scholarly journals Nurses’ perspectives of taking care of patients with Coronavirus disease 2019: A phenomenological study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257064
Author(s):  
Sarath Rathnayake ◽  
Damayanthi Dasanayake ◽  
Sujeewa Dilhani Maithreepala ◽  
Ramya Ekanayake ◽  
Pradeepa Lakmali Basnayake

The pandemic of Coronavirus disease 2019 (COVID-19) has brought significant pressure on nurses globally as they are the frontline of care. This study aimed to explore the experiences and challenges of nurses who worked with hospitalised patients with COVID-19. In this qualitative study, a purposive sample of 14 nurses participated in in-depth telephone interviews. Data were analysed using Colaizzi’s phenomenological method. Five key themes emerged: (1) physical and psychological distress of nurses, (2) willingness to work, (3) the essential role of support mechanisms, (4) educational and informational needs of nurses and (5) the role of modern technology in COVID-19 care. Although the provision of care led to physical and psychological distress among nurses, with their commitment and professional obligation, it is a new experience that leads to personal satisfaction. Guilty feeling related to inefficiency of care, witnessing the suffering of patients, discomfort associated with wearing personal protective equipment (PPE), work-related issues (e.g., long hour shifts), negative impact to the family and rejection by others are the leading distress factors. Religious beliefs, including keeping trust in good and bad merits, have become a strong coping mechanism. Addressing distress among nurses is essential. The reported learning needs of nurses included skills related to donning and doffing PPE, skills in performing nursing procedures and breaking bad news. Nurse managers need to pay special attention to expanding training opportunities as well as support mechanisms, for example, welfare, appreciations and counselling services for nurses. Modern technology, particularly robots and telecommunication, can perform an essential role in COVID-19 care. The establishment of timely policies and strategies to protect health workers during a national disaster like COVID-19 is needed.

2020 ◽  
Author(s):  
Maria Pilar Astier Peña ◽  
Teresa Martínez Boyero ◽  
Barbara Gómez Marco ◽  
Candela Pérez Alvarez ◽  
Alba Gállego Royo ◽  
...  

Abstract Background: Physicians have not learned their role as patients. Medical associations focused mainly on mental health programs for doctors in different countries. Nevertheless, the anomalous behaviours of ill doctors exist independently of their health problem. We described the development and validation of a questionnaire to describe Behaviours and Attitudes of Doctors towards their Own Illness (BADOI).Methods: Development of the questionnaire and appearance and content validation (ACV) by experts’ debriefings; construct validation by exploratory (EFA) and confirmatory factor analysis (CFA); reliability by Cronbach's alpha index (CAI) and feasibility by completion time (CT), accessibility to questionnaire platform and % of not answer items.Results: A Questionnaire with 56 items was developed with 3 sections: 1) socio-demographic, professional and work-related data. 2) Activities for self-care and work impact (sick leaves and presenteeism) and physicians’ healthcare pathways (Self-management and use of healthcare services). 3) Doctors of ill doctors and the role of medical associations. The validation sample size was of 4308 physicians’ answers. The factorial model presented 5 factors explaining 78.08% variance, a high value. Factor 1 explained 26.75% of the model describing the relationship between illness and work; Factor 2 explained 16.68%, with items regarding the negative impact of mental issues, toxic habits and the use of healthcare services; Factor 3 explained 15.06%, with items considering presenteeism and sick leaves; Factor 4 explained 9.95% regarding the handling of an ill colleague and medical associations. Finally, Factor 5 explained 9.64%, with items describing healthcare given to ill physicians and the revalidation of medical profession. Discussion: The factors grouped together items relating to self-care, impact on work and physicians’ healthcare pathways (F1-F2-F3) and the role of doctors of ill doctors and of the professional associations (F4-F5), being consistent with the 2 main perspectives: personal experience and caring for ill colleagues.Conclusion: A reliable Multidimensional Questionnaire on the process of physicians becoming ill has been validated in a large sample of registered doctors. It will help to identify and quantify physicians’ healthcare pathways allowing healthcare managers to set evidence-based interventions and formulate policies and ethical recommendations regarding the management of sick doctors.


2020 ◽  
pp. 003329412094559
Author(s):  
Maya Kagan

Based on the stress-buffering model, the current study sought to examine the moderating role of perceived social support in the association between death anxiety and psychological distress among nurses. Select variables found in previous studies to correlate with psychological distress served in the current study as covariates to control for their relationship with psychological distress among nurses. These include gender, years of professional experience, self-rated health, self-efficacy, and self-defined burnout. Structured questionnaires were administered to a sample of 795 professionally active nurses in Israel. Psychological distress was assessed by the 6-item Kessler Psychological Distress Scale (K6), death anxiety was assessed by a single item scale designed by Abdel-Khalek, and perceived social support was assessed by the Multidimensional Scale of Perceived Social Support (MSPSS). The research findings show that higher levels of death anxiety were associated with higher levels of psychological distress only among nurses with lower levels of perceived social support. The study indicates that in order to reduce the level of distress experienced by nurses it is important to take action to reduce their death anxiety and enhance their social support mechanisms.


Author(s):  
Sookja Choi ◽  
Yunjeong Yi ◽  
Jiyun Kim

Adverse social behavior (ASB) by colleagues or superiors in the workplace is considered highly stressful for workers in South Korea. The authors investigate the mechanism by which ASB reduces productivity (measured in terms of sickness presenteeism (SP)), by examining the potential mediating role of musculoskeletal disorders (MSDs). All data are derived from the fourth Korean Working Conditions Survey, which investigated a representative sample of the working population. The authors analyze their general characteristics (age, gender, income, and education), work-related factors (job type, occupational ergonomic risk, job resource, employment contract, work schedule, working hour, and job demand), and health-related factors (self-rated health and MSDs). The authors use a two-step regression analysis to estimate the direct effect of ASB on SP and the indirect effect of SP via MSDs. The authors find that MSDs mediate 16.7% of the total effect of ASB on SP. When employment type and job conditions are considered, the role of the mediating variable in the group with a permanent contract, no shift or night work, and high working time is greater than the counterpart of each variable. Various strategies are needed to address MSDs according to the working environment, which might help limit the negative impact of ASB on SP.


2020 ◽  
pp. 232948841989879 ◽  
Author(s):  
Claartje L. ter Hoeven ◽  
Ward van Zoonen

Workplace flexibility can lead to fewer physical encounters, impacting the extent to which employees can help others. This is important because giving help to coworkers facilitates engagement. This study draws on two-wave panel data from 329 employees to examine the relationship between workplace flexibility and engagement through helping behavior. Furthermore, the role of communication control—that is, an employee’s ability to regulate the use of work-related communication technologies—is examined, as it may buffer the negative associations between workplace flexibility and helping behavior. The results demonstrate that spatial flexibility is detrimental to engagement because it reduces helping behavior. Importantly, this negative impact may be alleviated by high levels of communication control (as opposed to low levels). Furthermore, the study provides insights into the independent effects of spatial and temporal flexibility on helping behavior and supports the notion that doing good may lead to feeling good, as helping behavior is positively associated with engagement.


2022 ◽  
Vol 38 (1) ◽  
pp. 128-138
Author(s):  
Ester Grau-Alberola ◽  
Hugo Figueiredo-Ferraz ◽  
Jorge Jesús López-Vílchez ◽  
Pedro R. Gil-Monte

Psychosocial risks arising from work, like workload, have a negative impact on the quality of work life, especially in terms of the deterioration in working conditions and negative consequences for employees’ health. The style of leadership exercised is key in coping with perceived psychosocial risks. The purpose of this study was to analyse the influence of transformational leadership and workload on psychosomatic disorders, and the moderating role of transformational leadership in the relationship between workload and psychosomatic disorders. The sample consisted of 408 Spanish employees working with people with intellectual disabilities. Workload and Psychosomatic disorders were measured by the UNIPSICO subscales, Transformational leadership was measured by a subscale adapted from the Multifactor Leadership Questionnaire (Bass & Avolio, 1989). Carrying out moderation analysis in PROCESS 3.4 results showed that both Workload and Transformational leadership had a significant influence on Psychosomatic disorders. In addition, Transformational leadership moderated the relationship between Workload and Psychosomatic disorders. Transformational leadership buffers the impact of workload on employees’ health and therefore in the need to carry out training programs for managers in organizations in order to exercise a healthy management. Los riesgos psicosociales derivados del trabajo, como la sobrecarga laboral, tienen un impacto negativo en la calidad de vida laboral, especialmente en el deterioro de las condiciones laborales y en la salud de los empleados. El estilo de liderazgo ejercido es clave en el afrontamiento de los riesgos psicosociales percibidos. El propósito de este estudio fue analizar la influencia del liderazgo transformacional y la sobrecarga laboral sobre los problemas psicosomáticos, y el papel moderador del liderazgo transformacional en la relación entre sobrecarga laboral y problemas psicosomáticos. La muestra consistió en 408 empleados españoles que trabajan con personas con discapacidad intelectual. Sobrecarga laboral y Problemas psicosomáticos se midieron con las subescalas UNIPSICO y Liderazgo transformacional se midió con una subescala adaptada del Cuestionario Multifactorial de Liderazgo (Bass & Avolio, 1989). El análisis de moderación mediante PROCESS 3.4 mostró que tanto Sobrecarga laboral como Liderazgo transformacional tuvieron una influencia significativa sobre Problemas psicosomáticos. Además, Liderazgo transformacional moderó la relación entre Sobrecarga laboral y Problemas psicosomáticos. El liderazgo transformacional amortigua el impacto de la sobrecarga laboral en la salud de los empleados y, por lo tanto, se destaca la necesidad de implementar programas de capacitación para directivos en las organizaciones con el fin de ejercer una gestión saludable.


2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Dr. Usha Chivukula ◽  
Dr. Durgesh Nandinee

Surgery is associated with an increase in emotional arousal and has a negative impact on the adjustment and recovery from the surgery. Uncertainty, perceived loss of control and post-surgery pain, financial matters, and aspects related to returning back to his/her family role are all sources of stressors for the patient undergoing elective surgery. Coping has also been found to play a mediating role in reducing stress and promoting post-surgery adjustment. When surgery is associated with high levels of psychological distress and anxiety the role of psycho-education becomes significant. The present study aims at investigating the role of pre-operative psychoeducation on coping and psychological distress. The findings indicated significant differences in the two groups, control and experimental on coping and hospital anxiety and depression. The results revealed that preoperative psychoeducation can enhance coping strategies and mitigate anxiety and depression in patients undergoing elective surgery.


2020 ◽  
pp. 146801732094944
Author(s):  
Maya Kagan ◽  
Lee GreenblattKimron

Summary The purpose of the current study was to examine the moderating role of social support in the association between self-efficacy and psychological distress among social workers. The data were collected through a structured questionnaire administered to a sample of 726 social workers in Israel. Selected variables, found in previous studies to correlate with psychological distress, served in the current study as covariates: gender, years of professional experience, self-rated health, self-defined burnout, and self-reported loneliness. Findings The hierarchical multiple regression revealed that social workers who had more years of professional experience, better self-rated health, lower levels of burnout and of self-reported loneliness, reported lower levels of psychological distress. Higher levels of self-efficacy were found to be associated with lower levels of psychological distress only among social workers with lower levels of perceived social support. Application In the absence of adequate social support, self-efficacy can be an important resource for social workers, since it is related to lower levels of psychological distress. Hence, it is recommended that action be taken to promote awareness and enhance social workers’ self-efficacy at the academic level, from the initial stages of their socialization into the profession and at their work places. Also, action should be taken on the policy level to provide assistance with developing and maintaining social workers’ support mechanisms.


2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Stevens Bechange ◽  
Elena Schmidt ◽  
Anna Ruddock ◽  
Itfaq Khaliq Khan ◽  
Munazza Gillani ◽  
...  

Abstract Background In 1994, the Lady Health Workers (LHWs) Programme was established in Pakistan to increase access to essential primary care services and support health systems at the household and community levels. In Khyber Pakhtunkhwa (KPK) province in northern Pakistan, eye care is among the many unmet needs that LHWs were trained to address, including screening and referral of people with eye conditions to health facilities. However, despite an increase in referrals by LHWs, compliance with referrals in KPK has been very low. We explored the role of LHWs in patient referral and the barriers to patient compliance with referrals. Methods Qualitative methodology was adopted. Between April and June 2019, we conducted eight focus group discussions and nine in-depth interviews with 73 participants including patients, LHWs and their supervisors, district managers and other stakeholders. Data were analysed thematically using NVivo software version 12. Results LHWs have a broad understanding of basic health care and are responsible for a wide range of activities at the community level. LHWs felt that the training in primary eye care had equipped them with the skills to identify and refer eye patients. However, they reported that access to care was hampered when referred patients reached hospitals, where disorganised services and poor quality of care discouraged uptake of referrals. LHWs felt that this had a negative impact on their credibility and on the trust and respect they received from the community, which, coupled with low eye health awareness, influenced patients’ decisions about whether to comply with a referral. There was a lack of trust in the health care services provided by public sector hospitals. Poverty, deep-rooted gender inequities and transportation were the other reported main drivers of non-adherence to referrals. Conclusions Results from this study have shown that the training of LHWs in eye care was well received. However, training alone is not enough and does not result in improved access for patients to specialist services if other parts of the health system are not strengthened. Pathways for referrals should be agreed and explicitly communicated to both the health care providers and the patients.


2020 ◽  
Vol 2 (1) ◽  
pp. 54-68
Author(s):  
Siti Mutmainah

Disruption is an era of massive changes in all areas of life as a result of a modern technology. The existence of digital technology support has provided many facilities and innovations obtained for education, services have become faster and more efficient and a wide range of connections. The negative impact also arises from the digitalization of the program, for example the role of humans has been largely taken over by robots or automotive machinery which causes more unemployment. This reality is a big problem, therefore the government needs to answer the challenges of the industrial revolution 4.0, one of which is by providing new literacy reinforcement in the world of education. New literacy is a data on human resources technology or humanism which is a complement to the old literacy, which is read-write-archive.


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