiresi (tüpsüz dalmak, bataklıkta çırpınmak) şeklinde kaydedilmiştir.
Sonuç: Araştırmanın sonuçları hemşirelerin pandemi döneminde kilit bir rol oynadığını göstermiştir. Hemşirelerin genel anlamda bu dönemde umut besledikleri fakat sürecin belirsiz olduğunu düşündükleri gözlenmiştir. Çalışma sonuçlarına dayanarak hemşirelerin psikososyal sağlığının korunmasına ve sürdürülmesine, duygusal desteğin artırılmasına yönelik planlamaların yapılması önerilebilir.

References

  • Aquila, I., Sacco, M. A., Ricci, C., Gratteri, S., Montebianco Abenavoli, L., Oliva, A., & Ricci, P. (2020). The role of the COVID-19 pandemic as a risk factor for suicide: What is its impact on the public mental health state today? Psychological Trauma: Theory, Research, Practice and Policy, 12(S1), 120–122. https://doi.org/10.1037/tra0000616
  • Arcadi, P., Simonetti V., Ambrosca, R., Cicolini, G., Simeone, S., Pucciarelli, G., Alvaro, R., Vellone, E., & Durante, A. (2021). Nursing during the COVID-19 outbreak: A phenomenological study. Journal of Nursing Mangaement, 29(5):1111-1119. Doi: 10.1111/jonm.13249.
  • Bookey-Bassett, S., Purdy, N., & Van Deursen, A. (2020). Safeguarding and inspiring: In-patient nurse managers’ dual roles during COVID-19. Nursing Leadership, 33(4), 20–28. https://doi.org/10.12927/cjnl.2021.26424
  • Cheng, L., Guo, X., Liu, H., Chen, Q., & Cui, R. (2021). Hope, death anxiety and simplified coping style scores of nursing students during the outbreak of COVID-19: A cross-sectional study. Medicine, 100(34), e27016. https://doi.org/10.1097/MD.0000000000027016
  • Choi, S. P., Cheung, K., & Pang, S. M. (2014). A field study of the role of nurses in advocating for safe practice in hospitals. Journal of Advanced Nursing, 70(7), 1584–1593. https://doi.org/10.1111/jan.12316
  • Dalcalı, B. K., & Kaya, H. (2020). Mental images of nursing students regarding nursing profession: A metaphoric study. International Journal of Caring Sciences, 13(3), 1621–1628.
  • Dikmen, Y., Aydın, Y., & Tabakoğlu, P. (2016). Compassion fatigue: A Study of critical care nurses in Turkey. Journal of Human Sciences, 13(2), 2879–2884. https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/3752
  • Durgun, H., Köktürk Dalcalı, B., & Bayraktar, F. (2022). Mental images of nurses regarding COVID-19: A metaphor study. Journal of Nursing Management, 30(1), 53–61. https://doi.org/10.1111/jonm.13482 Felepchuk, E., & Finley, B. (2021). Playing the Changes: Improvisation, Metaphor, and COVID-19. Critical Studies in Improvisation/Études Critiques en Improvisation, 14(1), 1–13. https://doi.org/10.21083/csieci.v14i1.6510
  • Fernández-Castillo, R. J., González-Caro, M. D., Fernández-García, E., Porcel-Gálvez, A. M., & Garnacho-Montero, J. (2021). Intensive care nurses' experiences during the COVID-19 pandemic: A qualitative study. Nursing in Critical Care, 26(5), 397–406. https://doi.org/10.1111/nicc.12589
  • Haresh, D., & Brown, A.D. (2020). Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychological Trauma: Theory. Research, Practice, and Policy, 12(4):331–35. doi: 10.1037/tra0000592.
  • Horton, R. (2020). Offline: COVID-19 bewilderment and candour. The Lancet, 395(10231), 1178. https://doi.org/10.1016/S0140-6736(20)30850-3.
  • Hong, P. Y. P., Hodge, D. R., & Choi, S. (2015). Spirituality, hope, and self-sufficiency among low-income job seekers. Social Work, 60(2), 155-164.https://doi.org/10.1093/sw/swu059
  • Işık, B., Kaya, H., & Ozel, H. (2020). Nurses’ metaphorical perceptions of“care”. International Journal of Caring Sciences, 13(3), 1678–1688
  • Kaçkin Ö., Çiydem E., Acı Ö. S., & Kutlu F. Y. (2020). Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. International Journal of Social Psychiatry, 1-10.
  • Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., Wang, Y., Hu, J., Lai, J., Ma, X., Chen, J., Guan, L., Wang, G., Ma, H., & Liu, Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry, 7(3), 14. https:// doi.org/10.1016/S2215-0366(20)30047-X.
  • Kearns, A., J. (2021). The principle of salvage in the context of COVID-19. Nursing Inquiry, 28(1), e12389. https://doi.org/10.1111/nin.12389
  • Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020a). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6),790-798. https://doi.org/10.1016/S2214-109X(20)30204-7
  • Liu, S., Yang, L., Zhang, C., Xiang, Y. T., Liu, Z., Hu, S., & Zhang, B. (2020b). Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry, 7: 17–18.
  • Marey-Sarwan, I., Hamama-Raz, Y., Asadi, A., Nakad, B., & Hamama, L. (2021). "It's like we're at war": Nurses' resilience and coping strategies during the COVID-19 pandemic. Nursing Inquiry, e12472. Advance Online Publication. https://doi.org/10.1111/nin.12472
  • Monjazebi, F., Dolabi, S. E., Tabarestani, N. D., Moradian, G., Jamaati, H., & Peimani, M. (2021). Journey of Nursing in COVID-19 Crisis: A Qualitative Study. Journal of Patient Experience, 8. https://doi.org/10.1177/2374373521989917
  • Moradi, Y., Mollazadeh, F., Karimi, P., Hosseingholipour, K., & Baghaei, R. (2020). Psychological disturbances of survivors throughout COVID-19 crisis: A qualitative study. BMC Psychiatry, 20(1), 1–8. https://doi.org/10.1186/s12888-020-03009-w
  • Muz, G., & Erdoğan Yüce, G. (2021). Experiences of nurses caring for patients with COVID-19 in Turkey: A phenomenological enquiry. Journal of Nursing Management, 29(5), 1026–1035. https://doi.org/10.1111/jonm.13240
  • Saban A. (2009). Öğretmen adaylarının öğrenci kavramına ilişkin sahip oldukları zihinsel imgeler. Türk Eğitim Bilimleri Dergisi, 7:281–326.
  • Schroeder, K., Norful, A. A., Travers, J., & Aliyu, S. (2020). Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. International Journal of Nursing Studies Advances, 2 https://doi.org/10.1016/j.ijnsa.2020.100006
  • Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
  • Wu, X., Xu, H., Zhang, X., Han, S., Ge, L., Li, X., & Zhang, X. (2019). Self-efficacy, hope as mediators between positive coping and resilience among patientswith gastric cancer before the first chemotherapy. Cancer Nursing, 44(1), 79-85. https://doi.org/10.1097/NCC.0000000000000753
  • Vázquez-Calatayud, M., Regaira-Martínez, E., Rumeu-Casares, C., Paloma-Mora, B., Esain, A., & Oroviogoicoechea, C. (2022). Experiences of frontline nurse managers during the COVID-19: A qualitative study. Journal of Nursing Management, 30(1), 79–89. https://doi.org/10.1111/jonm.13488
  • Yao, C., Jiang, T., Chen, X., & Zheng, Z. (2020). Qualitative study on work stress of first-line nursing staff in children’s hospital against new coronavirus pneumonia. Journal of Nursing Rehabilitation, 19, 66–69.
  • Yıldırım, N., Aydoğan, A., & Bulut, M. (2021). A qualitative study on the experiences of the first nurses assigned to COVID-19 units in Turkey. Journal of Nursing Management, 29(6), 1366–1374. https://doi.org/10.1111/jonm.13291
  • Yıldırım A., & Şimşek H. (2008). Sosyal bilimlerde nitel araştırma yöntemleri. Seçkin Yayıncılık, Ankara.
There are 30 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Articles
Authors

Ümran Demircan 0000-0002-2975-4581

Merve Işık 0000-0002-4857-2337

Tuğba Güneş 0000-0003-0593-6863

Satı Demir 0000-0003-4232-8891

Early Pub Date December 2, 2023
Publication Date December 31, 2023
Submission Date May 14, 2023
Published in Issue Year 2023 Volume: 10 Issue: 3

Cite

APA Demircan, Ü., Işık, M., Güneş, T., Demir, S. (2023). Perceptions Of Nurses Working In The Covid-19 Wards Of A University Hospital On Being A Covid-19 Nurse: A Metaphor Analysis. Hacettepe University Faculty of Health Sciences Journal, 10(3), 729-744. https://doi.org/10.21020/husbfd.1296965