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      Experiences of suffering among nursing professionals during the COVID-19 pandemic: A descriptive qualitative study

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          Abstract

          Background and aim

          Healthcare professionals have played a fundamental role in managing and controlling the COVID-19 health crisis. They are exposed to high levels of suffering, trauma, uncertainty, and powerlessness in the workplace. The objective of this study was to explore and understand experiences of suffering among primary care and hospital care nurses during the COVID-19 health crisis.

          Design

          This is a descriptive qualitative study. Between March and April 2021, 19 in-depth interviews were carried out with nurses at health and social care facilities and hospitals in southern Spain. ATLAS.ti 9.0 software was used for discourse analysis.

          Results

          Nurses reported that they had experienced suffering during their work in the pandemic. The main causes suggested were direct contact with patients' suffering and organisational difficulties. The repercussions are in emotional dimension and physical deterioration and social isolation.

          Conclusion and implications

          Given the circumstances, programmes to promote healthy, compassion-based behaviours and changes to the way in which professionals' suffering is handled must be implemented by healthcare facility managers. Nursing leaders should consider the management of suffering as a matter of the first order, both from the ethical point of view and the business profitability and make compassionate leadership.

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          Most cited references28

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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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            An overview of the qualitative descriptive design within nursing research

            Background Qualitative descriptive designs are common in nursing and healthcare research due to their inherent simplicity, flexibility and utility in diverse healthcare contexts. However, the application of descriptive research is sometimes critiqued in terms of scientific rigor. Inconsistency in decision making within the research process coupled with a lack of transparency has created issues of credibility for this type of approach. It can be difficult to clearly differentiate what constitutes a descriptive research design from the range of other methodologies at the disposal of qualitative researchers. Aims This paper provides an overview of qualitative descriptive research, orientates to the underlying philosophical perspectives and key characteristics that define this approach and identifies the implications for healthcare practice and policy. Methods and results Using real-world examples from healthcare research, the paper provides insight to the practical application of descriptive research at all stages of the design process and identifies the critical elements that should be explicit when applying this approach. Conclusions By adding to the existing knowledge base, this paper enhances the information available to researchers who wish to use the qualitative descriptive approach, influencing the standard of how this approach is employed in healthcare research.
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              World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects.

              (2001)
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                Author and article information

                Journal
                Appl Nurs Res
                Appl Nurs Res
                Applied Nursing Research
                Published by Elsevier Inc.
                0897-1897
                1532-8201
                24 June 2022
                24 June 2022
                : 151603
                Affiliations
                [a ]Charing Cross Hospital, Imperial College NHS Trust, London, United Kingdom
                [b ]Department of Nursing, Physiotherapy, and Medicine, University of Almeria, Almería, Spain
                [c ]Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
                [d ]Hospital Universitario Juan Ramón Jiménez, Huelva, Spain
                [e ]Department of Nursing, University of Huelva, Huelva, Spain
                Author notes
                [* ]Corresponding author at: Department of Nursing Science, Physiotherapy, and Medicine, University of Almeria, Ctra. Sacramento, s/n, La Cañada 04120, Almería, Spain.
                Article
                S0897-1897(22)00045-3 151603
                10.1016/j.apnr.2022.151603
                9225961
                35840275
                4d12487b-1a9c-4b87-a1cd-2ad38e93cced
                © 2022 Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 24 January 2022
                : 8 April 2022
                : 21 June 2022
                Categories
                Article

                health professionals,nurses,suffering,compassion fatigue,covid-19,qualitative study

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