Nursing Home Staff Perceptions of Challenges and Coping Strategies During COVID-19 Pandemic in China

Overview

Journal Geriatr Nurs

Specialty Nursing

Date 2021 Jun 6

PMID 34091119

Citations 22

Authors

Si Zhao

Ping Yin

Lily Dongxia Xiao

Shuang Wu

Mengqi Li

Xiufen Yang

Dou Zhang

Lulu Liao

Hui Feng

Affiliations

Soon will be listed here.

Abstract

Background: First-line nursing staff are responsible for protecting residents, the most vulnerable population, from COVID-19 infections. They are at a high risk of being infected with COVID-19 and experience high levels of psychological distress.

Aims: To explore the challenges and coping strategies perceived by nursing staff during the COVID-19 pandemic in China.

Methods: In April,2020, we conducted a qualitative study using in-depth semi-structured interviews with nursing staff. Participants were selected from seven nursing homes in three cities in Hunan Province, China.

Results: A total of 21 nursing staff participated in the study, including seven nurse managers, seven registered nurses and seven nursing assistants. Three main themes were identified. Different groups encountered different sources of stress and adopted various coping strategies to fulfil their responsibilities.

Conclusions: Nursing home staff were underprepared for dealing with COVID-19-related challenges. Educational programs to improve the ability to deal with COVID-19 prevention and control are needed.

Citing Articles

A qualitative study of leaders' experiences of handling challenges and changes induced by the COVID-19 pandemic in rural nursing homes and homecare services.

Glette M, Kringeland T, Samal L, Bates D, Wiig S BMC Health Serv Res. 2024; 24(1):442.

PMID: 38594669 PMC: 11005178. DOI: 10.1186/s12913-024-10935-y.

KGSCS-a smart care system for elderly with geriatric chronic diseases: a knowledge graph approach.

Li A, Han C, Xing X, Wei Q, Chi Y, Pu F BMC Med Inform Decis Mak. 2024; 24(1):73.

PMID: 38475769 PMC: 10935789. DOI: 10.1186/s12911-024-02472-9.

The Effect of the Corona Virus on the Mental State Among Emergency Room Nurses: A Systematic Review.

Abu Ras I SAGE Open Nurs. 2023; 9:23779608231220254.

PMID: 38130468 PMC: 10734351. DOI: 10.1177/23779608231220254.

A resilience perspective on healthcare personnels' experiences of managing the COVID-19 pandemic: a qualitative study in Norwegian nursing homes and come care services.

Glette M, Bates D, Dykes P, Wiig S, Kringeland T BMC Health Serv Res. 2023; 23(1):1177.

PMID: 37898762 PMC: 10613357. DOI: 10.1186/s12913-023-10187-2.

A mixed methods study of using wasta in healthcare services in Palestine: predictors, consequences and proposed solutions.

Takruri A, Nawajah I, El Jabari C BMC Health Serv Res. 2023; 23(1):1123.

PMID: 37858235 PMC: 10585732. DOI: 10.1186/s12913-023-10114-5.

References

Wiersinga W, Rhodes A, Cheng A, Peacock S, Prescott H . Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. JAMA. 2020; 324(8):782-793. DOI: 10.1001/jama.2020.12839. View

Labrague L, McEnroe-Petitte D, Leocadio M, Van Bogaert P, Cummings G . Stress and ways of coping among nurse managers: An integrative review. J Clin Nurs. 2017; 27(7-8):1346-1359. DOI: 10.1111/jocn.14165. View

Lim J, Bogossian F, Ahern K . Stress and coping in Singaporean nurses: a literature review. Nurs Health Sci. 2010; 12(2):251-8. DOI: 10.1111/j.1442-2018.2010.00514.x. View

Solberg Nes L, Segerstrom S . Dispositional optimism and coping: a meta-analytic review. Pers Soc Psychol Rev. 2006; 10(3):235-51. DOI: 10.1207/s15327957pspr1003_3. View

Chu L, Chi I . Nursing homes in China. J Am Med Dir Assoc. 2008; 9(4):237-43. DOI: 10.1016/j.jamda.2008.01.008. View

Fiske E . Nurse Stressors and Satisfiers in the NICU. Adv Neonatal Care. 2018; 18(4):276-284. DOI: 10.1097/ANC.0000000000000514. View

Zhou H, Peng J, Wang D, Kou L, Chen F, Ye M . Mediating effect of coping styles on the association between psychological capital and psychological distress among Chinese nurses: a cross-sectional study. J Psychiatr Ment Health Nurs. 2017; 24(2-3):114-122. DOI: 10.1111/jpm.12350. View

Lee S, Juang Y, Su Y, Lee H, Lin Y, Chao C . Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital. Gen Hosp Psychiatry. 2005; 27(5):352-8. PMC: 7132375. DOI: 10.1016/j.genhosppsych.2005.04.007. View

Khalid I, Khalid T, Qabajah M, Barnard A, Qushmaq I . Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak. Clin Med Res. 2016; 14(1):7-14. PMC: 4851451. DOI: 10.3121/cmr.2016.1303. View

10.

Folkman S, Lazarus R . If it changes it must be a process: study of emotion and coping during three stages of a college examination. J Pers Soc Psychol. 1985; 48(1):150-70. DOI: 10.1037//0022-3514.48.1.150. View

11.

Li H, Liu Z, Ge J . Scientific research progress of COVID-19/SARS-CoV-2 in the first five months. J Cell Mol Med. 2020; 24(12):6558-6570. PMC: 7264656. DOI: 10.1111/jcmm.15364. View

12.

Xiang Y, Jin Y, Cheung T . Joint International Collaboration to Combat Mental Health Challenges During the Coronavirus Disease 2019 Pandemic. JAMA Psychiatry. 2020; 77(10):989-990. DOI: 10.1001/jamapsychiatry.2020.1057. View

13.

White E, Wetle T, Reddy A, Baier R . Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic. J Am Med Dir Assoc. 2020; 22(1):199-203. PMC: 7685055. DOI: 10.1016/j.jamda.2020.11.022. View

14.

Hao Q, Wu S, Ying L, Luo L, Dong D, Dong B . Current dilemmas of nursing homes in Chengdu: a cross-sectional survey. J Am Med Dir Assoc. 2011; 13(4):406.e9-12. DOI: 10.1016/j.jamda.2011.08.002. View

15.

Lin H, Probst J, Hsu Y . Depression among female psychiatric nurses in southern Taiwan: main and moderating effects of job stress, coping behaviour and social support. J Clin Nurs. 2010; 19(15-16):2342-54. DOI: 10.1111/j.1365-2702.2010.03216.x. View

16.

De Brier N, Stroobants S, Vandekerckhove P, De Buck E . Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review. PLoS One. 2020; 15(12):e0244052. PMC: 7737991. DOI: 10.1371/journal.pone.0244052. View

17.

Barnett M, Grabowski D . Nursing Homes Are Ground Zero for COVID-19 Pandemic. JAMA Health Forum. 2022; 1(3):e200369. DOI: 10.1001/jamahealthforum.2020.0369. View

18.

Van Houtven C, DePasquale N, Coe N . Essential Long-Term Care Workers Commonly Hold Second Jobs and Double- or Triple-Duty Caregiving Roles. J Am Geriatr Soc. 2020; 68(8):1657-1660. PMC: 7267626. DOI: 10.1111/jgs.16509. View

19.

Yu F, Raphael D, Mackay L, Smith M, King A . Personal and work-related factors associated with nurse resilience: A systematic review. Int J Nurs Stud. 2019; 93:129-140. DOI: 10.1016/j.ijnurstu.2019.02.014. View

20.

Isa K, Ibrahim M, Abdul-Manan H, Mohd-Salleh Z, Abdul-Mumin K, Rahman H . Strategies used to cope with stress by emergency and critical care nurses. Br J Nurs. 2019; 28(1):38-42. DOI: 10.12968/bjon.2019.28.1.38. View