Assessment of the experience and readiness of COVID-19 pandemic Care Nurses

Abstract

Epidemic disease pandemics have affected many societies at various times throughout human history. 21. in the century, we are still fighting epidemics as a world. Nurses play crucial roles in health care practices in the process of infectious disease pandemics and other epidemics. They face the risk of direct patient care and exposure to infectious disease. This work; It was carried out with the participation of 50(13 Male+37 Female) volunteer nurses who directly cared for COVID-19 patients or suspects. Online survey questions were asked to determine the experience and mood of the nurses in the interventions. Data obtained were analyzed by the IBM SPSS 20® program with frequency, independent T-test and Pearson chi-square (χ2) tests. Participants were trained in nursing care. 60% (30) of the participants had difficulty using personal protectors, disinfectants and clothing. 78%(39) of the participants experienced insomnia, stress and anxiety. However, 2%(1) stated that they used sleeping pills, 36%(17) stated that they did meditation, muscle relaxation and breathing exercises. It was determined that 62%(31) of them were exposed to verbal /physical aggression by their patients/relatives during this difficult period. In this process, a significant difference was found between being excluded from service and age, exposure to physical violence and years of working in the profession, understanding of the difficulties of the profession and gender (P <0.05). Consequently; The pandemic felt both an intense workload and a heavy burden of responsibility on the nurses. Changes in work habits brought along both psychological and physical stress. The fact that the process took longer than expected revealed burnout in their own words. Despite all this, nurses overcome these difficulties with their experiences.

Keywords

• COVID-19
• Epidemics
• Pandemic
• Care Nursing
• Nursing

References

1. [1] Burke, M., Midgley, C.M., Dratch, A., Fenstersheib, M., Haupt, T., Holshue, M., Ghinai, I., Jarashow, M. C., Lo, J., McPherson, T. D., Rudman, S., Scott, S., Hall, A.J., Fry, A. M. And Rolfes, M. A. (2020). Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 - United States, January-February 2020 Weekly. Morb Mortal Wkly Rep., 69(9); 245–246.
2. [2] İnternet : T. C Sağlık Bakanlığı Korona Tablosu. (2020). https://covid19bilgi.saglik.gov.tr/tr/gunluk-vaka.html.
3. [3] Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang, X., Wei, S. And Qian, Y. (2020). A Comparison of Burnout Frequency Among Oncology Physicians and Nurses Working on the Frontline and Usual Wards During the COVID-19 Epidemic in Wuhan, China. J Pain Symptom Manage., 60(1): e60–e65.
4. [4] Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., and Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study, Lancet Glob Health, 8(6): e790-e798.
5. [5] WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/?gclid=EAIaIQobChMI6eTCts227AIVBvhRCh2hsQuFEAAYASAAEgJD2vD_BwE.
6. [6] T.C. Sağlık Bakanlığı, COVID-19 (Sars-Cov-2 Enfeksiyonu) Rehberi Bilim Kurulu Çalışması. (2020).
7. [7] Oruc, Y., Aydin, S., Akkoc, R.F., Aydin, S., Gul, F.C., Ugur, K., Sahin, İ., Hanbeyoglu, O., Kilic, S.S., Aksoy, A. (2020). Assessment of the frequency and biochemical parameters of conjunctivitis in COVID-19 and other viral and bacterial conditions. Turk J Biochem. (Ehad of Print)
8. [8] İnternet: COVID-19 Erişkin Hasta Yönetimi ve Tedavisi (2020) http://www.yogunbakim.org.tr/assets/pdf/COVID19-%20Hasta-o%C3%B6netimi-ve-Tedavisi-22032020.pdf

9. [9] World Health Organization, (2020). State of the World's Nursing 2020: Investing in education, jobs and leadership. https://www.who.int/publications-detail/nursing-report-2020.
10. [10] Hope, K., Massey, P.D., Osbourn, M., Durrheim, D.N., Kewley, C.D., Turner, C. (2011). Senior clinical nurses effectively contribute to the pandemic influenza public health response. Australian Journal of Advanced Nursing (Online). 28 (3); 47-53.
11. [11] Koh, H., Kim, H., Kim, M.J., Park, J., Lee, H.J., Chung, J. (2012). Silent Information Regulator 2 (Sir2) and Forkhead Box O (FOXO) Complement Mitochondrial Dysfunction and Dopaminergic Neuron Loss in Drosophila PTEN-induced Kinase 1 (PINK1) Null Mutant. J. Biol. Chem. 287(16): 12750--12758.
12. [12] Martin S.D., Brown L.M., Reid W.M. (2013). Predictors of nurses’ intentions to work during the 2009 influenza A (H1N1) pandemic. AJN The American Journal of Nursing. 113(12): 24–31.
13. [13] Madhav N., Oppenheim B., Gallivan M., Mulembakani P., Rubin E., Wolfe N. (2017). Disease Control Priorities: Improving Health and Reducing Poverty. 3rd edition. Disease Control Priorities, Vol. 9. Washington (DC).
14. [14] Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T. and Dua, B. (2020). The differential psychological distress of populations affected by the COVID-19 pandemic. Brain Behav Immun. 87: 49–50.
15. [15] Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., Wang, H., Wang, R., Liu, C. and Yanga, C. (2020). Vicarious Traumatization in The General Public, Members, And Non-Members Of Medical Teams Aiding İn COVID-19 Control. Brain Behav Immun. 88: 916–919.
16. [16] Adams, J.G. and Walls, R.M. (2020). Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA. 323(15):1439-1440.
17. [17] Jernigan, D.B., 2019-nCoV CDC Response Team. (2020). Update: Public health response to the coronavirus disease 2019 outbreak—United States. Morbidity and Mortality Weekly Report. 69(8); 216–219.
18. [18] Patel, A., Jernigan D.B., 2019-nCoV CDC Response Team. (2020). Initial public health response and interim clinical guidance for the 2019 novel coronavirus outbreak—United States. Morbidity and Mortality Weekly Report, 69(5), 140–146.
19. [19] Centres for Disease Control and Prevention. (2016). Types of healthcare-associated infections. Healthcare-associated infections. https://www.cdc.gov/hai/infectiontypes.html.
20. [20] Centres for Disease Control and Prevention. (2020). Coronavirus disease 2019(COVID-19). https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html
21. [21] American Society of Clinical Society. (2020). COVID-19 patient care information. https://www.asco.org/asco-coronavirus-information/care-individuals-cancer-during-COVID-19
22. [22] Jin, Y.H., Cai, L., Cheng, Z.S., Cheng, H., Deng, T., Fan, T.P., Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team, Evidence-Based Medicine Chapter of China International Exchange and Promotive Association for Medical and Health Care (CPAM). (2020). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military Medical Research. 7(1), 4.
23. [23] Lai, C.C., Shih, T.P., Ko, W.C., Tang, H.J., Hsueh, P.R. (2020). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. International Journal of Antimicrobial Agents. 55(3); 105924.
24. [24] Liew, M.F., Siow, W.T., MacLaren, G., See, K.C. (2020). Preparing for COVID-19: Early experience from an intensive care unit in Singapore. Critical Care. 24(1); 83.
25. [25] Huang, L., Lin, G., Tang, L., Yu, L. Zhou, Z. (2020). Special Attention To Nurses’ Protection During The COVID-19 Epidemic. Critical Care. 24; 120.
26. [26] Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T. and Dua, B. (2020). The differential psychological distress of populations affected by the COVID-19 pandemic. Brain Behav Immun. 87: 49-50.
27. [27] Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., Wang, H., Wang, R., Liu, C. and Yanga, C. (2020). Vicarious Traumatization in The General Public, Members, And Non-Members Of Medical Teams Aiding İn COVID-19 Control. Brain Behav Immun. 88:916-919.
28. [28] Adams, J.G., Walls, R.M. (2020). Supporting the Health Care Workforce During the COVID-19 Global Epidemic. JAMA. 323(15):1439-1440.
29. [29] Likert, R. (1932). A technique for the measurement of attitudes. Archives of Psychology. 22(140); 5- 55.