Experiences of geriatric nurses in nursing home settings across four countries in the face of the COVID-19 pandemic

J Adv Nurs. 2021 Feb;77(2):869-878. doi: 10.1111/jan.14626. Epub 2020 Nov 22.

Abstract

Aim: To explore the emotional impact and experiences of geriatric nurses working in nursing homes and caring for patients with coronavirus 2019 disease (COVID-19).

Design: This is a qualitative study with phenomenological method and data were gathered through in-depth interview.

Methods: The experiences and expectations that nurses are facing during their care duties were explored via video conference, using a semi-structured interview guide. We have followed the Consolidated criteria for reporting qualitative research COREQ.

Results: Interviews (N=24) were conducted with nurses from four countries (Spain, Italy, Peru, and Mexico) during April 2020. Three main categories were extracted: fear of the pandemic situation, the sense of duty and professional commitment, and emotional exhaustion.

Conclusions: Regardless of the country and situation, in the face of the pandemic, dramatic situations have been experienced in nursing homes worldwide, with nursing staff feeling exhausted and overwhelmed, and reflection is urged on a global level to consider the most appropriate model of care in nursing homes.

目的: 探讨养老院老年护士看护新冠肺炎患者的情绪影响及经历。 设计: 通过深度访谈为该项使用现象法开展的定性研究进行数据搜集。 方法: 通过视频会议,以半结构化访谈为指导,对护士在履行护理职责时的经历和所面临的期望进行了探讨。我们遵循了定性研究统一报告标准(COREQ)。 结果: 2020年4月,我们对来自于四个不同国家(西班牙、意大利、秘鲁及墨西哥)的护士进行了采访,并由此得到了三类情绪:对疫情的害怕、职业及专业承诺和情绪疲乏。 结论: 全球的养老院,不论位于哪一国、哪一疫情阶段,在新冠肺炎疫情下,都出现了令人揪心的状况,养老院的护理人员筋疲力尽且不堪负荷。此时,在全球范围内,都迫切需要一套最恰当的养老院护理模式。 影响: 老年护士对养老院的受关注度及护理模式改进提出了更高要求。 现需采取措施预防并消除大流行给工作人员,尤其是一线护士的精神健康所带来的影响。.

Keywords: COVID-19; geriatric; mental health; nursing; nursing home.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology*
  • COVID-19 / nursing*
  • COVID-19 / psychology*
  • Female
  • Geriatric Nursing*
  • Humans
  • Italy / epidemiology
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Nursing Care / psychology*
  • Nursing Homes*
  • Nursing Staff, Hospital / psychology*
  • Pandemics
  • Peru / epidemiology
  • Qualitative Research
  • SARS-CoV-2
  • Spain / epidemiology