Lived experiences of nurses working in the clinical setting during Covid-19, in Ekurhuleni, Gauteng Province, South Africa

Sinethemba Nyandeni, Fhumulani Mavis Mulaudzi, Rafiat Ajoke Anokwuru
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Abstract

Background

The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.

Methods

The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.

Findings

Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.

Conclusion

The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.

Implications for nursing management

Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.

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南非豪登省埃库尔胡莱尼的护士在 Covid-19 期间的临床工作经历
背景2019年冠状病毒(COVID-19)疫情迅速蔓延,对医疗系统造成了严重影响。随着医疗系统对这一流行病做出反应,所提供的护理也发生了变化。此外,随着越来越多的人感染病毒,护士人数减少,导致剩余的少数护士工作时间延长,护理负担加重。本研究旨在深入了解 COVID-19 大流行期间在豪滕省埃库尔胡莱尼临床环境中工作的护士的生活经历。研究人员对 13 名专业护士进行了面对面的深入访谈和电话访谈,这些护士是有目的性地抽取的,因为他们曾在南非豪登省 Ekurhuleni 区的一家医院护理 COVID-19 阳性患者。对访谈录音进行了转录,并在 ATLASti 第 9 版程序的帮助下采用描述性现象学分析方法对访谈进行了归纳分析。研究结果出现了四个主题:(1)COVID-19 大流行期间护士的社会生活。(2) COVID-19 大流行期间临床环境中的挑战。(3) COVID-19 大流行对病人护理的影响。(结论本研究结果表明,护理 COVID-19 患者的专业护士遭受了心理压力和身体倦怠。资源不足,包括个人防护设备(PPE)和其他设备,使护士有可能感染 COVID-19。缺乏管理支持使病人护理工作更加糟糕。因此,需要进一步开展研究,以改善资源采购和备灾工作。因此,建议管理者提供支持,包括提供常规专业咨询、定期在职培训,以及让护士参与影响患者护理的决策。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
114
审稿时长
21 weeks
期刊介绍: International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
期刊最新文献
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