Nurses' perception of ethical challenges in caring for patients with COVID-19: a qualitative analysis
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Abstract
Nurses face several challenges in providing care for patients with coronavirus disease in 2019 (COVID-19). The study aimed to explain the nurses' perception of ethical challenges in this regard. The qualitative study was carried out using a content analysis method. Individual and semi-structured interviews were conducted with 24 nurses. Inductive content analysis was used to categorize the data. Nurses' narratives indicated that ethical challenges in caring for patients with COVID-19 included threats to professional values and the absence of a holistic COVID-19 care approach. The first category was subcategorized into the risk of declining quality of patient care and a stigmatized public image about COVID-19 care. The second category was divided into poor spiritual care, poor compassionate care, and lack of family-centered care. Health care managers must develop protocols for nurses that address these issues to alleviate the ethical challenges of COVID-19 care.
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.
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.
Hsieh HY, Hsu YY, Ko NY, Yen M. [Nursing education strategies during the COVID-19 epidemic]. Hu Li Za Zhi. 2020; 67(3): 96-101.
Aziz F, Jorgenson MR, Garg N, et al. The care of kidney transplant recipients during a global pandemic: challenges and strategies for success. Transplant Rev (Orlando). 2020; 34(4): 100567.
Végh T, László I, Juhász M, et al. [Practical aspects of anesthetic and perioperative care for COVID-19 patients]. Orv Hetil. 2020; 161(17): 692-5.
Ayyaz M, Butt UI, Umar M, Hayat Khan W, Farooka MW. Setting up a COVID-19 care facility at a prison: an experience from Pakistan. Annals of Medicine and Surgery. 2020; 57: 343-5.
Paterson C, Gobel B, Gosselin T, et al. Oncology nursing during a pandemic: critical reflections in the context of COVID-19. Semin Oncol Nurs. 2020; 36(3): 151028.
Stamps DC, Susan M Foley, Jennifer Gales, et al. Nurse leaders advocate for nurses across a health care system: COVID-19. Nurse Leader. 2020. doi: 10.1016/j.mnl.2020.07.011.
Sharma SK, Nuttall C, Kalyani V, Sadhanu H. Clinical nursing care guidance for management of patient with COVID-19. J Pak Med Assoc. 2020; 70(Suppl.3) (5): S118-S123.
Shinners J, Cosme S. COVID-19: perspectives from nurses across the country. J Contin Educ Nurs. 2020; 51(7): 304-8.
Turale S, Meechamnan C, Kunaviktikul W. Challenging times: ethics, nursing and the COVID-19 pandemic. Int Nurs Rev. 2020; 67(2): 164-7
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.
González-Aguña A, Jiménez-Rodríguez ML, Fernández-Batall M, et al. Nursing diagnoses for coronavirus disease, COVID-19: identification by taxonomic triangulation. Int J Nurs Knowl. 2020. doi: 10.1111/2047-3095.12301. Online ahead of print.
Jia Y, Chen O, Xiao Z, Xiao J, Bian J, Jia H. Nurses' ethical challenges caring for people with COVID-19: a qualitative study. Nurs Ethics. 2020; 969733020944453. doi: 10.1177/0969733020944453. Online ahead of print.
Xie H, Cheng X, Song X, Wu W, Chen J, Xi Z, Shou K. Investigation of the psychological disorders in the healthcare nurses during a coronavirus disease 2019 outbreak in China. Medicine (Baltimore). 2020; 99(34): e21662.
Zhang Y, Wei L, Li H, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs. 2020; 41(6): 525-30.
Zhou Q, Xue j, Wang LN, et al. [Nursing strategies for the facial skin injuries caused by wearing medical-grade protective equipment]. Zhonghua Shao Shang Za Zhi. 2020; 36(8): 686-90.
Morley G, Grady C, McCarthy J, Ulrich CM. Covid-19: ethical challenges for nurses. Hastings Cent Rep. 2020; 10. 1002/hast.1110.
Liu YE, Zhai ZC, Han YH, Liu YL, Liu FP, Hu DY. Experiences of front-line nurses combating coronavirus disease-2019 in China: a qualitative analysis. Public Health Nurs. 2020: 10.1111/phn.12768. doi: 10.1111/phn.12768. Epub ahead of print.
Hsu TC, Wu CC, Lai PY, Syue LS, Lai YY, Ko NY. [Nursing experience of caring for a patient with COVID-19 during isolation]. Hu Li Za Zhi. 2020; 67(3): 111-9.
Karimi Z, Fereidouni Z, Behnammoghadam M, et al. The lived experience of nurses caring for patients with COVID-19 in Iran: a phenomenological study. Risk Manag Healthc Policy. 2020; 13: 1271-8.
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. 2020; 20764020942788. doi: 10.1177/0020764020942788. Online ahead of print.
Sterling MR, Tseng E, Poon A, et al. Experiences of home health care workers in New York city during the coronavirus disease 2019 pandemic: a qualitative analysis. JAMA Intern Med. 2020; 180(11): 1453-9.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9): 1277-88.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2): 105–12.
Chersich MF, Gray G, Fairlie L, et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Global Health. 2020; 16(1): 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.
Sonis JD, Kennedy M, Aaronson EL, et al. Humanism in the age of COVID-19: renewing focus on communication and compassion. West J Emerg Med. 2020; 21(3): 499-502.
Cussó RA, Navarro CN, Gálvez AMP. Humanized care in a death for COVID-19: a case study. Enferm Clin. 2020; S1130-8621(20)30315-6.
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.
Naylor MD, Hirschman KB, McCauley K. Meeting the transitional care needs of older adults with COVID-19. J Aging Soc Policy. 2020; 32(4-5): 387-95.
Estella Á. 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 13 (2020) | |
| Section | Supplement | |
| DOI | https://doi.org/10.18502/jmehm.v13i23.4954 | |
| Keywords | ||
| Coronavirus; COVID-19; Nursing ethics; Ethical challenges; Qualitative study. | ||
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