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Rural Home Care Nursing During COVID-19.

Michelle Pavloff1, Mary Ellen Labrecque2, Jill Bally2

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The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres
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PubMed
Summary

Rural home care nurses faced significant psychological stress and safety concerns during the COVID-19 pandemic. Their experiences highlight the need for better pandemic preparedness and support for healthcare professionals in underserved areas.

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Area of Science:

  • Nursing
  • Public Health
  • Rural Health

Background:

  • The COVID-19 pandemic presented unprecedented challenges to the global nursing profession.
  • Nurses providing home care in rural communities experienced significant psychological stress.
  • While critical care nurses received attention, rural home care nurses' experiences were less documented.

Purpose of the Study:

  • To describe the experiences of rural Canadian home care nurses during the initial phase of the COVID-19 pandemic.
  • To identify the unique challenges faced by nurses serving remote populations.

Main Methods:

  • Interpretive description methodology was used to analyze COVID-19 related themes.
  • Data was collected from rural home care registered nurses in western Canada.
  • Snowball and purposive sampling strategies were employed for participant recruitment.

Main Results:

  • Six key themes emerged: Nurses Must Work, Constant State of Flux, Threatened Safety, Loss of Learning Opportunities, Fearing the Unknown, and Hindsight is Easy.
  • These themes reflect the profound impact of the pandemic on nurses' well-being and practice.
  • Nurses reported feelings of uncertainty, fear, and compromised safety.

Conclusions:

  • The experiences of rural home care nurses mirrored the global sense of chaos and fear during the pandemic.
  • Findings underscore the critical need for enhanced pandemic planning and support systems for rural healthcare providers.
  • Recommendations are proposed to improve future pandemic responses for home care settings.