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Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis

BACKGROUND: Front-line nurses have played a critical role during the coronavirus disease 2019 (COVID-19) pandemic. A number of qualitative studies reported front-line nurses' experiences and needs in caring for patients with COVID-19. However, the application of evidence from a single qualitati...

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Autores principales: Ding, Shenglan, Deng, Shuhua, Zhang, Yilan, Wang, Qingxia, Liu, Zhiping, Huang, Jing, Yang, Xiaorong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354751/
https://www.ncbi.nlm.nih.gov/pubmed/35937273
http://dx.doi.org/10.3389/fpubh.2022.805631
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author Ding, Shenglan
Deng, Shuhua
Zhang, Yilan
Wang, Qingxia
Liu, Zhiping
Huang, Jing
Yang, Xiaorong
author_facet Ding, Shenglan
Deng, Shuhua
Zhang, Yilan
Wang, Qingxia
Liu, Zhiping
Huang, Jing
Yang, Xiaorong
author_sort Ding, Shenglan
collection PubMed
description BACKGROUND: Front-line nurses have played a critical role during the coronavirus disease 2019 (COVID-19) pandemic. A number of qualitative studies reported front-line nurses' experiences and needs in caring for patients with COVID-19. However, the application of evidence from a single qualitative study to guide clinical practice has limitations. This study aimed to explore front-line nurses' experiences and needs during the COVID-19 pandemic through a qualitative meta-synthesis. METHODS: Seven databases were searched from 1 December 2019 to 20 January 2022, including PubMed, Web of Science, Cochrane COVID-19 study register, CINAHL, PsycINFO, MedRxiv, and bioRxiv. The quality of included studies was appraised using the Critical Appraisal Skills Program (CASP) qualitative research appraisal tool. Meta-synthesis was used to synthesize the data from included studies. RESULTS: A total of 70 studies were included, and five synthesized findings were developed: (1) Although nurses actively devoted themselves to fighting against COVID-19, considering their professional responsibility and historical previous experience with mankind, they were not invulnerable; (2) There were various difficulties and challenges in caring for patients with COVID-19, including fear related to providing patients with care, shortage of protective equipment and manpower, and negative attitude of family members; (3) Facing difficulties and challenges, nurses could only partly cope by using mixed means to overcome those, including media, learning, gaining skills, responding together, and organizational assistance; (4) To better respond to the COVID-19 pandemic, nurses' needs should be paid attention to. Counseling, training, information, resources, and investment are pivotal; (5) Despite the hardships, nurses became stronger and gained gratitude, positivity, mental peace, and confidence. CONCLUSIONS: This study reveals that the psychological experiences of front-line nurses varied, and they faced a variety of challenges. Although nurses had some coping strategies, they still needed multifaceted support to meet the challenges. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/, PROSPERO: CRD42021255468.
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spelling pubmed-93547512022-08-06 Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis Ding, Shenglan Deng, Shuhua Zhang, Yilan Wang, Qingxia Liu, Zhiping Huang, Jing Yang, Xiaorong Front Public Health Public Health BACKGROUND: Front-line nurses have played a critical role during the coronavirus disease 2019 (COVID-19) pandemic. A number of qualitative studies reported front-line nurses' experiences and needs in caring for patients with COVID-19. However, the application of evidence from a single qualitative study to guide clinical practice has limitations. This study aimed to explore front-line nurses' experiences and needs during the COVID-19 pandemic through a qualitative meta-synthesis. METHODS: Seven databases were searched from 1 December 2019 to 20 January 2022, including PubMed, Web of Science, Cochrane COVID-19 study register, CINAHL, PsycINFO, MedRxiv, and bioRxiv. The quality of included studies was appraised using the Critical Appraisal Skills Program (CASP) qualitative research appraisal tool. Meta-synthesis was used to synthesize the data from included studies. RESULTS: A total of 70 studies were included, and five synthesized findings were developed: (1) Although nurses actively devoted themselves to fighting against COVID-19, considering their professional responsibility and historical previous experience with mankind, they were not invulnerable; (2) There were various difficulties and challenges in caring for patients with COVID-19, including fear related to providing patients with care, shortage of protective equipment and manpower, and negative attitude of family members; (3) Facing difficulties and challenges, nurses could only partly cope by using mixed means to overcome those, including media, learning, gaining skills, responding together, and organizational assistance; (4) To better respond to the COVID-19 pandemic, nurses' needs should be paid attention to. Counseling, training, information, resources, and investment are pivotal; (5) Despite the hardships, nurses became stronger and gained gratitude, positivity, mental peace, and confidence. CONCLUSIONS: This study reveals that the psychological experiences of front-line nurses varied, and they faced a variety of challenges. Although nurses had some coping strategies, they still needed multifaceted support to meet the challenges. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/PROSPERO/, PROSPERO: CRD42021255468. Frontiers Media S.A. 2022-07-22 /pmc/articles/PMC9354751/ /pubmed/35937273 http://dx.doi.org/10.3389/fpubh.2022.805631 Text en Copyright © 2022 Ding, Deng, Zhang, Wang, Liu, Huang and Yang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Ding, Shenglan
Deng, Shuhua
Zhang, Yilan
Wang, Qingxia
Liu, Zhiping
Huang, Jing
Yang, Xiaorong
Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title_full Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title_fullStr Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title_full_unstemmed Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title_short Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis
title_sort experiences and needs of front-line nurses during the covid-19 pandemic: a systematic review and qualitative meta-synthesis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354751/
https://www.ncbi.nlm.nih.gov/pubmed/35937273
http://dx.doi.org/10.3389/fpubh.2022.805631
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