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Nursing during the COVID-19 outbreak: A phenomenological study.

Paola Arcadi1, Valentina Simonetti2,3, Rossella Ambrosca4

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Italian nurses experienced significant fear and altered perceptions while caring for COVID-19 patients. Enhanced training and psychological support are crucial for managing stress and compassion fatigue in future pandemics.

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Public Health

Background:

  • The COVID-19 pandemic overwhelmed global healthcare systems, with Italy being severely impacted.
  • Understanding the experiences of nurses during this crisis is vital for future preparedness and training.
  • Over 250,000 COVID-19 cases were recorded in Italy, highlighting the pandemic's significant burden.

Purpose of the Study:

  • To explore the lived experiences of Italian nurses caring for patients with COVID-19.
  • To identify key challenges and impacts on nursing practice during the pandemic.
  • To inform future educational and support strategies for healthcare professionals.

Main Methods:

  • A hermeneutic approach was employed, utilizing semi-structured interviews.
  • Interviews were conducted remotely via voice-over Internet protocol.
  • Data analysis involved in-depth transcription and thematic analysis.

Main Results:

  • Four major themes emerged from interviews with twenty nurses: uncertainty and fear, altered perceptions of time and space, a redefined meaning of 'to care,' and changes in professional roles and relationships.
  • Nurses reported significant psychological distress, including fear and uncertainty.
  • The pandemic fundamentally shifted nurses' understanding of their role and interpersonal dynamics.

Conclusions:

  • Psychological support combined with emergency preparedness training can mitigate stress and compassion fatigue among nurses.
  • Developing policies to advance nursing science is essential for improving care quality and patient safety.
  • Investing in nursing professionals and their training is critical for effective pandemic response.