Struggling in the dehumanized world of COVID-An exploratory mixed-methods study of frontline healthcare workers' experiences.

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Struggling in the dehumanized world of COVID-An exploratory mixed-methods study of frontline healthcare workers' experiences.

Carnesten, Hillewi, 1969- (author): Mälardalens universitet,Hälsa och välfärd

von Heideken Wågert, Petra, Professor, 1977- (author): Mälardalens universitet,Hälsa och välfärd

Wiklund Gustin, Lena, 1960- (author): Mälardalens universitet,Hälsa och välfärd,The Arctic University of Norway Narvik Norway

Toivanen, Susanna, 1961- (author): Mälardalens universitet,Hälsa och välfärd

Skoglund, Karin, 1964- (author): Mälardalens universitet,Hälsa och välfärd

Jaarsma, Tiny (author): Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Univ Med Ctr Utrecht, Netherlands,Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden;Julius Center University Medical Center Utrecht Utrecht Netherlands

Andreae, Christina, 1969- (author): Mälardalens universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Malardalen Univ, Sweden; Uppsala Univ, Sweden,Hälsa och välfärd,Centre for Clinical Research Sörmland Uppsala University Eskilstuna Sweden

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2024
2024
English.
In: Journal of Advanced Nursing. - : WILEY. - 0309-2402 .- 1365-2648.

Related links:: https://doi.org/10.1...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

AIM: To explore healthcare workers' experiences of the changed caring reality during the COVID-19 pandemic in Sweden.DESIGN: An online fully mixed-methods design.METHODS: A web-based self-reported questionnaire with fixed and open-ended answers collected data from March to April 2021, analysed in three steps. First, free-text questions were analysed by qualitative content analysis. Then quantitative linear regression analyses using models covering stress and coping mechanisms were conducted. Finally, a meta-inference of qualitative and quantitative data emerged a new comprehensive understanding. The COREQ guidelines were used for reporting.RESULTS: Meta-inferenced results of quantitative and qualitative findings show the pandemic was a traumatic experience for healthcare workers. Main theme; When work became a frightening experience in a dehumanized reality, comprised four themes: Entering unprepared into a frightful, incomprehensible world; Sacrificing moral values and harbouring dilemmas in isolation; Lack of clear management; and Reorient in togetherness and find meaning in a changed reality. Qualitative results comprised four categories; Working in a dehumanized world; Living in betrayal of ones' own conscience; Lack of structure in a chaotic time and Regaining vitality together. Subdimensions comprehensibility and meaningfulness were associated significantly with post-traumatic stress disorder in multiple regression analysis. In multiple regression analysis, sense of coherence was the most prominent coping strategy.CONCLUSIONS: Forcing oneself to perform beyond one's limit, sacrificing moral values and lacking management was a traumatic experience to healthcare workers during the pandemic. Reorienting as a way of coping was possible in togetherness with colleagues. There is an urgency of interventions to meet the needs among healthcare workers who took on a frontline role during the COVID-19 pandemic and to prevent mental health illness in future crisis.PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.SUMMARY: The pandemic outbreak exposed frontline healthcare workers to unparallelled stress shown as negative for their mental health in several meta-analyses and systematic reviews. In-depth understanding on experiences and how symptoms of post-traumatic stress disorder relate to coping mechanisms have been scarcely explored. This study contributes to understanding on healthcare workers' experiences and the relation between lower sense of coherence and increased risk of developing symptoms of post-traumatic stress disorder.IMPLICATIONS FOR PRACTICE/POLICY: This study might guide how to prepare for resilience in future emergencies.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Keyword

acute care
adult nursing
advanced practice
art of nursing
care
ethics
holistic care
mixed-method design
organizational development
work organization

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ref (subject category)
art (subject category)

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