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      Vulnerability, loss, and coping experiences of health care workers and first responders during the covid-19 pandemic: a qualitative study

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          ABSTRACT

          INTRODUCTION. The ongoing COVID-19 pandemic substantially affects health care workers from multiple disciplines, including nurses, physicians, therapists, and first responders. The aims of this study were to 1) explore and describe the experiences of health care workers and first responders working with individuals with COVID-19 infection, and 2) identify the support and strategies that were helpful during their experience.METHODS. A qualitative descriptive study was conducted via online video interviews of 29 health care workers and first responders who agreed to be contacted for an interview. Thematic analysis resulted in three themes and corresponding subthemes.RESULTS. The three overriding themes were 1) experiencing vulnerability, 2) suffering loss and grief, and 3) coping with vulnerability. A sense of vulnerability and high levels of stress were described and affected participants during their professional work as health care workers and first responders as well as their roles in their homes and communities.DISCUSSION AND CONCLUSION. The findings indicate the need for effective measures to assist health care workers and first responders to minimize the negative consequences of persistent and severe stress and vulnerability as they care for individuals with COVID-19 and their families.

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          Using thematic analysis in psychology

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            The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study

            Summary Background In the early stages of the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China, the local health-care system was overwhelmed. Physicians and nurses who had no infectious disease expertise were recruited to provide care to patients with COVID-19. To our knowledge, no studies on their experiences of combating COVID-19 have been published. We aimed to describe the experiences of these health-care providers in the early stages of the outbreak. Methods We did a qualitative study using an empirical phenomenological approach. Nurses and physicians were recruited from five COVID-19-designated hospitals in Hubei province using purposive and snowball sampling. They participated in semi-structured, in-depth interviews by telephone from Feb 10 to Feb 15, 2020. Interviews were transcribed verbatim and analysed using Haase's adaptation of Colaizzi's phenomenological method. Findings We recruited nine nurses and four physicians. Three theme categories emerged from data analysis. The first was “being fully responsible for patients' wellbeing—‘this is my duty’”. Health-care providers volunteered and tried their best to provide care for patients. Nurses had a crucial role in providing intensive care and assisting with activities of daily living. The second category was “challenges of working on COVID-19 wards”. Health-care providers were challenged by working in a totally new context, exhaustion due to heavy workloads and protective gear, the fear of becoming infected and infecting others, feeling powerless to handle patients' conditions, and managing relationships in this stressful situation. The third category was “resilience amid challenges”. Health-care providers identified many sources of social support and used self-management strategies to cope with the situation. They also achieved transcendence from this unique experience. Interpretation The intensive work drained health-care providers physically and emotionally. Health-care providers showed their resilience and the spirit of professional dedication to overcome difficulties. Comprehensive support should be provided to safeguard the wellbeing of health-care providers. Regular and intensive training for all health-care providers is necessary to promote preparedness and efficacy in crisis management. Funding National Key R&D Program of China, Project of Humanities and Social Sciences of the Ministry of Education in China.
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              A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients

              Highlights • Studies on the psychological experience of nurses combating COVID-19 are lacking • We investigated the psychological experience of caregivers of COVID-19 patients • Nurses showed interweaving positive/negative emotions during outbreak of COVID-19 • Negative emotions are dominant in the early stages of the COVID-19 outbreak • Coping styles and psychological growth are important for maintaining mental health
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                Author and article information

                Journal
                Int J Qual Stud Health Well-being
                Int J Qual Stud Health Well-being
                International Journal of Qualitative Studies on Health and Well-being
                Taylor & Francis
                1748-2623
                1748-2631
                20 April 2022
                2022
                20 April 2022
                : 17
                : 1
                : 2066254
                Affiliations
                [a ]Nursing for Vulnerable Populations, M. Louise Fitzpatrick College of Nursing, Villanova University; , Villanova, PA, USA
                [b ]M. Louise Fitzpatrick College of Nursing, Villanova University; , Villanova, PA, USA
                [c ]Department of Clinical and School Psychology, Nova Southeastern University; , Fort Lauderdale, FL, USA
                Author notes
                CONTACT Suzanne C. Smeltzer Suzanne.smeltzer@ 123456villanova.edu Nursing for Vulnerable Populations, M. Louise Fitzpatrick College of Nursing, Villanova University; , Villanova, PA, USA
                Author information
                https://orcid.org/0000-0002-1970-2243
                https://orcid.org/0000-0001-7675-8879
                Article
                2066254
                10.1080/17482631.2022.2066254
                9037221
                35442177
                2466c2de-615f-482c-918c-5b528e64a8ee
                © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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                Page count
                Figures: 0, Tables: 2, References: 52, Pages: 1
                Categories
                Research Article
                Empirical Studies

                Health & Social care
                stress,loss,vulnerability,coping,work environment,pandemic
                Health & Social care
                stress, loss, vulnerability, coping, work environment, pandemic

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