Portraying nurses' professional performance in COVID-19 Intensive Care Units: an integrative review
DOI:
https://doi.org/10.5902/2179769273651Keywords:
COVID-19, Nursing Care, Nursing, Occupational Health, Intensive Care UnitsAbstract
Objective: to analyze and integrate diverse scientific evidence about the knowledge produced in terms of care, occupational, physical and emotional health by nurses working in a COVID-19 Intensive Care Unit. Method: an integrative literature review conducted in March 2022 in PubMed, Excerpta Medica Database, Scopus, Web of Science, Cumulative Index to Nursing & Allied Health Literature and Biblioteca Virtual da Saúde. Results: the data extracted from 39 articles were integrated into three topics: Nurses' physical and emotional in the Intensive Care Unit; Occupational health of COVID-19 Intensive Care Unit workers; and The Nursing care revolution in COVID-19 times. Conclusion: during the COVID-19 pandemic, the nurses working in Intensive Care Units were exposed to extended workdays and inadequate working conditions. They worked seeking new technologies to promote care and also as advocates of the patients' rights.
Downloads
References
Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse reports of stressful situations during the COVID-19 pandemic: qualitative analysis of survey responses. Int J Environ Res Public Health. 2020 Nov;17(21):8126. doi: 10.3390/ijerph17218126
Danielis M, Mattiussi E. The care of patients through the lens of the fundamentals into times of the COVID-19 outbreak. Intensive Crit Care Nurs. 2020;60:102883. doi: 10.1016/j. iccn.2020.102883
Gormez A, Elbay RY, Cag Y. Has COVID-19 taken a heavier toll on the mental health of ICU nurses? Intensive Crit Care Nurs. 2021;65:103042. doi: 10.1016/j.iccn.2021.103042
Conz CA, Braga VAS, Vasconcelos R, Machado FHRS, Jesus MCP, Merighi MAB. Experiences of intensive care unit nurses with COVID-19 patients. Rev Esc Enferm USP. 2021;55:e20210194. doi: 10.1590/1980-220X-REEUSP-2021-0194
Al Thobaity A, Alshammari F. Nurses on the frontline against the COVID-19 pandemic: an integrative review. Dubai Med J. 2020;3(3):87-92. doi: 10.1159/000509361
Rosa WE, Ferrell BR, Wiencek C. Increasing critical care nurse engagement of palliative care during the COVID-19 pandemic. Crit Care Nurse. 2020;40(6):e28-36. doi: 10.4037/ccn2020946
Bagnasco A, Zanini M, Hayter M, Catania G, Sasso L. COVID 19-A message from Italy to the global nursing community. J Adv Nurs. 2020;76(9):2212-4. doi: 10.1111/jan.14407
Coelho MMF, Cavalcante VMV, Cabral RL, Oliveira RM, Araújo MAM, Gomes AMT. Análise estrutural das representações sociais sobre COVID-19 entre enfermeiros assistenciais. Texto Contexto Enferm. 2021;30:e20200358. doi: 10.1590/1980-265X-TCE-2020-0358
Wozniak H, Benzakour L, Moullec G, Buetti N, Nguyen A, Corbaz S, et al. Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study. Ann Intensive Care. 2021;11(1):106. doi: 10.1186/s13613-021-00900-x
Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. doi: 10.1111/j.1365-2648.2005.03621.x
Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020. doi: 10.46658/JBIMES-20-01
Joanna Briggs Institute (JBI). JBI Levels of Evidence [Internet]. 2014 [cited 2022 Jun 02]. Available from: https://jbi.global/sites/default/files/2019-05/JBI-Levels-of-evidence_2014_0.pdf
Hallgren J, Larsson M, Kjellén M, Lagerroth D, Bäckström C. ‘Who will do it if I don’t?’ Nurse anaesthetists’ experiences of working in the intensive care unit during the COVID-19 pandemic. Aust Crit Care. 2022;35(1):52-8. doi: 10.1016/j.aucc.2021.11.003
Kandemir D, Temiz Z, Ozhanli Y, Erdogan H, Kanbay Y. Analysis of mental health symptoms and insomnia levels of intensive care nurses during the COVID-19 pandemic with a structural equation model. J Clin Nurs. 2022;31(5-6):601-11. doi: 10.1111/jocn.15918
Malliarou M, Nikolentzos A, Papadopoulos D, Bekiari T, Sarafis P. ICU nurse’s moral distress as na occupational hazard threatening professional quality of life in the time of pandemic COVID 19. Mater Sociomed. 2021;33(2):88-93. doi: 10.5455/msm.2021.33.88-93
Levi P, Moss J. Intensive care unit nurses’ lived experiences of psychological stress and trauma caring for COVID-19 patients. Workplace Health Saf. 2022;70(8):358-67. doi: 10.1177/21650799211064262
Jose S, Cyriac MC, Dhandapani M, Mehra A, Sharma N. Mental health outcomes of perceived stress, anxiety, fear and insomnia, and the resilience among frontline nurses caring for critical COVID-19 patients in intensive care units. Indian J Crit Care Med. 2022;26(2):174-8. doi: 10.5005/jp-journals-10071-24119
Leng M, Wei L, Shi X, Cao G, Wei Y, Xu H, et al. Mental distress and influencing factors in nurses caring for patients with COVID-19. Nurs Crit Care. 2021;26(2):94-101. doi: 10.1111/nicc.12528
Moradi Y, Baghaei R, Hosseingholipour K, Mollazadeh F. Protective reactions of ICU nurses providing care for patients with COVID-19: a qualitative study. BMC Nurs. 2021;20(1):45. doi: 10.1186/s12912-021-00567-6
Gordon JM, Magbee T, Yoder LH. The experiences of critical care nurses caring for patients with COVID-19 during the 2020 pandemic: a qualitative study. Appl Nurs Res. 2021;59:151418. doi: 10.1016/j.apnr.2021.151418
Heesakkers H, Zegers M, Mol MMCV, Boogaard MVD. The impact of the first COVID-19 surge on the mental well-being of ICU nurses: a nationwide survey study. Intensive Crit Care Nurs. 2021;65:103034. doi: 10.1016/j.iccn.2021.103034
Demir G, Şahin S. Experiences of nurses providing care to patients with COVID‐19 in intensive care units: a qualitative study. Nurs Forum. 2022;57(4):650-7. doi: 10.1111/nuf.12716
Tamrakar P, Pant SB, Acharya SP. Anxiety and depression among nurses in COVID and non-COVID intensive care units. Nurs Crit Care. 2023;28(2):272-80. doi: 10.1111/nicc.12685
Tatsuno J, Unoki T, Sakuramoto H, Hamamoto M. Effects of social support on mental health for critical care nurses during the coronavirus disease 2019 (COVID-19) pandemic in Japan: a web-based cross-sectional study. Acute Med Surg. 2021;8(1):e645. doi: 10.1002/ams2.645
Guttormson JL, Calkins K, McAndrew N, Fitzgerald J, Losurdo H, Loonsfoot D. Critical care nurses’ experiences during the COVID-19 pandemic: a US National Survey. Am J Crit Care. 2022;31(2):96-103. doi: 10.4037/ajcc2022312
Pogoy JM, Cutamora JC. Lived experiences of Overseas Filipino Worker (OFW) nurses working in COVID-19 intensive care units. Belitung Nurs J. 2020;7(3):186-94. doi: 10.33546/bnj.1427
Fernández-Castillo RJ, González-Caro MD, Fernández-García E, Porcel-Gálvez AM, Garnacho-Montero J. Intensive care nurses' experiences during the COVID-19 pandemic: a qualitative study. Nurs Crit Care. 2021;26(5):397-406. doi: 10.1111/nicc.12589
Roberts NJ, Kelly CA, Lippiett KA, Ray E, Welch L. Experiences of nurses caring for respiratory patients during the first wave of the COVID-19 pandemic: an online survey study. BMJ Open Respir Res. 2021;8(1):e000987. doi: 10.1136/bmjresp-2021-000987
Danielis M, Peressoni L, Piani T. Nurses’ experiences of being recruited and transferred to a new sub-intensive care unit devoted to COVID-19 patients. J Nurs Manag. 2021;29(5):1149-58. doi: 10.1111/jonm.13253
Yifan T, Ying L, Chunhong G, Jing S, Rong W, Zhenyu L, et al. Symptom cluster of ICU nurses treating COVID-19 pneumonia patients in Wuhan, China. J Pain Symptom Manage. 2020;60(1):e48-e53. doi: 10.1016/j.jpainsymman.2020.03.039
González-Gil MT, Oter-Quintana C, Martínez-Marcos M, Alcolea-Cosín MT, Navarta-Sánchez MV, Robledo-Martín J, et al. El valor del recurso humano: experiencia de profesionales enfermeros de cuidados críticos durante la pandemia por COVID-19. Enferm Intensiva. 2022;33(2):77-88. doi: 10.1016/j.enfi.2021.09.005
Hu F, Ma J, Ding XB, Li J, Zeng J, Xu D, et al. Nurses’ experiences of providing care to patients with COVID-19 in the ICU in Wuhan: a descriptive phenomenological research. BMJ Open. 2021;11(9):e045454. doi: 10.1136/bmjopen-2020-045454
Brockopp D, Monroe M, Davies CC, Cawood M, Cantrell D. COVID-19: the lived experience of critical care nurses. J Nurs Adm. 2021;51(7-8):374-8. doi: 10.1097/NNA.0000000000001032
Góes FGB, Silva ACSS, Santos AST, Pereira-Ávila FMV, Silva LJ, Silva LF, et al. Adversities experienced by nursing professionals in intensive care units in times of COVID-19. Rev Baiana Enferm. 2022;36:e45555. doi: 10.18471/rbe.v36.45555
Santos EL, Silva CEP, Oliveira JM, Barros VF, Romão CMSB, Santos JJ, et al. Professional satisfaction of nurses in the intensive care unit environment. Rev Baiana Enferm. 2021;35:e42812. doi: 10.18471/rbe.v35.42812
Şanlıtürk D. Perceived and sources of occupational stress in intensive care nurses during the COVID-19 pandemic. Intensive Crit Care Nurs. 2021;67:103107. doi: 10.1016/j.iccn.2021.103107
Lord H, Loveday C, Moxham L, Fernandez R. Effective communication is key to intensive care nurses’ willingness to provide nursing care amidst the COVID-19 pandemic. Intensive Crit Care Nurs. 2021;62:102946. doi: 10.1016/j.iccn.2020.102946
Moradi Y, Baghaei R, Hosseingholipour K, Mollazadeh F. Challenges experienced by ICU nurses throughout the provision of care for COVID-19 patients: a qualitative study. J Nurs Manag. 2021;29(5):1159-68. doi: 10.1111/jonm.13254
Sezgin D, Dost A, Esin MN. Experiences and perceptions of Turkish intensive care nurses providing care to COVID-19 patients: a qualitative study. Int Nurs Rev. 2022;69(3):305-17. doi: 10.1111/inr.12740
Rhéaume A, Breau M, Boudreau S. A critical incident study of ICU nurses during the COVID-19 pandemic. Nurs Ethics. 2022;29(2):317-29. doi: 10.1177/09697330211043270
Andersson M, Nordin A, Engström A. Critical care nurses’ experiences of working during the first phase of the COVID-19 pandemic – applying the person-centred Practice Framework. Intensive Crit Care Nurs. 2022;69:103179. doi: 10.1016/j.iccn.2021.103179
Köse S, Gezginci E, Göktaş S, Murata M. The effectiveness of motivational messages to intensive care unit nurses during the COVID-19 pandemic. Intensive Crit Care Nurs. 2022;69:103161. doi: 10.1016/j.iccn.2021.103161
Shariati E, Dadgari A, Talebi SS, Shan GRM, Ebrahimi H. The Effect of the web-based communication between a nurse and a family member on the perceived stress of the family member of patients with suspected or confirmed COVID-19: a parallel randomized clinical trial. Clin Nurs Res. 2021;30(7):1098-106. doi: 10.1177/10547738211017688
Aghaie B, Norouzadeh R, Sharifipour E, Koohpaei A, Negarandeh R, Abbasinia M. The experiences of intensive care nurses in advocacy of COVID-19 patients. J Patient Exp. 2021;8:23743735211056534. doi: 10.1177/23743735211056534
Sanadgol S, Firouzkouhi M, Badakhsh M, Abdollahiohammad A, Shahraki-Vahed A. Effect of guided imagery training on death anxiety of nurses at COVID-19 intensive care units: a quasi-experimental study. Neuropsychiatr Neuropsychol. 2020;15(3):83-8. doi: 10.5114/nan.2020.101290
Silva Junior SV, Machado AG, Alves AMRS, Cordeiro KJS, Barbosa MB, Teodozio GC, et al. Humanizing intensive nursing care for people with COVID-19. Rev Rene. 2021;22:e62584. doi: 10.15253/2175-6783.20212262584
Ramalho Neto JM, Viana RAPP, Franco AS, Prado PR, Gonçalves FAF, Nóbrega MML. Nursing diagnosis/outcomes and interventions for critically ill patients affected by covid-19 and sepsis. Texto Contexto Enferm. 2020;29:e20200160. doi: 10.1590/1980-265X-TCE-2020-0160
Lin YP, Tang CJ, Tamin VA, Tan LYC, Chan EY. The hand-brain-heart connection: ICU nurses' experience of managing patient safety during COVID-19. Nurs Crit Care. 2021;27(5):1-9:689-97. doi: 10.1111/nicc.12710
Haakma T, Tieben R, Sleven B, Buise M, Mol MV. Experiences of nurses with an innovative digital diary intervention in the intensive care unit: a qualitative exploration. Intensive Crit Care Nurs. 2022;70:103197. doi: 10.1016/j.iccn.2022.103197
Koken ZO, Savas H, Gul S. Cardiovascular nurses’ experiences of working in the COVID-19 intensive care unit: a qualitative study. Intensive Crit Care Nurs. 2022;69:103181. doi: 10.1016/j.iccn.2021.103181
Noyes J, Booth A, Moore G, Flemming K, Tunçalp Ö, Shakibazadeh E. Synthesising quantitative and qualitative evidence to inform guidelines on complex interventions: Clarifying the purposes, designs and outlining some methods. BMJ Glob Health. 2019;4(Suppl 1):e000893. doi: 10.1136/bmjgh-2018-000893
Bergman L, Falk AC, Wolf A, Larsson IM. Registered nurses' experiences of working in the intensive care unit during the COVID‐19 pandemic. Nurs Crit Care. 2021;26(6):467-75. doi: 10.1111/nicc.12649
Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs. 2020;19(15-16):2762-4. doi: 10.1111/jocn.15314
Dal’Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm. 2020;73(Suppl 2):e20200434. doi: 10.1590/0034-7167-2020-0434
Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020;290:113129. doi: 10.1016/j.psychres.2020.113129
Shen X, Zou X, Zhong X, Yan J, Li L. Psychological stress of ICU nurses in the time of COVID-19. Crit Care. 2020;24(1):200. doi: 10.1186/s13054-020-02926-2
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7(3):e14. doi: 10.1016/S2215-0366(20)30047-X
Trettene AS, Costa RB, Prado PC, Tabaquim MLM, Razera APR. Stress – realities experienced by nurses working in an Intensive Care Unit. Rev Enferm UERJ. 2018;26:e17523. doi: 10.12957/reuerj.2018.17523
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: 10.1016/j.ajic.2020.03.018
Oliveira F, Lima MRS, Farias FLR. Integrative and complementary therapies in emotional situations in the COVID-19 pandemic. Rev Interdiscip [Internet]. 2020 [cited 2022 Jun 02];13(1):1-8. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=7981231
Morin KH, Baptiste D. Nurses as heroes, warriors and political activists. J Clin Nurs. 2020;29(15-16):2733. doi: 10.1111/Fjocn.15353
Published
Versions
- 2023-12-01 (5)
- 2023-12-01 (4)
- 2023-12-01 (3)
- 2023-05-12 (2)
- 2023-05-03 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista de Enfermagem da UFSM
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.