Experiências e vivências de profissionais de enfermagem no cuidado a pacientes com covid-19

Jack Roberto Silva Fhon; Vilanice Alves de Araújo Püschel; Larissa Bertacchini de Oliveira; Jessica Soares Silva; Rodrigo Santana Tolentino; Vinicius Cardoso da Silva; Luipa Michele Silva; Fábio da Costa Carbogim

doi:10.5294/aqui.2022.22.4.7

Authors

Jack Roberto Silva Fhon Author Universidade de São Paulo https://orcid.org/0000-0002-1880-4379
Vilanice Alves de Araújo Püschel Author Universidade de São Paulo https://orcid.org/0000-0001-6375-3876
Larissa Bertacchini de Oliveira Author Universidade de São Paulo; Instituto do Coração https://orcid.org/0000-0001-9509-4422
Jessica Soares Silva Author Universidade de São Paulo https://orcid.org/0000-0003-0699-968X
Rodrigo Santana Tolentino Author Universidade de São Paulo https://orcid.org/0000-0002-4400-4690
Vinicius Cardoso da Silva Author Universidade de São Paulo https://orcid.org/0000-0001-8198-4539
Luipa Michele Silva Author Universidade Federal de Catalão https://orcid.org/0000-0001-6147-9164
Fábio da Costa Carbogim Author Universidade Federal de Juiz de Fora https://orcid.org/0000-0003-2065-5998

DOI:

https://doi.org/10.5294/aqui.2022.22.4.7

Keywords:

Coronavirus infections, COVID-19, Nursing, pandemics, life change events, qualitative research

Abstract

Objective: To analyze nursing professionals’ reports on their lived experience in the care provided to hospitalized patients with COVID-19. Materials and Methods: This is an exploratory study using a qualitative analysis, which included twelve nurses and eight nursing technicians from a public hospital in Brazil, conducted between December 2020 and February 2021. The inclusion criteria were professionals who provided care to COVID-19 patients in emergency, intensive care, and inpatient units and who had at least one year of experience in the institution. The interviews were analyzed through content and similarity analysis that generated a similarity tree; the Reinert method was used for thematic categories. Results: Most participants were female, with a mean age of 34.15 years and 4.85 years of experience. From the analysis, the words ‘patient,’ ‘to stay,’ and ‘to find’ were the most frequent, and for the categories, they were “nursing professionals’ feelings regarding the pandemic,” “the nurses’ role and work with the multi-professional team in the care provided to patients with COVID-19,” “precautions with the care provided to patients with COVID-19,” and “nursing professionals’ concern that their family members may become ill during the pandemic.” Conclusions: The nursing staff is predominantly composed of females and, in their reports on the lived experience of providing care to patients with COVID-19, they pointed out that concern and fear were prevalent, with the family being one of the protective factors to withstand the risks of working against something novel that may result in death.

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References

Oliveira WK, Duarte E, França GVA, Garcia LP. Como o Brasil pode deter a COVID-19. Epidemiol Serv Saude, 2020;29(2):e2020044. DOI: https://doi.org/10.5123/S1679-49742020000200023

Johns Hopkins University & Medicine. Coronavirus resource center. [Internet]. 2021. Available from: https://coronavirus.jhu.edu/map.html

Souza e Souza LPS, Souza AG. Enfermagem brasileira na linha de frente contra o novo Coronavírus: quem cuidará de quem cuida? J. nurs. health. 2020;10(n.esp.):e20104005. DOI: https://doi.org/10.15210/jonah.v10i4.18444

Shun SC. COVID-19 pandemic: The challenges to the professional identity of nurses and nursing education. J Nurs Res. 2021;29(2):e138. DOI: https://doi.org/10.1097/JNR.0000000000000431

Foye U, Dalton- Locke C, Harju-Seppänen J Lane R, Beames L et al. How has COVID- 19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed-methods study. J Psychiatr Ment Health Nurs. 2021;28:126-37. DOI: https://doi.org/10.1111/jpm.12745

Teixeira CFS, Soares CM, Souza EA, Lisboa ES, Pinto ICM, Andrade LR et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Ciênc. saúde coletiva, 2020;25(9). DOI: https://doi.org/10.1590/1413-81232020259.19562020

Conz CA, Braga VAS, Vasconcelos R, Machado FHRS, Jesus MCP, Merighi MAB. Experiences of intensive care unit nurses with COVID-19 patients. Rev Esc Enferm USP. 2021;55:e20210194. DOI: https://doi.org/10.1590/1980-220x-reeusp-2021-0194

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. DOI: https://doi.org/10.1093/intqhc/mzm042

Ratinaud P. IRaMuTeQ: Interface de R pour les analyses multidimensionnelles de textes et de questionnaires. [Internet]. 2020. Available from: http://www.iramuteq.org/

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

Huang L, Lin G, Tang L, Yu L, Zhou Z. Special attention to nurses’ protection during the COVID-19 epidemic. Crit Care. 2020;24(1):10-2. DOI: https://doi.org/10.1186/s13054-020-2841-7

Conselho Federal de Enfermagem. Observatório de Enfermagem. Profissionais infectados com COVID-19 informado pelo serviço de saúde. [Internet] 2021. Disponível em: http://observatoriodaenfermagem.cofen.gov.br/

Conselho Federal de Enfermagem. Mortes entre profissionais de enfermagem por COVID-19 cai 71 em abril. [Internet] 2021. Disponível em: http://www.cofen.gov.br/mortes-entre-profissionais-de-enfermagem-por-covid-19-cai-71-em-abril_86775.html

Fhon JRS, Silva LM, Diniz-Rezende MA, Araujo JS, Matiello FB, Rodrigues RAP. Cuidado ao idoso durante a pandemia no Brasil: uma análise das matérias jornalísticas. Avances en Enfermería. 2021;39(1supl). DOI: https://doi.org/10.15446/av.enferm.v39n1supl.90740

Brasil. Lei n.° 13.979, de 6 de fevereiro de 2020. [Internet] 2020. Disponível em: https://www.in.gov.br/en/web/dou/-/lei-n-13.979-de-6-de-fevereiro-de-2020-242078735

Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 2020;24:100424. DOI: https://doi.org/10.1016/j.eclinm.2020.100424

Ribeiro BMSS, Scorsolini-Comin F, Souza SR. Burnout syndrome in intensive care unit nurses during the COVID-19 pandemic. Rev Bras Med Trab.2021;19(3):363-71. DOI: https://doi.org/10.47626/1679-4435-2021-662

González-Gil MT, González-Blázquez C, Parro-Moreno AI, Pedraz-Marcos A, Palmar-Santos A, Otero-García L et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs. 2021;62:102966. DOI: https://doi.org/10.1016/j.iccn.2020.102966

Oliveira AC, Lucas TC, Iquiapaza RA. O que a pandemia da Covid-19 tem nos ensinado sobre adoção de medidas de precaução? Texto Contexto Enferm. 2020;29:e20200106. DOI: https://doi.org/10.1590/1980-265x-tce-2020-0106

Gallasch CH, Silva RFA, Faria MGA, Lourenção DCA, Pires MP, Almeida MCS et al. Prevalence of COVID-19 testing among health workers providing care for suspected and confirmed cases. Rev Bras Med Trab, 2021;19(2):209-13. DOI: https://doi.org/10.47626/1679-4435-2020-722

Bruyneel A, Gallani MC, Tack J, d’Hondt A, Canipel S, Franck S et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit Care Nurs. 2021;62:102967. DOI: https://doi.org/10.1016/j.iccn.2020.102967

International Council of Nurses. COVID-19 pandemic one year on: ICN warns of exodus of experienced nurses compounding current shortages. ICN News. [Internet] 2021. Available from: https://www.icn.ch/news/covid-19-pandemic-one-year-icn-warns-exodus-experienced-nurses-compounding-current-shortages

Allande-Cussó R, García-Iglesias J.J, Ruiz-Frutos C, Domínguez-Salas S, Rodríguez-Domínguez C, Gómez-Salgado J. Work Engagement in Nurses during the COVID-19 Pandemic: A cross-sectional study. Healthcare 2021;9:253. DOI: https://doi.org/10.3390/healthcare9030253

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L et al. Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020;7(4):e15-6. DOI: https://doi.org/10.1016/S2215-0366(20)30078-X

Turale S, Meechamman C, Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs ver. 2020;67(2):164-7. DOI: https://doi.org/10.1111/inr.12598

Liu C, Wang H, Zhou L, Xie H, Yang H, Yu Y et al. Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: A qualitative study. Int J Nurs Sci, 2019;6(2):187-91. DOI: https://doi.org/10.1016/j.ijnss.2019.03.007

Shen Y, Zhan Y, Zheng H, Liu H, Wan Y, Zhou W. Anxiety and its association with perceived stress and insomnia among nurses fighting against COVID-19 in Wuhan: A cross-sectional survey. J Clin Nurs. 2021;30(17-18):2654-64. DOI: https://doi.org/10.1111/jocn.15678

Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S et al. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 2020;7(4):e17-8. DOI: https://doi.org/10.1016/S2215-0366(20)30077-8

Green C. Spiritual health first aid for self-care. J Christ Nurs. 2021;38(3):E28-31. DOI: https://doi.org/10.1097/CNJ.0000000000000851

Weathers E. What is spirituality? In: Timmins F, Caldeira S. Spirituality in healthcare: Perspectives for innovative practice. Springer Nature. 2019. DOI: https://doi.org/10.1007/978-3-030-04420-6_1

Chow SK, Francis B, Ng YH, Naim N, Beh HC, Ariffin MAA, Yusuf MHM, Lee JW, Sulaiman AH. Religious coping, depression and anxiety among healthcare workers during the COVID-19 pandemic: A Malaysian perspective. Healthcare (Basel). 2021;9(1):79. DOI: https://doi.org/10.3390/healthcare9010079

Theodosio BAL, Ribeiro LF, Andrade MIS, Mpomo JSVMM. Barriers and facilitating factors of multiprofissional health work in the COVID-19 pandemic. Brazilian Journal of Development. 2021;7(4):33998-4016. DOI: https://doi.org/10.34117/bjdv7n4-044