scholarly journals Experiences of clinical first‐line nurses treating patients with COVID‐19: A qualitative study

Author(s):  
Rong Tan ◽  
Ting Yu ◽  
Kaiyan Luo ◽  
Fen Teng ◽  
Yilan Liu ◽  
...  
Keyword(s):  
2009 ◽  
Vol 13 (2) ◽  
pp. 39-44 ◽  
Author(s):  
Lisbeth Uhrenfeldt, ◽  
Elisabeth O.C. Hall,

The aim of this qualitative study was to investigate proficient first-line nurse leaders’ caring for the nursing staff. The study was undertaken in Benner and Wrubel’s caring framework. Ten leaders were interviewed and data were analyzed following a hermeneutic approach. Caring for the nursing staff was imperative for the leaders; it was a moral agency linked to an ambition to perform high-quality care. The ambition could be assistance in bedside care, dialoguing with the staff, or planning for staff development. Further studies are needed and proficient nurse leaders need opportunities to discuss their ways of caring for the staff.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Vincent Huberland ◽  
Pascal Semaille ◽  
Nadine Kacenelenbogen

Abstract Background Diet is an essential determinant of health. Among the health determinants, we find access problems that are summarized as food insecurity. While such food insecurity has been studied in other countries and correlated to several health problems, it has been scarcely assessed in Belgium. The purpose of this work was to determine the factors of food insecurity existing within the Belgian population. Method From November 2016 to February 2017, a qualitative study using semi-structured interviews with 19 adults present attending the waiting rooms of six Public Social Action Centers in French-speaking Belgium, analyzed by grounded theory. Results In Belgium, for given food preferences and needs, food insecurity could be summarized as inadequacy between necessary and available resources within two dimensions: at the access level, for financial, temporal, informational, and freedom of action, and at the food use level, for temporal factors, material, knowledge, and skills. In these situations of inadequacy, participants reported finding either strategies to restore balance, or being forced to alter the quality or quantity of their diet. Conclusion While several factors of food insecurity may exist in Belgium, it appears essential that the first line of care these factors into consideration, since they could interfere with care and health, and because the first line of care is ideally placed to inform and refer the patients in question. Several courses of action are proposed in this work, which must still be confirmed by other studies.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053194
Author(s):  
Simone Battista ◽  
Andrea Dell'Isola ◽  
Mattia Manoni ◽  
Martin Englund ◽  
Alvisa Palese ◽  
...  

ObjectiveTo examine the experience of the COVID-19 pandemic as lived by people with hip and knee osteoarthritis (OA), in Italy.DesignA qualitative study based on semi-structured interviews.SettingUrban and suburban areas in northern Italy.ParticipantsA total of 11 people with OA were enrolled through a purposeful sampling and completed the study.Primary outcome measureThe experience of Italian people with OA during the COVID-19 pandemic.ResultsFour themes were brought to the forefront from the analysis of the interviews. (1) Being Stressed for the Limited Social Interactions and for the Family Members at High Risk of Infection, as the interviewees were frustrated because they could not see their loved ones or felt a sense of apprehension for their relatives. (2) Recurring Strategies to Cope with the Pandemic such as an active acceptance towards the situation. (3) Being Limited in the Possibility of Undergoing OA Complementary Treatments and Other Routine Medical Visits. (4) Being Unaware of the Importance of Physical Activity as First-Line Interventions which was an attitude already present before the pandemic.ConclusionThe COVID-19 pandemic and related restrictions impacted the quality of life and the care of individuals with hip and knee OA. The social sphere seemed to be the most hindered. However, the interviewees developed a good level of acceptance to deal with the pandemic. When it came to their care, they faced a delay of routine medical visits not related to OA and of other complementary treatments (eg, physical therapies) to manage OA. Finally, a controversial result that emerged from these interviews was that first-line interventions for OA (ie, therapeutic exercise) was not sought by the interviewees, regardless of the restrictions dictated by the pandemic. Policy-making strategies are thus necessary to support the awareness of the importance of such interventions.


2017 ◽  
Vol 21 (1) ◽  
pp. 1096-2409-21.1. ◽  
Author(s):  
Stacey A. Havlik ◽  
Patrick Rowley ◽  
Jessica Puckett ◽  
George Wilson ◽  
Erin Neason

This qualitative study explored the experiences of 23 school counselors in addressing the needs of students experiencing homelessness. Phenomenological analysis revealed two overarching themes: (a) school counselors as the first line of support and (b) the desire to help while feeling helpless. Findings suggest that participants feel underprepared to support the needs of students experiencing homelessness. They face challenges identifying students and addressing their needs and rely on collaborations with other professionals.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Patricia Domínguez Castro ◽  
Sharon Kennelly ◽  
Celine Murrin ◽  
Catriona Bradley ◽  
Barbara Clyne ◽  
...  

AbstractProtein-energy malnutrition, or undernutrition, arising from a deficiency of energy and protein intake, can occur in developed countries both in hospitalised patients and in the primary care/community setting. Oral nutritional supplements (ONS) are an effective method of managing malnutrition if prescribed for patients who are malnourished or at risk of malnutrition. Pooled data of older adults at risk of malnutrition indicate that ONS combined with dietary counselling is the most effective intervention. Previous Irish research has demonstrated that management of patients ‘at risk’ of malnutrition in the primary care/community setting is sub-optimal, with low awareness of the condition and its management among non-dietetic health care professionals. Therefore, the aim of this qualitative study is to explore community nurses’ and dietitians’ experiences and opinions on the management of malnutrition and the prescription of ONS in the primary care/community setting in Ireland. Three focus groups were conducted with primary care dietitians (n = 17) and one focus group with community nurses (n = 5), one of the nurses had prescribing rights. The focus groups explored the following domains; the term malnutrition and patient population presenting as malnourished or at risk of malnutrition, barriers and facilitators in the management of malnutrition, ONS prescribing in the primary care/community setting, and future directions in the management of malnutrition and ONS prescribing. Recorded focus groups were transcribed and analysed using inductive thematic analysis. Both professional groups showed similar perspectives, and three preliminary main themes were identified; i) Malnutrition is a misunderstood term, ii) Delayed treatment of malnutrition, iii) Challenges with ONS prescription in the primary care/community setting. Both dietitians and community nurses agreed that the term malnutrition had negative connotations for patients and preferred not to use it with them. Dietitians identified the need for a multidisciplinary approach to manage patients at risk of malnutrition in the community, and community nurses agreed on their pivotal role identifying the risk of malnutrition and providing first line advice to clients. However, community nurses expressed the urgent need for training to provide first line advice to patients to improve their nutritional status to prevent malnutrition. Both groups also agreed on the need for access to more dietitians in the community, and suggested that giving dietitians prescribing rights would improve appropriate ONS prescribing. Community nurses identified a gap in their knowledge of the different ONS products, and the need to receive independent generic education on nutritional supplements.


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