DOI QR코드

DOI QR Code

Surviving Covid-19 Diagnosis Among Registered Nurses: Reactions, Consequences, and Coping Mechanisms

  • Gladys Mbuthia (School of Nursing and Midwifery, Aga Khan University) ;
  • Doris Machaki (School of Nursing and Midwifery, Aga Khan University) ;
  • Sheila Shaibu (School of Nursing and Midwifery, Aga Khan University) ;
  • Rachel W. Kimani (School of Nursing and Midwifery, Aga Khan University)
  • Received : 2023.06.24
  • Accepted : 2023.10.24
  • Published : 2023.12.30

Abstract

Background: To mitigate the spread of Covid-19, nurses infected with the virus were required to isolate themselves from their families and community. Isolated patients were reported to have experienced mental distress, posttraumatic stress disorder symptoms, and suicide. Though studies have reported the psychological impact of the Covid-19 pandemic, less is known about the lived experiences of nurses who survived Covid-19 infection in sub-Saharan Africa. Methods: A descriptive phenomenological approach was used to study the lived experiences of registered nurses who survived Covid-19 disease. In-depth interviews were conducted among nurses diagnosed with Covid-19 from two hospitals in Kenya between March and May, 2021. Purposive and snowball sampling were used to recruit registered nurses. Data were analyzed using Giorgi's steps of analysis. Results: The study included ten nurses between 29 and 45 years of age. Nurses' experiences encompassed three themes: diagnosis reaction, consequences, and coping. Reactions to the diagnosis included fear, anxiety, and sadness. The consequence of the diagnosis and isolation was stigma, isolation, and loneliness. Nurses coping mechanisms included acceptance, creating routines, support, and spirituality. Conclusion: Our findings aid in understanding how nurses experienced Covid-19 infection as patients and will provide evidence-based content for supporting nurses in future pandemics. Moreover, as we acknowledge the heroic contribution of frontline healthcare workers during the Covid-19 pandemic, it is prudent to recognize the considerable occupational risk as they balance their duty to care, and the risk of infection to themselves and their families.

Keywords

Acknowledgement

We thank the nurses who participated in this study.

References

  1. World Health Organization. The impact of covid-19 on health and care workers: a closer look at deaths. Geneva; 2021. Available from: https://apps.who.int/iris/handle/10665/345300.
  2. Kupferschmidt K, Wadman M. End of covid-19 emergencies sparks debate. Science 2023;380:566-7. https://doi.org/10.1126/science.adi6511
  3. World Health Organization. Covid-19 cases Kenya; 2023. https://covid19.who.int/region/afro/country/ke:https://covid19.who.int/region/afro/country/ke.
  4. Kimani RW, Gatimu SM. Nursing and Midwifery education, regulation, and workforce in Kenya: a scoping review. Int Nurs Rev 2023;70:444-55. https://doi.org/10.1111/inr.12840
  5. Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y, Kamath A, Parepalli SA, Brown G, Iharchane S, Gandino S. Infection and mortality of healthcare workers worldwide from covid-19: a systematic review. BMJ Glob Health 2020;5(12):e003097.
  6. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (Covid-19) outbreak in China: summary of a report of 72 314 cases from the Chinese center for disease control and prevention. JAMA 2020;323:1239-42. https://doi.org/10.1001/jama.2020.2648
  7. Mhango M, Dzobo M, Chitungo I, Dzinamarira T. Covid-19 risk factors among health workers: a rapid review. Saf Health Work 2020;11:262-5. https://doi.org/10.1016/j.shaw.2020.06.001
  8. World Health Organization. Criteria for releasing covid-19 patients from isolation: scientific brief, 17 June 2020; 2020. Available from: https://apps.who.int/iris/handle/10665/332451.
  9. Henssler J, Stock F, Van Bohemen J, Walter H, Heinz A, Brandt L. Mental health effects of infection containment strategies: quarantine and isolation-a systematic review and meta-analysis. Eur Arch Psychiatry Clin Neurosci 2021;271:223-34. https://doi.org/10.1007/s00406-020-01196-x
  10. Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med 2020;27(2):taaa020.
  11. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912-20. https://doi.org/10.1016/S0140-6736(20)30460-8
  12. Bai Y, Lin C-C, Lin C-Y, Chen J-Y, Chue C-M, Chou P. Survey of stress reactions among health care workers involved with the sars outbreak. Psychiatr Serv 2004;55:1055-7.
  13. Kackin O, Ciydem E, Aci OS, Kutlu FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with covid-19 in Turkey: a qualitative study. Int J Soc Psychiatry 2021;67:158-67. https://doi.org/10.1177/0020764020942788
  14. Karabag Ayd in A, Fidan H. The effect of nurses' death anxiety on life satisfaction during the covid-19 pandemic in Turkey. J Relig Health 2022;61:811-26. https://doi.org/10.1007/s10943-021-01357-9
  15. Xiong L-J, Zhong B-L, Cao X-J, Xiong H-G, Huang M, Ding J, Li WT, Tong J, Shen HY, Xia JH, Hu Y. Possible posttraumatic stress disorder in Chinese frontline healthcare workers who survived covid-19 6 Months after the covid19 outbreak: prevalence, correlates, and symptoms. Transl Psychiatry 2021:11.
  16. Goh YS, Ow Yong QYJ, Chen THM, Ho SHC, Chee YIC, Chee TT. The impact of covid-19 on nurses working in a university health system in Singapore: A qualitative descriptive study. Int J Ment Health Nurs 2021;30:643-52. https://doi.org/10.1111/inm.12826
  17. Barasa E, Kazungu J, Orangi S, Kabia E, Ogero M, Kasera K. Indirect health effects of the covid-19 pandemic in Kenya: a mixed methods assessment. BMC Health Serv Res 2021;21:1-16.
  18. Ministry of Health. Covid-19 quarantine protocols. In: Ministry of health. Nairobi: Ministry of Health. 2020.. https://www.health.go.ke/wp-content/uploads/2020/04/L-Quarantine-Protocols-for-Sites-with-Lab.pdf.. https://www.health.go.ke/wp-content/uploads/2020/04/L-Quarantine-Protocols-for-Sites-with-Lab.pdf.
  19. Shah J, Monroe-Wise A, Talib Z, Nabiswa A, Said M, Abeid A, Mohamed MA, Mohamed S, Ali SK. Mental health disorders among healthcare workers during the covid-19 pandemic: a cross-sectional survey from three major hospitals in Kenya. BMJ Open 2021;11:e050316.
  20. Jaguga F, Kwobah E. Mental health response to the covid-19 pandemic in Kenya: a review. Int J Ment Health Syst 2020;14:1-6. https://doi.org/10.1186/s13033-020-0336-1
  21. Kimani RW, Maina R, Shumba C, Shaibu S. Maternal and newborn care during the covid-19 pandemic in Kenya: Re-contextualising the community Midwifery model. Hum Resour Health 2020;18:75.
  22. Shumba C, Maina R, Mbuthia G, Kimani R, Mbugua S, Shah S, Abubakar A, Luchters S, Shaibu S, Ndirangu E. Reorienting nurturing care for early childhood development during the covid-19 pandemic in Kenya: a review. Int J Environ Res Public Health 2020;17:7028.
  23. Ali SK, Shah J, Talib Z. Covid-19 and mental well-being of nurses in a tertiary facility in Kenya. Plos One 2021;16:e0254074.
  24. Xu H, Stjernsward S, Glasdam S. Psychosocial experiences of frontline nurses working in hospital-based settings during the covid-19 pandemic - a qualitative systematic review. Int J Nurs Stud Adv 2021;3:100037.
  25. Giorgi A. The descriptive phenomenological method in psychology: a modified husserlian approach. Duquesne university press; 2009. 128 p.
  26. Lincoln YS, Guba EG. Naturalistic inquiry. Sage Publications; 1985. p. 289-323.
  27. Zamanzadeh V, Valizadeh L, Khajehgoodari M, Bagheriyeh F. Nurses' experiences during the covid-19 pandemic in Iran: a qualitative study. BMC Nurs 2021;20:1-9.
  28. Zhang WQ, Montayre J, Ho M-H, Yuan F, Chang H-C. The covid-19 pandemic: narratives of front-line nurses from Wuhan, China. Nurs Health Sci 2022;24:304-11. https://doi.org/10.1111/nhs.12926
  29. Sezgin D, Dost A, Esin MN. Experiences and perceptions of Turkish intensive care nurses providing care to covid-19 patients: a qualitative study. Int Nurs Rev 2022;69:305-17.
  30. Cakmak HSG, Ocal S, Kapucu S. Experiences of Turkish nurses with covid-19 infection in pandemic and post-pandemic: aqualitative study. Nurse Leader; 2023.
  31. Radfar M, Maslak Pak M Hemmati, Mohammadi F. The organisational and managerial challenges experienced by nurses recovered from covid-19: a phenomenological study. J Nurs Manag 2021;29:2353-63. https://doi.org/10.1111/jonm.13394
  32. Simeone S, Ambrosca R, Vellone E, Durante A, Arcadi P, Cicolini G, Simonetti V, Alvaro R, Pucciarelli G. Lived experiences of frontline nurses and physicians infected by covid-19 during their activities: a phenomenological study. Nurs Health Sci 2022;24:245-54.
  33. Coelho CM, Suttiwan P, Arato N, Zsido AN. On the nature of fear and anxiety triggered by covid-19. Front Psychol 2020;11:581314.
  34. Reynolds DL, Garay JR, Deamond SL, Moran MK, Gold W, Styra R. Understanding, compliance and psychological impact of the sars quarantine experience. Epidemiol Infect 2008;136:997-1007. https://doi.org/10.1017/S0950268807009156
  35. Almaghrabi RH, Alfaradi H, Al Hebshi WA, Albaadani MM. Healthcare workers experience in dealing with coronavirus (Covid-19) pandemic. Saudi Med J 2020;41:657.
  36. Sevimli S, Sevimli BS. Challenges and ethical issues related to covid-19 contact tracing teams in Turkey. J Multidiscip Healthc 2021:3151-9.
  37. Yuan K, Huang X-L, Yan W, Zhang Y-X, Gong Y-M, Su S-Z, Huang YT, Zhong Y, Wang YJ, Yuan Z, Tian SS. A systematic review and meta-analysis on the prevalence of stigma in infectious diseases, including covid-19: a call to action. Mol Psychiatry 2022;27:19-33. https://doi.org/10.1038/s41380-021-01295-8
  38. Qin X, Song L. Addressing stigma in the context of the coronavirus disease 2019 (Covid-19) outbreak: a socio-ecological approach. Infect Control Hosp Epidemiol 2022;43:401-3.
  39. Shaibu S, Kimani RW, Shumba C, Maina R, Ndirangu E, Kambo I. Duty versus distributive justice during the covid-19 pandemic. Nurs Ethics 2021;28:1073-80. https://doi.org/10.1177/0969733021996038
  40. Maina R, Kimani RW, Orwa J, Mutwiri BD, Nyariki CK, Shaibu S, Fleming V. Knowledge, attitudes, and preparedness for managing pregnant and postpartum women with covid-19 among nurse-midwives in Kenya, vol. 8. SAGE Open Nursing; 2022:23779608221106445.
  41. Ministry of Health. Guidelines for case management of covid-19 in Kenya; 2021. Nairobi, https://www.health.go.ke/wp-content/uploads/2021/10/Finalguidelines-on-the-Management-of-Covid-19-in-Kenya-2021-Edition.pdf: https://www.health.go.ke/wp-content/uploads/2021/10/Final-guidelines-onthe-Management-of-Covid-19-in-Kenya-2021-Edition.pdf.
  42. Robertson E, Hershenfield K, Grace SL, Stewart DE. The psychosocial effects of being quarantined following exposure to sars: a qualitative study of Toronto health care workers. Can J Psychiatry 2004;49:403-7. https://doi.org/10.1177/070674370404900612
  43. DeDonno MA, Ferris AH, Molnar A, Haire HM, Sule SS, Hennekens CH, Wood SK. Perceptions, coping strategies, and mental health of residents during covid-19. South Med J 2022;115:717.
  44. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. Guilford press; 2011.
  45. Cervantes L, Martin M, Frank M, Farfan J, Kearns M, Rubio L. Experiences of latinx individuals hospitalized for covid-19: a qualitative study. JAMA Netw Open 2021. https://doi.org/10.1001/jamanetworkopen.
  46. Sehularo LA, Molato BJ, Mokgaola IO, Gause G. Coping strategies used by nurses during the covid-19 pandemic: a narrative literature review. Health SA Gesondheid (Online) 2021;26:1-8.
  47. Htay MNN, Marzo RR, Bahari R, AlRifai A, Kamberi F, El-Abasiri RA, Nyamache JM, Hlaing HA, Hassanein M, Moe S, Abas AL. How healthcare workers are coping with mental health challenges during covid-19 pandemic?-a cross-sectional multi-countries study. Clin Epidemiol Glob Health 2021;11:100759.
  48. Liu W, Liu J. Living with covid-19: a phenomenological study of hospitalised patients involved in family cluster transmission. BMJ Open 2021;11:e046128.
  49. Kwaghe AV, Kwaghe VG, Habib ZG, Kwaghe GV, Ilesanmi OS, Ekele BA, Ekele BA. Stigmatization and psychological impact of covid-19 pandemic on frontline healthcare workers in Nigeria: a qualitative study. BMC Psychiatry 2021;21:1-17.