Compassion-based care for COVID-19 patients: a qualitative analysis of nurses’ perceptions
,
Abstract
Compassion is a basic approach to medical practice and is the core component of health care. The purpose of the present study was to explore nurses' perceptions of compassion-based care (CBC) for COVID-19 patients. In this qualitative study, the participants were selected using purposeful sampling. Individual and semi-structured interviews were conducted with 25 nurses, and conventional content analysis was used to categorize the data. In the care of COVID-19 patients, CBC consisted of three categories including pro-social behaviors, paying attention to the beliefs and values of patients, and concern for family members. The first category had three subcategories including empathy, altruism, and helping in critical situations. The second category included the subcategories of the spiritual approach to care and respect for cultural aspects. The third category, concern for family members, had one subcategory: the need to consider the patient's family. Our findings may help to develop a comprehensive model in COVID-19 care according to which, in addition to routine patient care, nurses will consider concepts such as empathy, altruism, helping in critical situations, spirituality, cultural values, and the family’s needs at the end of the patient's life.
Hermes C, Ochmann T. Nursing Division on the current intensive care situation in Germany: working group of the nursing division of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN). Med Klin Intensivmed Notfmed. 2020; 115(6): 495-7.
Cordero DM, Davis DL. Communication for equity in the service of patient experience: health justice and the COVID-19 pandemic. J Patient Exp. 2020; 7(3): 279-81.
Glass M, Rana S, Coghlan R, et al. Global palliative care education in the time of COVID-19.J Pain Symptom Manage. 2020; 60(4): e14-e19.
Ebuenyi ID, Smith EM, Holloway C, Jensen R, D'Arino L, MacLachlan M. COVID-19 as social disability: the opportunity of social empathy for empowerment. BMJ Glob Health. 2020; 5(8): e003039.
Paterson C, Gobel B, Tracy Gosselin T, et al. Oncology nursing during a pandemic: critical reflections in the context of COVID-19. Semin Oncol Nurs. 2020; 36(3): 151028.
Yuan L, Chen S, Xu Y. Donning and doffing of personal protective equipment protocol and key points of nursing care for patients with COVID-19 in ICU. Stroke Vasc Neurol. 2020; 5(3): 302-7.
Stamps DC, Foley SM, Gales J, et al. Nurse leaders advocate for nurses across a health care system: COVID-19. Nurse Lead. 2021; 19(2): 159-64.
Sharma SK, Nuttall C, Kalyani V, Hemlata. Clinical nursing care guidance for management of patient with COVID-19. J Pak Med Assoc. 2020; 70 (Suppl 3)(5): S118-S123.
Sun N, Wei L, Shi S, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020; 48(6): 592-8.
Rezaee N , Mardani-Hamooleh M , Seraji M. Nurses' perception of ethical challenges in caring for patients with COVID-19: a qualitative analysis. J Med Ethics Hist Med. 2020; 13: 23.
Turale S, Meechamnan C, Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev. 2020; 67(2): 164-7.
Khoury B. The Root Causes of COVID-19 Screech for Compassion. Mindfulness (N Y). 2020 :1-4.
Galea S. Compassion in a time of COVID-19. Lancet. 2020; 395(10241): 1897-8.
Tierney S, Seers K, Tutton E, Reeve J. Enabling the flow of compassionate care: a grounded theory study. BMC Health Services Research. 2017; 17:174.
Tehranineshat B, Rakhshan M, Torabizadeh C, Fararouei M. Compassionate care in healthcare systems: a systematic review. J Natl Med Assoc. 2019; 111(5): 546-54.
Hendry J. Promoting compassionate care in radiography - what might be suitable pedagogy? a discussion paper. Radiography (Lond). 2019; 25(3): 269-73.
Saab MM, Drennan J, Cornally N, et al. Impact of a compassionate care leadership programme. Br J Nurs. 2019; 28(11): 708-14.
Barron K, Deery R, Sloan G. Community mental health nurses' and compassion: an interpretative approach. J Psychiatr Ment Health Nurs. 2017; 24(4): 211-20.
De Carlo P, Guerra D, Rega ML, Galletti G. Compassionate nursing care: the experience of Italian nurses. Prof Inferm. 2016; 69(4): 197-204.
Papadopoulos I, Zorba A, Koulouglioti C, et al. International study on nurses' views and experiences of compassion. Int Nurs Rev. 2016; 63(3): 395-405.
Babaei S, Taleghani F. Compassionate care challenges and barriers in clinical nurses: a qualitative study. Iran J Nurs Midwifery Res. 2019; 24(3): 213-9.
Ruiz-Fernández MD, Ramos-Pichardo JD, Ibanez-Masero O, Cabrera-Troya J, Carmona-Rega MI, Ortega-Galan AM. Compassion fatigue, burnout, compassion satisfaction and perceived stress in healthcare professionals during the COVID-19 health crisis in Spain. J Clin Nurs. 2020; 29(21-22): 4321-30.
Buselli R, Corsi M, Baldanzi S, et al. Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19).Int J Environ Res Public Health. 2020; 17(17): 6180.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9): 1277-88.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs. 2008; 62(1): 107-15.
Yue Z, Yang JZ. Compassionate goals, prosocial emotions, and prosocial behaviours during the COVID-19 pandemic. J Community Appl Soc Psychol. 2021;10.1002/casp.2507.
Suazo I, Perez-Fuentes MDC, Jurado MDM, et al. Moral sensitivity, empathy and prosocial behavior: implications for humanization of nursing care. Int J Environ Res Public Health. 2020; 17(23): 8914.
Pankajakshan A, Prasannan A, Chaudhary S. COVID-19: what have we learnt, and plan for the future. J Pak Med Assoc. 2020; 70(Suppl 3)(5): S30-S33.
Barello S, Graffigna G. Caring for health professionals in the COVID-19 pandemic emergency: toward an "epidemic of empathy" in healthcare. Front Psychol. 2020; 11: 1431.
Cusso RA, Navarro CN, Galvez AMP. [Humanized care in a death for COVID-19: a case study]. Enferm Clin. 2021;31: S62-S67.
Johnson KA, Quest T, Curseen K. Will you hear me? have you heard me? do you see me? adding cultural humility to resource allocation and priority setting discussions in the care of African American patients with COVID-19. J Pain Symptom Manage. 2020; 60(5): e11-e14.
Chersich MF, Gray G, Fairlie L, et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Globalization and Health. 2020;16: 46.
Roman NV , Mthembu TG, Hoosen M. Spiritual care - 'A deeper immunity' - a response to Covid-19 pandemic. Afr J Prim Health Care Fam Med. 2020;12(1): 2456.
Sarmiento PJD. Wounded healers: a call for spiritual care towards healthcare professionals in time of COVID-19 pandemic. J Public Health (Oxf). 2021; 43(2): e273-e274.
De Diego-Cordero R, López-Gómez L, Lucchetti G, Badanta B. Spiritual care in critically ill patients during COVID-19 pandemic. Nurs Outlook. 2021; doi: 10.1016/j.outlook.2021.06.017 [Epub ahead of print]
Galang JRF. Pastoral and spiritual care for quarantined individuals and their families. J Public Health (Oxf). 2021; 43(2): e350-e351.
Estella A. Compassionate communication and end-of-life care for critically Ill patients with SARS-CoV-2 infection. J Clin Ethics. 2020; 31(2): 191-3.
Goveas JS, Shear MK. Grief and the COVID-19 pandemic in older adults. Am J Geriatr Psychiatry. 2020; 28(10): 1119-25.
| Files | ||
| Issue | Vol 14 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jmehm.v14i19.8179 | |
| Keywords | ||
| Coronavirus COVID-19 Ethics Nursing care Compassion Qualitative research | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
