Palabras clave
Covid-19
Fenomenología
Narrative Evidence Based Medicine
Resumen
El impacto de la pandemia de Covid-19 se ha narrado a partir de las cifras de morbimortalidad en muertes, días de enfermedad o discapacidad. Pero los censos de morbimortalidad no alcanzan a describir la totalidad del impacto de la enfermedad en la vida de pacientes, familiares y profesionales de la salud. Este trabajo, de naturaleza cualitativa, persigue analizar las experiencias de enfermeras que estuvieron en primera línea durante la primavera de 2020. Se realizaron entrevistas semiestructuradas a un total de 19 participantes, desde un enfoque empírico de naturaleza fenomenológica y un análisis temático de los relatos. El estudio se realizó en la ciudad de Cáceres del 1 de septiembre de 2020 y el 10 de enero de 2021. Los participantes fueron reclutados a través de un muestreo intencional y de bola de nieve hasta la saturación de la información recabada. Cinco grandes categorías temáticas analíticas emergen: 1) Condiciones laborales; 2) Impacto en el ámbito emocional; 3) Impacto en el ámbito social; 4) Estrategias de afrontamiento; 5) Identidad profesional. Los relatos de experiencia constituyen un tipo de evidencia imprescindible con la que analizar las relaciones entre contexto laboral y experiencia, ofreciendo material para poder examinar carencias y definir planes de mejora.
Citas
World Health Organization (WHO). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. [Internet]. 2020 [cited 2020 Sep 20]. Available from: ttps://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
Coronavirus Resource Center. Johns Hopkins University. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU) [Internet]. 2020, [cited 2021 Feb 5]. Available from: https://coronavirus.jhu.edu/map.html
Chen Y, Klein SL, Garibaldi BT, Li H, Wu C, Osevala NM, et al. Aging in COVID-19: Vulnerability, immunity and intervention. Ageing Res Rev. 2021,65.
Sethi BA, Sethi A, Ali S, Aamir HS. Impact of Coronavirus disease (COVID-19) pandemic on health professionals. Pakistan J Med Sci. 2020, May,36(COVID19-S4):S6–11.
Bialek S, Boundy E, Bowen V, Chow N, Cohn A, Dowling N, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19). MMWR Morb Mortal Wkly Rep. 2020.
Al Maskari Z, Al Blushi A, Khamis F, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. Int J Infect Dis. 2021, 102:32-36. doi:10.1016/j.ijid.2020.10.009
Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y, et al. Infection and mortality of healthcare workers worldwide from COVID-19: A scoping review. BMJ Glob Heal. 2020,5: e003097.
Lucchini A, Giani M, Elli S, Villa S, Rona R, Foti G. Nursing Activities Score is increased in COVID-19 patients. Intensive Crit Care Nurs. 2020,59:102876.
Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud. 2020,111:103637.
WHO, ICN. Situación de la enfermería en el Mundo 2020 [Internet]. WHO Vol. 24. 2020. Available from: https://www.who.int/publications/i/item/9789240003279%0Ahttps://apps.who.int/iris/bitstream/handle/10665/331675/9789240003392-spa.pdf
Fan J, Hu K, Li X, Jiang Y, Zhou X, Gou X, et al. A qualitative study of the vocational and psychological perceptions and issues of transdisciplinary nurses during the COVID-19 outbreak. Aging (Albany NY). 2020,12(13),12479–92.
Kalateh Sadati A, Zarei L, Shahabi S, Heydari ST, Taheri V, Jiriaei R, et al. Nursing experiences of COVID-19 outbreak in Iran: A qualitative study. Nurs Open. 2020,8,1–8.
Liu YE, Zhai ZC, Han YH, Liu YL, Liu FP, Hu DY. Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis. Public Health Nurs. 2020,37,757–63.
Shu-Ching CHE., Yeur-Hur LA., Shiow-Luan TSAY. Nursing perspectives on the impacts of COVID-19. J Nurs Res. 2020, 28(3),e85.
Charon R, Wyer P. Narrative evidence based medicine. Lancet. 2008, Vol 371, 296–7.
Martínez-Salgado C. El muestreo en investigación cualitativa: principios básicos y algunas controversias. Cien Saude Colet. 2012,17(3),613–9.
Guber R. El salvaje metropolitano. Buenos Aires: Paidós; 2004, 220.
Soler Pujals P, Enrique Jiménez AM. Reflexión sobre el rigor cientifico en la investigacion cualitativa. Estudios sobre el Mensaje Periodístico. 2012,18,879–88.
Denzin N. Strategies of multiple triangulation. In: The research act in sociology: A theoretical introduction to sociological method. Routledge New York 2009. https://doi.org/10.4324/9781315134543
Phillippi J, Lauderdale J. A Guide to Field Notes for Qualitative Research: Context and Conversation. Qual Health Res. 2018, 28(3), 381–8.
Bourdieu P, Passeron JC, Chamboredon JC. Le Méter de sociologue. PaBordas, Mouton, Paris. 1968.
Peacock JL. The anthropological lens. Cambridge University Pres; London, United Kingdom, 1986.
Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. E Clinical Medicine. 2020, 2,100424.
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020, 88, 901–7.
Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet 2020, Vol. 395, e37–8.
Bohlken J, Schömig F, Lemke MR, Pumberger M, Riedel-Heller SG. COVID-19 Pandemic: Stress Experience of Healthcare Workers: A Short Current Review. Psychiatr Prax. 2020, 47(4),190–7.
Tan R, Yu T, Luo K, Teng F, Liu Y, Luo J, et al. Experiences of clinical first-line nurses treating patients with COVID-19: A qualitative study. J Nurs Manag. 2020, 28,1381–90.
He Q, Li T, Su Y, Luan Y. Instructive Messages and Lessons From Chinese Countermarching Nurses of Caring for COVID-19 Patients: A Qualitative Study. J Transcult Nurs. 2020, 32(2), 96–102.
Jia Y, Chen O, Xiao Z, Xiao J, Bian J, Jia H. Nurses’ ethical challenges caring for people with COVID-19: A qualitative study. Nurs Ethics. 2020, 28(1), 33–45.
Sheng Q, Zhang X, Wang X, Cai C. The influence of experiences of involvement in the COVID‐19 rescue task on the professional identity among Chinese nurses: A qualitative study. J Nurs Manag. 2020, 28(7), 1662–9.
Nyashanu M, Pfende F, Ekpenyong M. Exploring the challenges faced by frontline workers in health and social care amid the COVID-19 pandemic: experiences of frontline workers in the English Midlands region, UK. J Interprof Care. 2020, 34(2), 655–61.
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.
Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Heal. 2020, 8(6), e790–8.
Omura M, Stone TE, Petrini MA, Cao R. Nurses’ health beliefs about paper face masks in Japan, Australia and China: a qualitative descriptive study. Int Nurs Rev. 2020, 67, 341–51.
Grupo Análisis e Investigación. Impacto del COVID en la enfermería. Informe de resultados. Abril 2020. [Internet]. Madrid; 2020. Available from: https://www.consejogeneralenfermeria.org/sala-de-prensa/doc-interes/send/19-documentos-de-interes/976-encuesta-impacto-del-covid-en-la-enfermeria
Kackin O, Ciydem E, Aci OS, Kutlu FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. Int J Soc Psychiatry. 2020.
González LA, Flores-Martos JA, Cipriano-Crespo C, Pulido-Fuentes M. Strengths and weaknesses of healthcare professionals’ identity during the covid-19 pandemic: A qualitative study within the Spanish context. Soc Sci. 2021, 10: 33, 1–15
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Derechos de autor 2022 David Conde-Caballero, Jara Bonilla-Bermejo, Jerónimo Luengo-Polo, Borja Rivero-Jimenez, Lorenzo Mariano-Juarez