Article Sidebar
Downloads
Metrics
Main Article Content
Abstract
Aim: To deepen the knowledge about life experiences and support perceived by nurses who attended in-hospital patients with COVID-19 disease on haemodialysis during the months with the highest prevalence of the pandemic in Spain. Methodology: Qualitative phenomenological study. The participating group was ten nurses from public hospitals in Spain who had dialyzed patients with COVID-19. Data collection was performed using semi-structured interviews through Skype program, until the units of meaning were saturated. The analysis was done using the Colaizzi’s seven-step method. Results: Four dimensions emerged from the speech analysis associated with different subcategories: ignorance about the disease, patient suffering, perceived support and professionals' ability to cope. Conclusions: Positive and negative emotions have coexisted in nurses. In the peak stage of the epidemic outbreak, the experiences of haemodialysis nurses were caused by ignorance, not knowing how to act appropriately, and fear of infection, aggravated by the lack of means of protection. The positive experiences were personal growth, the support of the team and the family. It is also worth noting the rational control of the situation, because in the dialysis units there is great experience in controlling the transmission of infectious diseases.
Keywords
Article Details
Author copyright notice
© Authors grant the publisher the non-exclusive licence to publish the work and consent to its use and distribution under the Creative Commons Attribution - NonCommercial 4.0 International (CC BY-NC 4.0) licence. Read the licensing information and the legal text here. This must be expressly stated wherever necessary.
References
- Organización Mundial de la Salud (OMS). Coronavirus disease 2019 (COVID-19) Situation Report – 84. World Health Organization [Internet]. 2020;2019(April):2633. [Consultado 20 abr 2020]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
- Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. DOI: https://doi.org/10.1056/NEJMoa2001017
- Wang L, Wang Y, Ye D, Liu Q. Review of the 2019 novel coronavirus (SARS-CoV-2) based on current evidence. Int J Antimicrob Agents. 2020; Jun;55(6):105948. DOI: https://doi.org/10.1016/j.ijantimicag.2020.105948
- Sánchez-Álvarez JE, Pérez Fontán M, Jiménez Martín C, Blasco Pelícano M, Cabezas Reina CJ, Sevillano Prieto ÁM, et al. Situación de la infección por SARS-CoV-2 en pacientes en tratamiento renal sustitutivo. Informe del Registro COVID-19 de la Sociedad Española de Nefrología (SEN). Nefrología. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefro.2020.04.002
- Ministerio de Sanidad y Consumo. Enfermedad por el coronavirus (COVID-19). Situación en España. Actualización nº 123. Centro de Coordinación de Alertas y Emergencias Sanitarias. [Consultado 1 jun 2020]. Disponible en: https://www.mscbs.gob.es/en/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Actualizacion_123_COVID-19.pdf.
- Análisis de los casos de COVID-19 en personal sanitario notificados a la RENAVE hasta el 10 de mayo en España. Informe a 29 de mayo de 2020. Equipo COVID-19. RENAVE. CNE. CNM (ISCIII). 2019 may. [Consultado 03 jun 2020]. Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/COVID-19%20en%20personal%20sanitario%2029%20de%20mayo%20de%202020.pdf.
- Albalate M, Arribas P, Torres E, Cintra M, Alcázar R, Puerta M, et al. Alta prevalencia de covid19 asintomático en hemodiálisis. Aprendiendo dia a dia el primer mes de pandemia de covid19. Nefrología. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefro.2020.04.005
- Arenas MD, Villar J, González C, Cao H, Collado S, Crespo M, et al. Management of the SARS-CoV-2 (COVID-19) coronavirus epidemic in hemodialysis units. Nefrologia. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefroe.2020.04.001
- Wang H. Maintenance Hemodialysis and Coronavirus Disease 2019 (COVID-19): Saving Lives With Caution, Care, and Courage. Kidney Med [Internet]. 2020 Mar. [En prensa]. DOI: https://doi.org/10.1016/j.xkme.2020.03.003
- Gobierno de España-Ministerio de Sanidad. Documento técnico Recomendaciones para el manejo, prevención y control de COVID-19 en Unidades de Diálisis. Soc Española Nefrol. 2020;1–13. [Consultado 02 abr 2020]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/COVID19-hemodialisis.pdf.
- Psychological research as the phenomenologist’s view it. En: Vale R, King M. Existential–phenomenological alternatives for psychology. Oxford University Pres. 1978. p. 48-71.
- Magaly D, Cadenas R. El Rigor en la Investigación Cualitativa: Técnicas de Análisis, Credibilidad, Transferibilidad y Confirmabilidad. Sinop Educ Rev Venez Investig. 2016;7(1):17-26.
- American Society of Nephrology. Information for Screening and Management of COVID-19 in the Outpatient Dialysis. Actualizado 13 Mar 2020. [Consultado 20 abr 2020]. Disponible en: https://www.asn-online.org/g/blast/files/DIALYSIS_COVID_2019_Update_03.13.2020_FINAL.pdf.
- Ronco C, Reis T, De Rosa S. Coronavirus Epidemic and Extracorporeal Therapies in Intensive Care: Si vis pacem para bellum. Blood Purif. 2020;49:255-8. DOI: https://doi.org/10.1159/000507039
- Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-9. DOI: https://doi.org/10.1016/S2215-0366(20)30046-8
- O’Boyle C, Robertson C, Secor-Turner M. Nurses’ beliefs about public health emergencies: Fear of abandonment. Am J Infect Control. 2006;34(6):351-7. DOI: https://doi.org/10.1016/j.ajic.2006.01.012
- Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016;14(1):7-14. DOI: https://doi.org/10.3121/cmr.2016.1303
- Kim Y. Nurses’ experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018;46(7):781-7. DOI: https://doi.org/10.1016/j.ajic.2018.01.012
- Schiavo R, May Leung M, Brown M. Communicating risk and promoting disease mitigation measures in epidemics and emerging disease settings. Pathog Glob Health. 2014;108(2):76-94. DOI: https://doi.org/10.1179/2047773214Y.0000000127
- Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-8. DOI: https://doi.org/10.1016/j.ajic.2020.03.018
- Urzúa A, Vera-Villaroel P, Caqueo-Urizar A, Polanco-Carrasco R. La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Ter psicológica. 2020;38(1):103-18. DOI: https://doi.org/10.4067/S0718-48082020000100103
References
Organización Mundial de la Salud (OMS). Coronavirus disease 2019 (COVID-19) Situation Report – 84. World Health Organization [Internet]. 2020;2019(April):2633. [Consultado 20 abr 2020]. Disponible en: https://www.who.int/emergencies/diseases/novel-coronavirus-2019.
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33. DOI: https://doi.org/10.1056/NEJMoa2001017
Wang L, Wang Y, Ye D, Liu Q. Review of the 2019 novel coronavirus (SARS-CoV-2) based on current evidence. Int J Antimicrob Agents. 2020; Jun;55(6):105948. DOI: https://doi.org/10.1016/j.ijantimicag.2020.105948
Sánchez-Álvarez JE, Pérez Fontán M, Jiménez Martín C, Blasco Pelícano M, Cabezas Reina CJ, Sevillano Prieto ÁM, et al. Situación de la infección por SARS-CoV-2 en pacientes en tratamiento renal sustitutivo. Informe del Registro COVID-19 de la Sociedad Española de Nefrología (SEN). Nefrología. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefro.2020.04.002
Ministerio de Sanidad y Consumo. Enfermedad por el coronavirus (COVID-19). Situación en España. Actualización nº 123. Centro de Coordinación de Alertas y Emergencias Sanitarias. [Consultado 1 jun 2020]. Disponible en: https://www.mscbs.gob.es/en/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Actualizacion_123_COVID-19.pdf.
Análisis de los casos de COVID-19 en personal sanitario notificados a la RENAVE hasta el 10 de mayo en España. Informe a 29 de mayo de 2020. Equipo COVID-19. RENAVE. CNE. CNM (ISCIII). 2019 may. [Consultado 03 jun 2020]. Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/COVID-19%20en%20personal%20sanitario%2029%20de%20mayo%20de%202020.pdf.
Albalate M, Arribas P, Torres E, Cintra M, Alcázar R, Puerta M, et al. Alta prevalencia de covid19 asintomático en hemodiálisis. Aprendiendo dia a dia el primer mes de pandemia de covid19. Nefrología. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefro.2020.04.005
Arenas MD, Villar J, González C, Cao H, Collado S, Crespo M, et al. Management of the SARS-CoV-2 (COVID-19) coronavirus epidemic in hemodialysis units. Nefrologia. 2020 Abr. [En prensa]. DOI: https://doi.org/10.1016/j.nefroe.2020.04.001
Wang H. Maintenance Hemodialysis and Coronavirus Disease 2019 (COVID-19): Saving Lives With Caution, Care, and Courage. Kidney Med [Internet]. 2020 Mar. [En prensa]. DOI: https://doi.org/10.1016/j.xkme.2020.03.003
Gobierno de España-Ministerio de Sanidad. Documento técnico Recomendaciones para el manejo, prevención y control de COVID-19 en Unidades de Diálisis. Soc Española Nefrol. 2020;1–13. [Consultado 02 abr 2020]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/COVID19-hemodialisis.pdf.
Psychological research as the phenomenologist’s view it. En: Vale R, King M. Existential–phenomenological alternatives for psychology. Oxford University Pres. 1978. p. 48-71.
Magaly D, Cadenas R. El Rigor en la Investigación Cualitativa: Técnicas de Análisis, Credibilidad, Transferibilidad y Confirmabilidad. Sinop Educ Rev Venez Investig. 2016;7(1):17-26.
American Society of Nephrology. Information for Screening and Management of COVID-19 in the Outpatient Dialysis. Actualizado 13 Mar 2020. [Consultado 20 abr 2020]. Disponible en: https://www.asn-online.org/g/blast/files/DIALYSIS_COVID_2019_Update_03.13.2020_FINAL.pdf.
Ronco C, Reis T, De Rosa S. Coronavirus Epidemic and Extracorporeal Therapies in Intensive Care: Si vis pacem para bellum. Blood Purif. 2020;49:255-8. DOI: https://doi.org/10.1159/000507039
Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020;7(3):228-9. DOI: https://doi.org/10.1016/S2215-0366(20)30046-8
O’Boyle C, Robertson C, Secor-Turner M. Nurses’ beliefs about public health emergencies: Fear of abandonment. Am J Infect Control. 2006;34(6):351-7. DOI: https://doi.org/10.1016/j.ajic.2006.01.012
Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res. 2016;14(1):7-14. DOI: https://doi.org/10.3121/cmr.2016.1303
Kim Y. Nurses’ experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am J Infect Control. 2018;46(7):781-7. DOI: https://doi.org/10.1016/j.ajic.2018.01.012
Schiavo R, May Leung M, Brown M. Communicating risk and promoting disease mitigation measures in epidemics and emerging disease settings. Pathog Glob Health. 2014;108(2):76-94. DOI: https://doi.org/10.1179/2047773214Y.0000000127
Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020;48(6):592-8. DOI: https://doi.org/10.1016/j.ajic.2020.03.018
Urzúa A, Vera-Villaroel P, Caqueo-Urizar A, Polanco-Carrasco R. La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Ter psicológica. 2020;38(1):103-18. DOI: https://doi.org/10.4067/S0718-48082020000100103