Psychological impact of COVID-19 pandemic on nurses: A qualitative study

  • Farzana Danial Lady Reading School of Nursing
  • Irfan Ullah Khattak Main Rashid Hussain Shaheed Memorial Hospital Pabbi
Keywords: psychological impact, COVID-19, pandemic, nurses.

Abstract

Coronavirus disease is a serious infectious disease that spread very rapidly. Coronavirus not only impacts the general population but also a thread for health care providers. Besides, it psychologically impacts health care professionals especially nurses.

Objectives. To explore the psychological impact of the COVID-19 pandemic on nurses working in corona isolation units.

Methodology. A qualitative study was conducted using a phenomenological study design. Overall, data were collected from 15 nurses working in tertiary care hospitals of district Nowshera. The study was carried from 1st April 2020 to 20th May 2020. Permission was granted from the District Health Officer of District Nowshera. Keeping the spread of the coronavirus in view, data was collected through semi-structured in-depth telephonic interviews. Electronic consent was also granted from all the concerned participants before data collection. Data were analyzed using Colaizzi’s 7-step method.

Results. A total of three themes were generated from the data; Stress, social isolation, and Coping and Self-Care Styles. Nurses working in COVID-19 units experience stress due to constant duty change, fatigue, change in duty placement, and work overload. Also, they experience social isolation due to the fear of getting infected and the disease transmission to their family and other population. Coping and self-care styles such as exercise, physical activity, facing the reality and religious beliefs are important for the nurses to maintain their mental health.

Conclusions. The outbreak of COVID-19 psychologically impacts the nurses. Besides, the nurses experience stress and social isolation. The nurses also need coping and self-care styles to maintain their mental health. The role of the health department is very important to highlight this issue and provide proper assistance to the nurses.

Downloads

Download data is not yet available.

References

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. doi: 10.1016/j.ijid.2020.01.009.

WHO | Pneumonia of unknown cause – China. Available from:  https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/. [accessed 14 Oct 2020].

Chang D, Xu H, Rebaza A, Sharma L, Dela Cruz CS. Protecting health-care workers from subclinical coronavirus infection. Lancet Respir Med. 2020;8:e13. doi: 10.1016/S2213-2600(20)30066-7.

WHO/Europe | Coronavirus disease (COVID-19) outbreak - WHO announces COVID-19 health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic. Available from: https://www.euro.who.int/en/ [accessed 14 Oct 2020].

WHO Coronavirus Disease (COVID-19) Dashboard | WHO Coronavirus Disease (COVID-19) Dashboard. Available from:  https://covid19.who.int/. [accessed 14 Oct 2020].

Wu Z , M McGoogan J. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China. JAMA - J Am Med Assoc 2019;2639–2648. doi: 10.1001/jama.2020.2648.

Sarti TD, Lazarini WS, Fontenelle LF, Almeida APSC.  What is the role of Primary Health Care in the COVID-19 pandemic? Epidemiol e Serv saude  Rev do Sist Unico Saude do Bras. 2020; 29:e2020166. doi: 10.5123/s1679-49742020000200024.

Melvin SC, Wiggins C, Burse N, Thompson E, Monger M. The role of public health in COVID-19 emergency response efforts from a rural health perspective. Prev Chronic Dis. 2020; 17:1–6. doi: 10.5888/PCD17.200256.

Lippi G, Sanchis-Gomar F, Henry BM. Coronavirus disease 2019 (COVID-19): the portrait of a perfect storm. Ann Transl Med. 2020; 8, 7:497–497. doi: 10.21037/atm.2020.03.157.

Puradollah M, Ghasempour M. Necessity of attention to mental health of the front line nurses against COVID-19: A forgotten requirement. Int J Community Based Nurs Midwifery. 2020;8 (3):280–281. doi: 10.30476/IJCBNM.2020.85889.1301.

Maunder R, Hunter J, Vincent L, Bennett J, Peladeau N, Leszcz M, Sadavoy J, Verhaeghe LM, Steinberg R, Mazzulli T. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. Cmaj. 2003;168(10):1245–1251. Available from: https://pubmed.ncbi.nlm.nih.gov/12743065/.

Lai AL, Millet JK, Daniel S, Freed JH, Whittaker GR. Psychological impact of 2015 MERS. Lancet. 2020;395:1315.

Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, Zhang B. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020; 7:e17–e18. doi: 10.1016/S2215-0366(20)30077-8.

Kang HS, Son YD, Chae SM, Corte C. Working experiences of nurses during the Middle East respiratory syndrome outbreak. Int J Nurs Pract. 2018; 24:1–8. doi: 10.1111/ijn.12664.

Rn YK. Nurses’ experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018; 46:781–7. doi: 10.1016/j.ajic.2018.01.012.

Smith MW, Smith PW, Kratochvil CJ, Schwedhelm S. The Psychosocial Challenges of Caring for Patients with Ebola Virus Disease. Heal Secur. 2017;15:104–109. doi: 10.1089/hs.2016.0068.

Lee SH, Juang YY, Su YJ, Lee HL, Lin YH, Chao CC. Facing SARS: Psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital. Gen Hosp Psychiatry. 2005; 27:352–358. doi: 10.1016/j.genhosppsych.2005.04.007.

Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016 ; 14:7–14. doi: 10.3121/cmr.2016.1303.

Boyle C, Robertson C, Secor-Turner M. Nurses’ beliefs about public health emergencies: Fear of abandonment. Am J Infect Control. 2006;34:351–357. doi: 10.1016/j.ajic.2006.01.012.

Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, Cheung T, Xiang YT. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci.2020; 16:1732–1738. doi: 10.7150/ijbs.45120.

Sun N, Wei L, Shi S, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020; 48:592–298. doi: 10.1016/j.ajic.2020.03.018.

Nie A, Su X, Zhang S, Guan W, Li J. Psychological impact of COVID-19 outbreak on frontline nurses: A cross-sectional survey study. J Clin Nurs. 2020; 29:4217–4226. doi: 10.1111/jocn.15454.

Health I, Cabarkapa S, Nadjidai SE, Murgier J, Ng CH. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company’s public news and information. Brain, Behav Immun - Heal.2020; 8:234–243.

Khanal P, Devkota N, Dahal M, Paudel K, Joshi D. Mental health impacts among health workers during COVID-19 in a low resource setting: A cross-sectional survey from Nepal. Global Health.2020; 16:1–12. doi: 10.1186/s12992-020-00621-z.

Hendy A, Abozeid A, Sallam G, Abboud Abdel Fattah H, Ahmed Abdelkader Reshia F. Predictive factors affecting stress among nurses providing care at COVID-19 isolation hospitals at Egypt. Nurs Open.2020; 8,1:498-505 doi: 10.1002/nop2.652.

Wu B. Social isolation and loneliness among older adults in the context of COVID-19: a global challenge. Glob Heal Res Policy.2020; 5:154–156. doi: 10.1186/s41256-020-00154-3.

Main A, Zhou Q, Ma Y, Luecken LJ, Liu X. Relations of sars-related stressors and coping to chinese college students’ psychological adjustment during the 2003 beijing sars epidemic. J Couns Psychol.2011;58:410–423. doi: 10.1037/a0023632.

Skapinakis P, Bellos S, Oikonomou A, Dimitriadis G, Gkikas P, Perdikari E, Mavreas V.  Depression and its relationship with coping strategies and illness perceptions during the Covid-19 lockdown in Greece: A cross-sectional survey of the population. Depress Res Treat. 2020. doi: 10.1155/2020/3158954.

Mak WWS, Law RW, Woo J, Cheung FM, Lee D. Social support and psychological adjustment to SARS: The mediating role of self-care self-efficacy. Psychol Heal.2009; 24:161–174. doi: 10.1080/08870440701447649.

Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS One.2020; 15: e0237303. doi: 10.1371/journal.pone.0237303.

Savic M, Ogeil RP, Sechtig MJ, Lee-Tobin P, Ferguson N, Lubman DI. How do nurses cope with shift work? A qualitative analysis of open-ended responses from a survey of nurses. Int J Environ Res Public Health.2019; 16:3821. doi: 10.3390/ijerph16203821.


Abstract views: 723
PDF Downloads: 18828
Published
2021-05-18
How to Cite
Danial, F., & Khattak, I. U. (2021). Psychological impact of COVID-19 pandemic on nurses: A qualitative study. Ukrainian Journal of Nephrology and Dialysis, (2(70), 48-55. https://doi.org/10.31450/ukrjnd.2(70).2021.06