Pandemic perspectives from the frontline—The nursing stories

Aim To describe the experiences of registered nurses working in a US healthcare system during the COVID‐19 pandemic. Design This qualitative thematic analysis study is a secondary analysis of stories submitted by nurses to a repository established by the parent study. Methods Registered nurses worki...

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Bibliographic Details
Published in:Journal of advanced nursing Vol. 78; no. 10; pp. 3290 - 3303
Main Authors: Polinard, Elizabeth L., Ricks, Tiffany N., Duke, Ellen Stoetzner, Lewis, Kimberly A.
Format: Journal Article
Language:English
Published: England Wiley Subscription Services, Inc 01.10.2022
John Wiley and Sons Inc
Subjects:
Administrators
COVID-19
COVID‐19 pandemic
Family roles
Health care
Health services
Identity formation
Medical personnel
moral identity
Morality
Nurse managers
Nurse tutors
Nurses
Nursing
nursing practice
nursing workforce
Occupational roles
Original Research: Empirical Research ‐ Qualitative
Pandemics
Patients
qualitative research
Teachers
Teams
Workforce
COVID-19 pandemic
nursing practice
qualitative research
moral identity
nursing workforce
ISSN:0309-2402, 1365-2648, 1365-2648
Online Access:Get full text
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Summary:Aim To describe the experiences of registered nurses working in a US healthcare system during the COVID‐19 pandemic. Design This qualitative thematic analysis study is a secondary analysis of stories submitted by nurses to a repository established by the parent study. Methods Registered nurses working in various roles in a healthcare system submitted stories (N = 45) to open‐ended prompts via an online repository between June 2020 and February 2021. A team of three nurse scientists coded the stories using Dedoose software. Initial codes were then reviewed by the team to synthesize initial coding into themes. The COREQ checklist was used to ensure research reporting guidelines were met. Results Thematic analysis revealed three themes in a global theme of COVID‐19 pandemic‐related personal and professional evolution: (1) The art and science of pandemic nursing, (2) Persisting despite challenges; and (3) Learning as we went. Each of the three organizing themes were supported by basic themes. Conclusions Identified themes affirm some of nursing's long‐standing core values, such as the central role of human connectedness in restoring health, but findings also reflect new evolutionary processes of moral identity formation that occurred among nurses and the nursing profession during the COVID‐19 pandemic. Impact Findings from this study describe the processes by which nurses' moral identity evolved during a segment of the COVID‐19 pandemic. Collectively, these evolutions represent important shifts in the nursing profession. Using findings from this study, nurse educators, nurse managers and healthcare administrators will be able to implement effective, sustainable policies and processes that meet the needs of both the community and the workforce. No Patient or Public Contribution This study was designed to capture the experiences of nurses employed by one healthcare organization. However, it was not conducted using input or suggestions from the public or the patient population served by the organization.
Bibliography:Elizabeth L. Polinard and Tiffany Ricks are considered joint first authors.
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ISSN:0309-2402
1365-2648
1365-2648
DOI:10.1111/jan.15306