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Creating the 5A Nursing Response Model for the Emerging Pandemic: A Qualitative, Theory-Generating Study
Dahae Rim1, Hyunsook Shin2, Hyejin Jeon2
1College of Nursing, Chonnam National University, Gwangju, South Korea.
Journal of Advanced Nursing
|January 23, 2025
Summary
Nurses experienced significant emotional upheaval during the COVID-19 pandemic, adapting to evolving situations. A 5A nursing response model (Alarm, Assessment, Adaptation, Amplification, Affect) was developed to guide crisis response and future pandemic preparedness.
Area of Science:
- Nursing
- Public Health
- Crisis Management
Background:
- The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
- Nurses in clinical settings faced significant emotional and professional demands.
- Understanding nurses' experiences is crucial for effective crisis response.
Purpose of the Study:
- To explore nurses' experiences and responses during the COVID-19 pandemic crisis.
- To develop a theoretical model for nursing crisis response.
- To inform future pandemic preparedness strategies.
Main Methods:
- Qualitative exploratory study utilizing focus group interviews.
- Thirteen focus groups (n=50) conducted with nurses and nurse leaders in South Korea (May-July 2021).
- Content analysis of transcribed interviews following COREQ guidelines.
Main Results:
- Five themes emerged: Alarm, Assessment, Adaptation, Amplification, and Affect.
- These themes form the 5A nursing response model.
- The model captures the temporal sequence of responses and emotional fluctuations.
Conclusions:
- The 5A nursing response model provides a framework for nurses to manage unknown crises.
- Findings highlight nurses' capacity for innovation and leadership during crises.
- Understanding these experiences is vital for healthcare system resilience and quality of care during emergencies.
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