Volume 30, Issue 1 (Winter 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(1): 20-29 | Back to browse issues page

Ethics code: IR.MAZUMS.REC.1399.882

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahmani N, Nabavian M, Alipour H. Living Experiences of Nursing Students in Caring for Covid-19 patients: a Phenomenological Study. Avicenna J Nurs Midwifery Care 2022; 30 (1) :20-29
URL: http://nmj.umsha.ac.ir/article-1-2335-en.html
1- Instructor, Department of Nursing, Comprehensive Health Research Center, Babol Branch, Islamic Azad University, Babol, Iran
2- Anesthesiologist, Disaster Management and Medical Emergency Center, Mazandaran University of Medical Sciences, Sari, Iran , h.alipour.1354@gmail.com
Persian Full-Text [PDF 1107 kb]   (767 Downloads)     |   Abstract (HTML)  (1940 Views)
Extended Abstract:   (565 Views)
Background and Objective
In January 2020, the Coronavirus disease (COVID-19) was declared an international health crisis by the World Health Organization (WHO). Nurses are mostly in close contact with patients during hospitalization. Since nursing students provide patient care alongside nurses, the identification of nursing students’ lived experiences of caring for COVID-19 patients is of paramount importance in the effective management of the disease. The present study aimed to assess nursing students' experiences of caring for patients diagnosed with COVID-19. Nurses have the closest contact with patients with Covid-19 during treatment in hospitals and spend a lot of time caring for these patients. Nurses need special skills to care for patients. Some issues, such as the private issues of patients, especially at the onset of the disease, the absence of any drugs or vaccines to control the disease, the pressure of the media and psychological espionage, as well as the lack of support from competent authorities, overshadow the performance of health care workers, especially nurses, affecting their accuracy and skill in providing care services and protecting against a disease.
Materials and Methods
This qualitative study was performed using the hermeneutic phenomenological method in 2021. The participants were selected from nursing students with an experience of caring for Covid-19 patients in Mazandaran University of Medical Sciences. Data were collected through semi-structured and individual interviews and analyzed simultaneously and continuously by the Van Manen method. In this study, the phenomenological approach was able to understand the depth of nursing students' experience in patient care since it provides the researcher with lived experiences or experiences of people who have dealt with and experienced the studied phenomenon. Consequently, the researcher will be able to see that experience through the eyes of people who had this experience. This requires people to express their experiences and feelings to the researcher for further interpretation. In this way, the experiences of research participants can be assessed and identified. According to the main research question, the interpretative phenomenological analysis is the most appropriate method.
All participants in the emergency and intensive care unit departments underwent internships in hospitals under the auspices of Mazandaran University of Medical Sciences. All students were 23-25 years old (average of 24 years). Nursing students' lived experiences of caring for Covid-19 patients included three main categories and seven subcategories: 1) conflicting emotions (anxiety, mental involvement, and maturity), 2) psychosomatic problems (sleep disorders, skin problems, and neurological problems), and 3) self-awareness and empowerment (efforts made in patient care and striving for self-preservation).
The findings pointed out that nursing students' experiences of caring for Covid-19 patients included conflicting emotions, psychosocial problems, self-awareness, and empowerment. The experiences of the participants in the present study indicated that nursing students experienced conflicting emotions in the form of anxiety, mental conflict, and feelings of maturity while caring for patients with Covid-19. The results of studies conducted in this regard have demonstrated that nurses experience mental problems in the form of fear, stress, and anxiety during the Covid-19 epidemic. The experience of caring for patients during an epidemic evoked a variety of emotions, including fear, pride, and communication with team members. Nurses in this period needed psychosocial support. These findings are consistent with those obtained in the present study, in which students experienced anxiety and mental involvement as likely to develop illness in themselves or their families. In addition to these emotions, the students felt useful, courageous, and proud of being able to approach and help the patient in these dangerous situations. As evidenced by the results of the present study, nursing students experienced anxiety, stress, and mental preoccupation in caring for Covid-19 patents. Furthermore, participants were satisfied and proud of being able to provide patient care during this period. In this regard, students gained experience in caring for themselves and patients; moreover, they strived to reduce stress and provide proper care. According to the findings of this study, the education system and university administrators can help reduce psychological stress and improve the quality of care in nursing students through holding web-based courses on stress management skills, training on the use of personal protective equipment, and observing health protocols.
Type of Study: Original Research | Subject: Nursing
Received: 2021/05/24 | Accepted: 2021/11/27 | Published: 2022/05/15

1. Poortaghi S, Shahmari M, Ghobadi A. Exploring nursing managers’ perceptions of nursing workforce management during the outbreak of COVID-19: a content analysis study. BMC nursing. 2021;20(1). (in press) [DOI]
2. Adhikari SP, Meng S, Wu Y-J, Mao Y-P, Ye R-X, Wang Q-Z, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9(1):29. [DOI] [PubMed]
3. Organization WH. Coronavirus disease 2019 (COVID-19): situation report; 2020.
4. Shahyad S, Mohammadi MT. Psychological impacts of Covid-19 outbreak on mental health status of society individuals: a narrative review. J Mil Med. 2020;22(2):184-192. [DOI]
5. Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring nurses' perception of taking care of patients with coronavirus disease (COVID‐19): A qualitative study. Nurs Open. 2021;8(1):171-9. [DOI] [PubMed]
6. Tadbiri H, Moradi-Lakeh M, Naghavi M. All-cause excess mortality and COVID-19-related deaths in Iran. MJIRI. 2020;34:80. [PubMed]
7. Saffari M. Nurses’ Experiences on Self-Protection when caring for COVID-19 patients. Journal Mil Med. 2020;22(6):570-9. [DOI]
8. Karimi Z, Fereidouni Z, Behnammoghadam M, Alimohammadi N, Mousavizadeh A, Salehi T, 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. [DOI] [PubMed]
9. Nogee D, Tomassoni AJ. Covid-19 and the N95 respirator shortage: Closing the gap. Infect Control Hosp Epidemiol. 2020;41(8):958. [DOI] [PubMed]
10. Shrestha GS. COVID-19 pandemic: shortage of personal protective equipment, use of improvised surrogates, and the safety of health care workers. J Nepal Health Res Counc. 2020;18(1):150. [DOI] [PubMed]
11. Moayed MS, Mahmoudi H, Ebadi A, Salary MM, Danial Z. Effect of education on stress of exposure to sharps among nurses in emergency and trauma care wards. Trauma Mon. 2015;20(2): e17709. [PubMed]
12. Galvin J, Richards G, Smith AP. A longitudinal cohort study investigating inadequate preparation and death and dying in nursing students: IMPLICATIONS for the aftermath of the COVID-19 pandemic. Front Psychol. 2020;11:2206. [DOI] [PubMed]
13. Patrinely JR, Zakria D, Berkowitz ST, Johnson DB, Totten DJ. COVID-19: the Emerging Role of Medical Student Involvement. Med Sci Educ. 2020;30(4):1641-3. [DOI] [PubMed]
14. Mitchell H, Coronelli M, Sanderson J. Medical students working as health care assistants: a letter response in the COVID‐19 pandemic. Clin Teach. 2020;17(5):583-584. [DOI] [PubMed]
15. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-4. [DOI] [PubMed]
16. Ulenaers D, Grosemans J, Schrooten W, Bergs J. Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Educ Today. 2021;99:104746. [DOI] [PubMed]
17. Casafont C, Fabrellas N, Rivera P, Olivé-Ferrer MC, Querol E, Venturas M, et al. Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: A phemonenological research study. Nurse Educ Today. 2021;97:104711. [DOI] [PubMed]
18. Schroeder K, Norful AA, Travers J, Aliyu S. Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. Int J Nurs Stud Adv. 2020;2:100006. [DOI] [PubMed]
19. Aslan H, Pekince H. Nursing students' views on the COVID‐19 pandemic and their percieved stress levels. Perspect Psychiatr Care. 2021;57(2):695-701. [DOI] [PubMed]
20. Grove SK, Gray JR. Understanding Nursing Research E-Book: Building an Evidence-Based Practice, Elsevier Health Sciences; 2018.
21. Van Manen M. Researching lived experience: Human science for an action sensitive pedagogy, Routledge; 2016.
22. Bai Y, Yao L, Wei T, Tian F, Jin D-Y, Chen L, et al. Presumed asymptomatic carrier transmission of COVID-19. JAMA. 2020;323(14):1406-7. [DOI] [PubMed]
23. Kwok KO, Li KK, Chan HH, Yi YY, Tang A, Wei WI, et al. Community responses during the early phase of the COVID-19 epidemic in Hong Kong: risk perception, information exposure and preventive measures. Emerg Infect Dis. 2020;26(7):1575-1579. [PubMed]
24. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):e203976-e. [DOI] [PubMed]
25. Santos LMD. The relationship between the covid-19 pandemic and nursing students’ sense of belonging: the experiences and nursing education management of pre-service nursing professionals. Int J Environ Res Public Health. 2020;17(16):5848. [DOI] [PubMed]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb