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      Occupational safety and health of nurses during the COVID-19 pandemic, the missing part of quality care: a qualitative study

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          Abstract

          Objective

          This study explored the consequences of COVID-19 on the occupational safety and health of nurses.

          Design

          Qualitative conventional content analysis.

          Participants

          14 nurses selected by purposeful sampling method.

          Setting

          Five educational and non-educational hospitals in the Northwest of Iran.

          Data collection and analysis

          Semistructured interviews were used for data collection and analysed using conventional content analysis.

          Results

          Two main categories have emerged from the data: reduced quality of professional life and post-traumatic growth. Reduced quality of professional life, which has two subcategories including job dissatisfaction and burnout, has a negative nature, and has had many negative effects on the physical, mental and well-being of nursing personnel during the coronavirus era. On the other hand, post-traumatic growth, with two subcategories that include promoting safe behaviour and gaining a positive self-concept, has a positive nature.

          Conclusions

          Maintaining the occupational health and safety of nurses plays an important role in providing quality services to patients. Therefore, it is necessary for managers and policymakers to use the experiences related to the COVID-19 crisis, to prevent negative factors and strengthen positive factors, to maintain the safety and occupational health of nurses, and increase the quality of care.

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          Most cited references45

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          Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.

          Qualitative content analysis as described in published literature shows conflicting opinions and unsolved issues regarding meaning and use of concepts, procedures and interpretation. This paper provides an overview of important concepts (manifest and latent content, unit of analysis, meaning unit, condensation, abstraction, content area, code, category and theme) related to qualitative content analysis; illustrates the use of concepts related to the research procedure; and proposes measures to achieve trustworthiness (credibility, dependability and transferability) throughout the steps of the research procedure. Interpretation in qualitative content analysis is discussed in light of Watzlawick et al.'s [Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies and Paradoxes. W.W. Norton & Company, New York, London] theory of communication.
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            A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being

            Background Health and social care workers (HSCWs) have carried a heavy burden during the COVID-19 crisis and, in the challenge to control the virus, have directly faced its consequences. Supporting their psychological wellbeing continues, therefore, to be a priority. This rapid review was carried out to establish whether there are any identifiable risk factors for adverse mental health outcomes amongst HSCWs during the COVID-19 crisis. Methods We undertook a rapid review of the literature following guidelines by the WHO and the Cochrane Collaboration’s recommendations. We searched across 14 databases, executing the search at two different time points. We included published, observational and experimental studies that reported the psychological effects on HSCWs during the COVID-19 pandemic. Results The 24 studies included in this review reported data predominantly from China (18 out of 24 included studies) and most sampled urban hospital staff. Our study indicates that COVID-19 has a considerable impact on the psychological wellbeing of front-line hospital staff. Results suggest that nurses may be at higher risk of adverse mental health outcomes during this pandemic, but no studies compare this group with the primary care workforce. Furthermore, no studies investigated the psychological impact of the COVID-19 pandemic on social care staff. Other risk factors identified were underlying organic illness, gender (female), concern about family, fear of infection, lack of personal protective equipment (PPE) and close contact with COVID-19. Systemic support, adequate knowledge and resilience were identified as factors protecting against adverse mental health outcomes. Conclusions The evidence to date suggests that female nurses with close contact with COVID-19 patients may have the most to gain from efforts aimed at supporting psychological well-being. However, inconsistencies in findings and a lack of data collected outside of hospital settings, suggest that we should not exclude any groups when addressing psychological well-being in health and social care workers. Whilst psychological interventions aimed at enhancing resilience in the individual may be of benefit, it is evident that to build a resilient workforce, occupational and environmental factors must be addressed. Further research including social care workers and analysis of wider societal structural factors is recommended. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-020-10070-3.
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              Social reaction toward the 2019 novel coronavirus (COVID-19)

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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2024
                10 June 2024
                : 14
                : 6
                : e083863
                Affiliations
                [1 ] departmentMedical-Surgical Nursing , Ringgold_48432Tabriz University of Medical Sciences , Tabriz, Iran (the Islamic Republic of)
                [2 ] departmentMedical-Surgical Nursing , Ringgold_108935Tabriz University of Medical Sciences, Faculty of Nursing and Midwifery , Tabriz, Iran (the Islamic Republic of)
                [3 ] departmentMedical-Surgical , Ringgold_274947Shahid Beheshti University of Medical Sciences School of Nursing and Midwifery , Tehran, Iran (the Islamic Republic of)
                [4 ] departmentOccupational Health , Ringgold_108931Tabriz University of Medical Sciences Faculty of Medicine , Tabriz, Iran (the Islamic Republic of)
                Author notes
                [Correspondence to ] Dr Vahid Zamanzadeh; vzamanzadeh@ 123456gmail.com
                Author information
                http://orcid.org/0000-0002-1791-2941
                Article
                bmjopen-2024-083863
                10.1136/bmjopen-2024-083863
                11168139
                38858154
                04a0a863-512b-4297-8fd4-3e3b0ad64eff
                © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 01 January 2024
                : 24 May 2024
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004366, Tabriz University of Medical Sciences;
                Award ID: 1399/11/28-66318
                Categories
                Nursing
                1506
                2474
                1715
                Original research
                Custom metadata
                unlocked

                Medicine
                safety,health workforce,nurses,qualitative research
                Medicine
                safety, health workforce, nurses, qualitative research

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