"I Don't Really Wanna Go Back. I Know What I've Got in Front of Me." Lived Experiences of Emergency Nurses 2 Years Into the Global COVID-19 Pandemic

J Emerg Nurs. 2024 Mar;50(2):273-284. doi: 10.1016/j.jen.2023.11.011. Epub 2023 Dec 26.

Abstract

Introduction: As the coronavirus disease 2019 pandemic continued into 2021 and beyond, unrelenting work pressures continued to mount on the emergency nursing workforce. In the second year of this longitudinal study on emergency nurse lived experiences, staff outlined the continued strain of the profession, highlighting their increasing levels of burnout and identifying early stages of trauma response.

Methods: This research aimed to continue to explore lived experiences of Australian emergency nurses working on the frontline 2 years into the coronavirus disease 2019 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 9 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between October and November 2021. Analysis was undertaken using a thematic analysis method.

Results: A total of 3 major themes and 12 subthemes were extracted from the data. The 3 overarching themes included "On the floor each day," "Can I keep going?" and "What's around the corner?" Increasing levels of emotional exhaustion and burnout were evident, with emergency nurses stating their intentions to leave the profession.

Discussion: Deep engagement with participant emergency nurses across 2 years of the coronavirus disease 2019 pandemic has revealed a need for greater emphasis on staff well-being for future maintenance of a resilient and healthy workforce. Without this, lack of support for subsequent nursing cohorts may affect the quality and reliability of care being provided in acute care centers.

Keywords: Australia; Coronavirus disease 2019; Emergency department; Lived experience; Nursing; Pandemic; Qualitative; Vaccine.

MeSH terms

  • Australia
  • COVID-19* / epidemiology
  • Humans
  • Longitudinal Studies
  • Nurses*
  • Pandemics
  • Qualitative Research
  • Reproducibility of Results