scholarly journals Lived experiences of Overseas Filipino Worker (OFW) nurses working in COVID-19 intensive care units

2021 ◽  
Author(s):  
Jane Marnel Pogoy ◽  
Jezyl Cempron Cutamora

Background: Limited studies focus on the effects of the pandemic on the nurses' overall risks and wellbeing. At present, no single study has been published on Filipino nurses’ experiences outside the country during the COVID-19 pandemic.Objective: This descriptive phenomenological study explored the Overseas Filipino Worker (OFW) nurses’ experiences working in COVID Intensive Care Units.Methods: The study was conducted in Dubai, United Arab Emirates, where there is a high number of COVID cases. This study utilized a qualitative Husserlian phenomenological approach to describe and explore the lived experiences of the OFW nurses’ caring for COVID-19 critically ill patients. The research key interview informants were eight ICU nurses who cared for COVID 19 patients in Dubai hospitals. Data saturation was reached. Data collection was done in 2020, and Collaizi’s method of data analysis was utilized.Results: A total of 135 significant statements were extracted from the interview transcripts. There were 36 formulated meanings generated, and four themes emerged from this study. The first theme is Challenges During the Pandemic with the following subthemes: Away from Home, Caring for the VOID-19 Patients, and Fear of the Unknown. The second theme is Patient Care during COVID-19 with the following subthemes: COVID ICU Patient Care and The Nursing Profession. Third, Adapting to Change with the subthemes: Living the New Normal and Protecting One’s Self from COVID. Lastly, Resilience Amidst the Pandemic with the following subthemes:  Being with Others and Seeing Oneself.Conclusion: Despite the existing challenges like cultural differences and homesickness faced by these OFW nurses and the new challenges they are faced with the pandemic today, they were still able to continue living and do what is expected of them. From the hassle of wearing the PPEs, shortage of PPE, and being transferred from one unit in the hospital to another, the OFW nurses were able to adapt to these changes. The nurses already got used to the routine, but the fear of getting infected by the virus is still there.

2021 ◽  

Objectives: The present study aimed to explore lived experiences of critically ill patients with COVID-19 after discharge from intensive care units of hospitals in Iran. Methods: The present study was qualitative research with a hermeneutic phenomenological approach. Participants were purposefully selected from critically ill patients with COVID-19 who were discharged from the intensive care unit (ICU) and transferred to the general ward. Data were mostly collected through in-depth, semi-structured, face-to-face interviews and, in some cases, telephone calls. Data were analyzed using the method of Dickelman et al. (1985). Guba and Lincoln's (1989) criteria were used to achieve data authenticity. Results: Data were obtained from 16 COVID-19 recovered patients with a history of ICU admission. Twelve participants were female and four were male with a mean age of 35 years. The four main themes were identified along with their subthemes: perception of death before dying (worry, helplessness, and expecting a different death), social stigma (social isolation and stigma), a nurse as a symbol of rebirth (a compassionate and supportive nurse and the supportive role of others), and meaningful life (a change in outlook on life and the manifestation of spirituality). Conclusion: The results of the present study indicated that personal thoughts such as thinking about death and social treatments such as stigma can lead to threatening physical and psychological problems in COVID-19 patients. Nurses and family members can prevent many of these problems by providing holistic care and psychological support. Apart from the challenges posed by the disease, post-recovery changes in patients' attitudes toward life can be considered as a positive point.


2020 ◽  
pp. emermed-2020-210220
Author(s):  
Henry Walton ◽  
Annakan Victor Navaratnam ◽  
Martyn Ormond ◽  
Vanita Gandhi ◽  
Clifford Mann

BackgroundThe COVID-19 pandemic has stretched EDs globally, with many regions in England challenged by the number of COVID-19 presentations. In order to rapidly share learning to inform future practice, we undertook a thematic review of ED operational experience within England during the pandemic thus far.MethodsA rapid phenomenological approach using semistructured telephone interviews with ED clinical leads from across England was undertaken between 16 and 22 April 2020. Participants were recruited through purposeful sampling with sample size determined by data saturation. Departments from a wide range of geographic distribution and COVID-19 experience were included. Themes were identified and included if they met one of three criteria: demonstrating a consistency of experience between EDs, demonstrating a conflict of approach between emergency departments or encapsulating a unique solution to a common barrier.ResultsSeven clinical leads from type 1 EDs were interviewed. Thematic redundancy was achieved by the sixth interview, and one further interview was performed to confirm. Themes emerged in five categories: departmental reconfiguration, clinical pathways, governance and communication, workforce and personal protective equipment.ConclusionThis paper summarises learning and innovation from a cross-section of EDs during the first UK wave of the COVID-19 pandemic. Common themes centred around the importance of flexibility when reacting to an ever-changing clinical challenge, clear leadership and robust methods of communication. Additionally, experience in managing winter pressures helped inform operational decisions, and ED staff demonstrated incredible resilience in demanding working conditions. Subsequent surges of COVID-19 infections may occur within a more challenging context with no guarantee that there will be an associated reduction in A&E attendance or cessation of elective activity. Future operational planning must therefore take this into consideration.


2019 ◽  
Author(s):  
Marzieh Panahi ◽  
Zahra Tazakori ◽  
Mansoureh Karimollahi

Abstract Background: Chronic illness in children causes more mental health risks for parents than other members of the family. Therefore, exploring the experiences of parents living with young women who have multiple sclerosis and presenting them to healthcare planners and managers can have a positive impact on community health. This study aimed to explore the experiences of parents of young women with multiple sclerosis in Iran. Methods: This research was a phenomenological study, and sampling was continued until data saturation, and 12 participants were chosen. The data were gathered using semi-structured interviews and analyzed using Colaizzi's method. Results: Open coding resulted in 450 codes, and after several stages of analysis and integration of similar codes, five main concepts, and 21 sub-concepts was produced. The main concepts included distress, trapping, adaptation barriers, response to illness, and reconciliation with the disease. Conclusion: This study showed the disease affects all dimensions of the parents' life and can lead to the experiences that are new to them and may lead to confusion. These findings can lead to more effective parental care for their daughters. It can also reduce the burden of disease on the family, the health system, and the community.


2020 ◽  
Author(s):  
Mehraban shahmari ◽  
Alireza Nikbakht Nasrabadi ◽  
Akram ghobadi

Abstract Background: Covid-19 pandemic with its sudden and widespread global outbreak has stunned health care systems. Nurses are at the forefront of fight against this pandemic, and Intensive care unit (ICU) nurses are more at risk of infection as they have a greater interaction with infected patients. Therefore, the present study was conducted to explore the lived experiences of Iranian ICU nurses in the care of patients with covid-19.Methods: This is an interpretive phenomenological study in which, 15 ICU nurses were purposefully selected. Semi-structured in-depth interviews were used to collect data. The transcripts of the interviews were recorded and then analyzed by Diekelmann (1989) method with hermeneutic approach.Results: Ten of the samples were female and five were male. The mean age of participants was 32 years and their average work experience in the intensive care unit was 6 years. Three main themes were obtained from data analysis, including beyond usual care, the emergence of a new image of nursing and the Realization of professional challenges. Conclusion: Working in difficult and unknown conditions with many challenges caused mental and physical depreciation of nurses in the intensive care unit. However, the nurses showed a spirit of self-sacrifice and did not give up their relentless efforts to fight this unknown enemy, and fulfilled their professional responsibilities to provide the best care to patients. By doing so, the nurses showed a new image of nursing to the society. Therefore, full support should be provided to healthcare workers, especially nurses by the authorities in order to prepare them to respond to unwanted crises.


2018 ◽  
Author(s):  
Peter Gisbey

The purpose of this qualitative study concerned developing an inductive and comprehensive understanding of the lived experiences of Malaysian homeowners and tenants of affordable housing. This was with respect to the variegated nature of the relationship between housing affordability and property values in the Malaysian housing market, the phenomenon under consideration. A descriptive phenomenological approach, involving both purposive and snowball sampling, was used to achieve the goal of this study: describing the relevant lived experiences in connection with the housing affordability issue in question. Through in-depth interviews, research participants described the experiences that stood out for them, in response to pre-prepared stimulus questions. Verbatim transcriptions of interviews were used as the primary source of data. However, triangulation was achieved through the use of interviews, corroborating field notes and reflective journals. Phenomenological analysis revealed ten emergent themes, namely financing, availability, race/ethnicity, socio-economic status, motives, property values, quality of life, stigma, quality of affordable housing and fairness. One clear implication arising from the findings was that if the Malaysian Government is seen to be doing more in an equitable fashion, this might lead to more positive perceptions in general of the issue of housing affordability. Another clear implication stemming from the findings was that the issue of housing affordability vis-à-vis property values, viewed at from a phenomenological perspective, is clearly a structural problem. Such contentions tend to significantly increase the desirability of the relevant decision-makers employing suitably multi-layered, multi-agency, systems thinking. In terms of practical measures, two key preliminary measures and one fundamental recommendation were made, pinpointing the desirability of improvements in property financing and increased perceptions of fairness.


2021 ◽  
pp. 174498712110075
Author(s):  
Loretta Yuet Foon Chung ◽  
Lin Han ◽  
Yifei Du ◽  
Libo Liu

Background With epidemics emerging at a hastened pace, a phenomenological study allows researchers to cast aside their perceptions to understand nurses’ lived experiences, and from there to discover previously unavailable insights at the epicentre of a pandemic. Aims To understand volunteer nurses’ lived experiences in Wuhan. Methods A descriptive phenomenological study with a purposive sampling strategy was used to describe volunteer nurses’ experiences in Wuhan. Interviews continued until data saturation. Ten semi-structured interviews of 30 to 60 minutes duration were conducted from 27 to 30 March 2020. The narrative data were audiotaped, transcribed and analysed using Colaizzi’s method. Results Four themes emerged: mission and challenges denoted the participants’ realisation of the grim challenges ahead; challenges called for actions that described the concerted actions through partnerships and familial bonds; caring acts from all around revealed an external support system; and actions that made a difference portrayed the interplay of actions with feelings, thoughts and further actions to accomplish the mission. Conclusions This phenomenological study showed the interplay of nurses’ intentions and actions, and ‘actions speak louder than words’ when nurses were motivated by workmates’ actions to change their feelings, thoughts and actions. The concerted efforts can be used to develop educational programmes, management strategies and institutional policy on structure, system and resource utilisation, as well as dissemination of scientific knowledge to global healthcare workers and the public.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Angelo Dante ◽  
Vittorio Masotta ◽  
Alessia Marcotullio ◽  
Luca Bertocchi ◽  
Valeria Caponnetto ◽  
...  

Abstract Background In postgraduate intensive care nursing courses, high-fidelity simulation is useful to prepare students to guarantee safe and quality care of critically ill patients. Surprisingly, this issue has not attracted sufficient attention in the literature, and it is not clear whether the linear application of the traditional high-fidelity simulation method based on prebriefing, the simulation session and debriefing, can serve as empirical reference in postgraduate students’ education. The aim of this study was to investigate the lived experiences of postgraduate students receiving multiple exposures to an innovative high-fidelity simulation design based on Kolb’s Experiential Learning Theory. Methods A phenomenological study was conducted at an Italian University involving a purposive sample of 15 nursing students attending the postgraduate intensive care course. Audio-recorded face-to-face in-depth interviews were held by a researcher in a dedicated room complemented with non-verbal communication outlined in the field notes. Thematic analysis was used to analyse the transcribed data. Results Three themes and ten categories were derived from the data analysis. The themes included pragmatic learning experience, the emotional path, and confidence. Conclusions Multiple exposure to high-fidelity simulation was lived as a pragmatic learning experience enhancing the students’ ability to apply theory into practice. This novel approach also contributed to the transition from negative to positive feelings and improved students’ confidence about technical and non-technical skills when caring for a critically ill patient.


Author(s):  
Kathy Thomas ◽  
Candace Lacey

This qualitative study examined the dual leadership role of a charter school founder-administrator. The question asked, How do charter school leaders who serve as founders and administrators describe their experiences as academic and business leaders? A phenomenological approach and constructivist perspective supported a unique appreciation of the participants’ lived experiences. The researchers sought to understand how the participants experienced their sometimes conflicting, sometimes overlapping, and sometimes unique experiences. Participant interviews were recorded and transcribed verbatim; the researchers coded the transcripts. Two core categories and 11 themes were identified. The findings suggest these administrator-founders share a common understanding of the uniqueness of their experiences in this dual role.


2021 ◽  
Vol 27 (3) ◽  
pp. 209-219
Author(s):  
Joon-Young Lee ◽  
Yeoungsuk Song

Purpose: The purpose of this study was to describe pregnant women’s lived experiences of hospitalization due to preterm labor in Korea. Methods: This qualitative study adopted a phenomenological approach. Individual in-depth interviews were conducted with nine participants, over the age of 20 years, who had been hospitalized for more than 1 week after being diagnosed with preterm labor. All interviews were audio-taped and verbatim transcripts were made for analysis. The data were analyzed following Colaizzi’s phenomenological method. Results: The participants’ ages ranged from 26 to 36 years, and all were married women. They were hospitalized for 13.1 days on average. Five thematic clusters emerged from the analysis. ‘Withstanding hospitalization for the fetus’s well-being’ describes women’s feelings during preterm labor and their endurance during their prolonged hospitalization, rooted in their conviction that the fetus comes first. ‘Endless frustration in the hospital’ encompasses women’s emotions while lying in bed and quietly thinking to themselves. ‘Unmet physiological needs’ describes participants’ awareness of their inability to independently handle human physiological needs given the need for careful and limited movement. ‘Gratitude for the support around oneself’ reflects the support from family and medical staff. ‘Shifting perceptions and accepting one’s circumstances’ describes accepting hospitalization and making efforts to spend their remaining time in the hospital in a meaningful way. Conclusion: The findings in this study provide a deeper understanding and insights into the experiences of Korean women with preterm labor during hospitalization, underscoring the need to develop interventions for these patients.


2020 ◽  
Author(s):  
Forough Mortazavi ◽  
Fatemeh Ghardashi

Abstract BackgroundWith the onset of the COVID-19 epidemic, pregnancy and childbirth for women are taking place in unusual circumstances. We explored the lived experiences of pregnant women during the COVID-19 pandemic to better understand their experience of pregnancy so that better support could be provided.MethodsWe used a descriptive phenomenological approach to understand the lived experience of pregnant women in COVID-19 pandemic. We collected data using a purposive sampling method through in-depth interviews in cyberspace with a semi-structured questionnaire. We used Colaizzi’s seven-step content analysis method to analyze the research data with the help of MAXQDA software version 2020.ResultsWe conducted this descriptive phenomenology study on 19 pregnant women in a period between the 10th to the 20th of May, 2020. The participating women were already pregnant when the first signs of the epidemic appeared in the country and at the time of the interview. We acquired four themes including disruption of the tranquility and regular routines of daily life, new challenges caused by the epidemic, resilience and strength in facing the crisis, and adaptation with new conditions.ConclusionsThe psychological condition of women has deteriorated during the COVID-19 epidemic. The general mobilization the health system is necessary for alleviating pregnant women's difficulties in situations like the COVID-19 epidemic. Planning to establish virtual training classes, virtual counseling, and creating a safe and supportive community environment are among the most effective ways to enhance the peace and tranquility of pregnant women.


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