Resilience of first-line nurses during adaptation to the COVID-19 pandemic: A grounded theory study

IF 1.7 4区 医学 Q2 NURSING
Marzieh Khatooni, Azam Ghorbani, Maryam Momeni, Fatemeh Ghapanvari
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引用次数: 0

Abstract

Aim

Nurses are a vital resource in providing care to COVID-19 patients. During adaptation to the pandemic, the mental health of nurses was disturbed. The present study aimed to explain the resilience development process and adaptive strategies of first-line nurses during the COVID-19 pandemic.

Methods

This study was conducted based on the grounded theory qualitative approach. Twenty-two Iranian first-line nurses, who were employed in one teaching hospital in Qazvin city, were included via purposive and theoretical sampling. The data were collected through semi-structured interviews and were analyzed based on the Corbin and Strauss approach 2015.

Results

The resilience development process of nurses had three stages including initial confrontation with changes, managing conditions and reorganizing, developing resilience. Professional commitment was identified as a core category that affected all stages of resilience development. Negative emotions, nurses' characteristics, and caring challenges were identified as contextual factors which affected the adaptation of nurses to the COVID-19 pandemic and the development of resilience.

Conclusion

Regarding the importance of professional commitment in the nurses' resilience development and not leaving the profession in the COVID-19 pandemic, it is important to emphasize the ethical values and principles of the nursing profession in practice and especially in the education of nursing students. It is necessary to monitor mental health and provide professional psychological counseling by the healthcare systems; also, nursing managers should follow a supportive leadership style and consider first-line nurses' worries.

一线护士在适应新冠肺炎大流行期间的复原力:一项有根据的理论研究。
目的:护士是为新冠肺炎患者提供护理的重要资源。在适应新冠疫情期间,护士的心理健康受到干扰。本研究旨在解释新冠肺炎大流行期间一线护士的应变能力发展过程和适应策略。方法:本研究采用扎根理论和定性研究相结合的方法。22名受雇于Qazvin市一家教学医院的伊朗一线护士通过有目的和理论抽样被纳入。数据通过半结构化访谈收集,并基于2015年Corbin和Strauss方法进行分析。结果:护士的应变能力发展过程分为三个阶段,包括最初应对变化、管理条件和重组、发展应变能力。专业承诺被确定为影响复原力发展所有阶段的核心类别。负面情绪、护士的特点和护理挑战被确定为影响护士适应新冠肺炎大流行和恢复力发展的背景因素。结论:关于专业承诺在新冠肺炎大流行期间护士韧性发展和不离职的重要性,在实践中,特别是在护理学生的教育中,强调护理职业的道德价值观和原则是重要的。有必要通过医疗保健系统监测心理健康并提供专业的心理咨询;此外,护理管理者应该遵循支持性的领导风格,并考虑一线护士的担忧。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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