La salud emocional de los profesionales sanitarios en contextos de Covid-19: revisión sistemática y metasíntesis cualitativa

Juan Pablo Vázquez Gutiérrez, Victoria Raquel Rojas.Lozano, Laura De la Paz Castillo

Texto completo:

PDF (English)

Resumen

Introducción: La pandemia originada por la aparición de la cepa viral SARS-CoV-2, causante de la Covid-19, puso en crisis a los sistemas de salud de todos los países; en especial aquellos con menores recursos técnicos y materiales. En ese marco, resulta relevante conocer el impacto de la pandemia, no sólo sobre la población contagiada, sino también sobre las condiciones de salud socio emocional del personal médico encargado de su atención.

Objetivo: Realizar una revisión sistemática y una metasíntesis cualitativa de la experiencia emocional vivida por el personal sanitario que atendió pacientes contagiados por Covid-19. 

Material y Métodos:   Investigación documental, descriptiva, integrativa y con enfoque crítico. Los textos fueron seleccionados según los siguientes criterios: a) artículos originales con metodología cualitativa, b) publicados entre 2019 y 2022 c) en idioma inglés y español; d) de revistas arbitradas y especializadas en salud y ciencias sociales; e) referentes a la salud emocional de trabajadores que atendieron pacientes contagiados por Covid-19. Su búsqueda y recuperación se hizo mediante consulta en PubMed, Google Scholar, BVS y SciELO.

Resultados: Esta revisión identificó 80 estudios cualitativos que mostraron la enorme relevancia de la vida emocional durante la pandemia por Covid-19, destacándose al miedo como categoría emergente presente en la mayoría de los estudios. La metasíntesis derivó en cuatro temas clave: 1) impactos emocionales diferenciados según género, profesión y nivel de atención; 2) tensiones entre emociones individuales y colectivas; 3) producción de sentimientos morales y dilemas éticos y 4) retos impuestos al sistema de salud frente a la pandemia.

Conclusiones: Los elementos identificados destacan la importancia de redimensionar la necesidad de una mayor precisión conceptual y distinción entre los diferentes niveles de vida emocional reportados, así como analizar con mayor detalle la estratificación de la vida emocional presente en el contexto institucional a la luz de carencias y problemáticas estructurales de los sistemas de salud, que se vieron desbordados ante los efectos de la pandemia.

Palabras clave

Investigación cualitativa; personal de salud; emoción; miedo; Covid-19.

Referencias

Bericat Alastuey E. Excluidos de La Felicidad: La Estratificación Emocional Del Bienestar Social En España. CIS-Centro de Investigaciones Sociológicas. 2018;310.

Medina-Mora ME, Cordero M, Rafful C. Determinantes sociales de la salud mental en la pandemia. In: Fajardo-Chica D, Hansberg O, eds. La vida emocional en la pandemia. Mexico: Universidad Nacional Autónoma de México, Secretaría de Desarrollo Institucional; 2021.

Luo F, Ghanei Gheshlagh R, Dalvand S, Saedmoucheshi S, Li Q. Systematic Review and Meta-Analysis of Fear of COVID-19. Frontiers in Psychology [Internet]. 2021 [Cited 21/04/2023];12. Available from: https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.661078/full

Braquehais MD, Vargas-Cáceres S, Gómez-Durán E. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine [Internet]. 2020 [Cited 24/11/2022]; 113(9):613-7. Available from: https://doi.org/10.1093/qjmed/hcaa207

Sexton JB, Adair KC, Proulx J. Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021. JAMA Network Open [Internet]. 2022 [Cited 24/11/2023]; 5(9):e2232748. Available from: https://doi.org/10.1001/jamanetworkopen.2022.32748

Muller AE, Hafstad EV, Himmels JPW. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research [Internet]. 2020 [Cited 24/11/2023]; 293:113441. Available from: https://pubmed.ncbi.nlm.nih.gov/32898840/

Jasper JM. Las emociones y los movimientos sociales: veinte años de teoría e investigación. Revista latinoamericana de estudios sobre cuerpos, emociones y sociedad [Internet]. 2012 [Cited 21/04/2023]; 4(10):46-66. Available from: https://www.annualreviews.org/doi/10.1146/annurev-soc-081309-150015

Ariza M, ed. Las emociones en la vida social: miradas sociológicas. México: Universidad Nacional Autónoma de México, Instituto de Investigaciones Sociales; 2020.

Rojas JG, Lopera-Betancur MA, Forero-Pulido C, García-Aguilar LC. Cuidar al paciente con COVID-19: entre la incertidumbre y el deseo de salir adelante. Rev colomb enferm [Internet]. 2021 [Cited 21/04/2023];20(2):e035. Available from: https://doi.org/10.18270/rce.v20i2.3291

Marey‐Sarwan I, Hamama‐Raz Y, Asadi A, Nakad B, Hamama L. “It’s like we’re at war”: Nurses’ resilience and coping strategies during the COVID‐19 pandemic. Nurs Inq [Internet]. 2022 [Cited 21/04/2023];29(3):e12472. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646746/

Austin EJ, Blacker A, Kalia I. “Watching the tsunami come”: A case study of female healthcare provider experiences during the COVID‐19 pandemic. Appl Psychol Health Well Being [Internet]. 2021 [Cited 21/04/2023];13(4):781-97. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8239839/

Piredda M, Fiorini J, Marchetti A. The wounded healer: a phenomenological study on hospital nurses who contracted COVID19. Front Public Health [Internet]. 2022 [Cited 24/11/2022]; 10:867826. Available from: https://pubmed.ncbi.nlm.nih.gov/35875015/

Ahmed S. La política cultural de las emociones. 2 ed [Internet]. México: Universidad Nacional Autónoma de México; 2015 [Cited 21/04/2023]. Available from: https://archive.org/details/la-politica-cultural-de-las-emociones.

Sarabia-Cobo C, Pérez V, Lorena P de. Experiences of geriatric nurses in nursing home settings across four countries in the face of the COVID-19 pandemic. J Adv Nurs [Internet]. 2021 [Cited 21/04/2023]; 77(2):869-78. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.14626

Roca J, Canet-Vélez O, Cemeli T, Lavedán A, Masot O, Botigué T. Experiences, emotional responses, and coping skills of nursing students as auxiliary health workers during the peak COVID-19 pandemic: A qualitative study. Int J Ment Health Nurs [Internet]. 2021 [Cited 21/04/2023]; 30(5):1080-92. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12858

Deliktas Demirci A, Oruc M, Kabukcuoglu K. ‘It was difficult, but our struggle to touch lives gave us strength’: The experience of nurses working on COVID-19 wards. J Clin Nurs [Internet]. 2021 [Cited 21/04/2023]; 30(5-6):732-41. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.15602

Melnikov S, Kagan I, Felizardo H. Practices and experiences of European frontline nurses under the shadow of COVID-19. Nurs Health Sci [Internet]. 2022 [Cited 21/04/2023]; 24(2):405-13. Available from: https://onlinelibrary.wiley.com/doi/10.1111/nhs.12936

Liberati E, Richards N, Willars J. A qualitative study of experiences of NHS mental healthcare workers during the Covid-19 pandemic. BMC Psychiatry [Internet]. 2021 [Cited 21/04/2023]; 21:250. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8113793/

Li H, Cui Y, Efstathiou N, Li B, Guo P. Experiences of redeployed healthcare workers in the fight against COVID-19 in China: A qualitative study. PLoS ONE [Internet]. 2022 [Cited 21/04/2023]; 17(8):e0273429. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273429

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 [Internet]. 2021 [Cited 21/04/2023]; 67(2):158-67. Available from: https://doi.org/10.1177/0020764020942788

Kwaghe AV, Kwaghe VG, Habib ZG. Stigmatization and psychological impact of COVID-19 pandemic on frontline healthcare Workers in Nigeria: a qualitative study. BMC Psychiatry [Internet]. 2021 [Cited 21/04/2023]; 21:518. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528377/

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 [Internet]. 2020 [Cited 24/11/2022]; 34(5):655-61. Available from: https://doi.org/10.1080/13561820.2020.1792425

Lee JY, Lee J yeon, Lee SH. The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study. J Korean Med Sci [Internet]. 2021 [Cited 21/04/2023]; 36(23):e170. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203853/

Ness MM, Saylor J, Di Fusco LA, Evans K. Healthcare providers’ challenges during the coronavirus disease (COVID-19) pandemic: A qualitative approach. Nurs Health Sci [Internet]. 2021 [Cited 21/04/2023]; 23(2):389-97. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/nhs.12820

Chen H, Wang Y, Liu Z. The experiences of frontline nurses in Wuhan: A qualitative analysis of nurse online diaries during the COVID‐19 pandemic. J Clin Nurs [Internet]. 2021 [Cited 21/04/2023];30. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662013/

Rosa D, Bonetti L, Villa G. Moral Distress of Intensive Care Nurses: A Phenomenological Qualitative Study Two Years after the First Wave of the COVID-19 Pandemic. Int J Environ Res Public Health [Internet]. 2022 [Cited 24/11/2022]; 19(22):15057. Available from: https://www.mdpi.com/1660-4601/19/22/15057

Perraud F, Ecarnot F, Loiseau M. A qualitative study of reinforcement workers’ perceptions and experiences of working in intensive care during the COVID-19 pandemic: A PsyCOVID-ICU substudy. PLoS ONE [Internet]. 2022 [Cited 21/04/2023]; 17(3):e0264287. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0264287

Sun N, Wei L, Shi S. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control [Internet]. 2020 [Cited 21/04/2023]; 48(6):592-8. Available from: https://www.sciencedirect.com/science/article/pii/S0196655320302017

García Lara GA, Hernández Solís I, Hernández Solís S, Cruz Pérez O, Ocaña Zúñiga J. Paramédicos en tiempos de pandemia. Historias de angustia, miedo y esperanza. RICSH [Internet]. 2021 [Cited 24/11/2022]; 10(19):85-113. Available from: https://ricsh.org.mx/index.php/RICSH/article/view/231

Fawaz M, Samaha A. The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. Int J Soc Psychiatry [Internet]. 2020 [Cited 21/04/2023];66(6):560-5. Available from: https://doi.org/10.1177/0020764020932202

Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiatry [Internet]. 2020 [Cited 21/04/2023]; 20(1):489. Available from: https://doi.org/10.1186/s12888-020-02898-1

Palacios-Ceña D, Fernández-de-las-Peñas C, Florencio LL, de-la-Llave-Rincón AI, Palacios-Ceña M. Emotional Experience and Feelings during First COVID-19 Outbreak Perceived by Physical Therapists: A Qualitative Study in Madrid, Spain. Int J Environ Res Public Health [Internet]. 2021 [Cited 21/04/2023]; 18(1):127. Available from: https://www.mdpi.com/1660-4601/18/1/127

Ozcan S, Kirca N. Feelings, Thoughts and Experiences of healthcare professionals who recovered after being diagnosed with COVID-19, a phenomenological study. Psychiatr Danub [Internet]. 2021 [Cited 21/04/2023]; 33(3):402-10. Available from: http://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol33_no3/dnb_vol33_no3_402.pdf

Yin X, Zeng L. A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory. Int J Nurs Sci [Internet]. 2020 [Cited 21/04/2023]; 7(2):157-60. Available from: https://www.sciencedirect.com/science/article/pii/S2352013220300508

Chakma T, Thomas BE, Kohli S. Psychosocial impact of COVID-19 pandemic on healthcare workers in India & their perceptions on the way forward - A qualitative study. Indian J Med Res [Internet]. 2021 [Cited 21/04/2023]; 153(5-6):637-48. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555609/

Villar RC, Nashwan AJ, Mathew RG. The lived experiences of frontline nurses during the coronavirus disease 2019 (COVID-19) pandemic in Qatar: A qualitative study. Nurs Open [Internet]. 2021 [Cited 21/04/2023]; 8(6):3516-26. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/nop2.901

Sims H, Alvarez C, Grant K, Walczak J, Cooper LA, Ibe CA. Frontline healthcare workers experiences and challenges with in-person and remote work during the COVID-19 pandemic: A qualitative study. Front Public Health [Internet]. 2022 [Cited 21/04/2023]; 10:983414. Available from: https://www.frontiersin.org/articles/10.3389/fpubh.2022.983414

Abalo Miller K, Bang C. Dimensión subjetiva de los procesos de trabajo en profesionales de salud en contexto de pandemia: un estudio exploratorio a partir del análisis de dispositivos de Apoyo a los Equipos de Salud en un municipio del Área Metropolitana de Buenos Aires (AMBA). Psicología, Conocimiento y Sociedad [Internet]. 2022 [Cited 24/11/2022]; 12(1):5-34. Available from: http://www.scielo.edu.uy/scielo.php?script=sci_abstract&pid=S1688-70262022000100005&lng=es&nrm=iso&tlng=es

Okediran JO, Ilesanmi OS, Fetuga AA. The experiences of healthcare workers during the COVID-19 crisis in Lagos, Nigeria: A qualitative study. Germs [Internet]. 2020 [Cited 21/04/2023]; 10(4):356-366. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7811855/

Vindrola-Padros C, Andrews L, Dowrick A. Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK. BMJ Open [Internet]. 2020 [Cited 21/04/2023]; 10(11):e040503. Available from: https://bmjopen.bmj.com/content/10/11/e040503

Orgaz P, Rodríguez Vega B, Bayón C, Palao Á, Lorenzini N, González Torres MÁ. Experiencia del personal sanitario durante la primera ola de Covid-19 en España: un estudio cualitativo con grupos focales. Rev Asoc Esp Espec Med Trab [Internet]. 2022 [Cited 21/04/2023]; 31(2):155-66.Available from: https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1132-62552022000200004&lng=es&nrm=iso&tlng=es

Palinkas LA, Engstrom A, Whiteside L, Moloney K, Zatzick D. A Rapid Ethnographic Assessment of the Impact of the COVID-19 Pandemic on Mental Health Services Delivery in an Acute Care Medical Emergency Department and Trauma Center. Adm Policy Ment Health [Internet]. 2022 [Cited 21/04/2023]; 49(2):157-167. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8317683/

González-Timoneda A, Hernández Hernández V, Pardo Moya S, Alfaro Blazquez R. Experiences and attitudes of midwives during the birth of a pregnant woman with COVID-19 infection: A qualitative study. Women Birth [Internet]. 2021 [Cited 21/04/2023]; 34(5):465-72. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7724562/

Kayiga H, Genevive DA, Amuge PM, Ssemata AS, Nanzira RS, Nakimuli A. Lived experiences of frontline healthcare providers offering maternal and newborn services amidst the novel corona virus disease 19 pandemic in Uganda: A qualitative study. PLoS ONE [Internet]. 2021 [Cited 21/04/2023]; 16(12):e0259835. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664167/

Lenta MM, Longo RG, Zaldúa G, Veloso V. La salud de las trabajadoras de la salud en el contexto de pandemia. Anuario de Investigaciones [Internet]. 2020 [Cited 24/11/2022]; 27:147-54. Available from: https://www.redalyc.org/journal/3691/369166429016/369166429016.pdf

Bermejo Cayamcela DM, Álvarez Ochoa R, Lliguisupa Peláez VDR, Pesántez Beltrán DJ, Zhindón Arévalo CE. Impacto social y psicológico del COVID-19 en el personal sanitario. Caso Ecuador. Revista Ciencias Pedagógicas e Innovación [Internet]. 2021 [Cited 24/11/2022]; 9(2):153-9. Available from: https://incyt.upse.edu.ec/pedagogia/revistas/index.php/rcpi/article/view/412

Zhou H, Wang X, Du R. The Work Experience of Newly Recruited Male Nurses during COVID-19: A Qualitative Study. Asian Nurs Res [Internet]. 2021 [Cited 21/04/2023]; 15(3):203-209. Available from: https://www.sciencedirect.com/science/article/pii/S1976131721000396

Reina Leal LM, García Murcia JS, Higuera Ramos DM, Morales Ávila M, Venegas Barrera AF. Cuidar en tiempos de pandemia: experiencia de una auxiliar de enfermería en Bogotá. Index Enferm [Internet]. 2021 [Cited 21/04/2023]; 30(4):338-41. Available from: https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1132-12962021000300013&lng=es&nrm=iso&tlng=es

Zhu P, Liu X, Wu Q, Loke J, Lim D, Xu H. China’s Successful Recruitment of Healthcare Professionals to the Worst-Hit City: A Lesson Learned. Int J Environ Res Public Health [Internet]. 2021 [Cited 21/04/2023]; 18(16):8737. Available from: https://www.mdpi.com/1660-4601/18/16/8737

Khanjarian F, Sadat-Hoseini AS. Lived experiences of nurses providing altruistic care to patients with COVID-19. Nurs Outlook [Internet]. 2021 [Cited 21/04/2023]; 69(5):767-79. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103141/

Casafont C, Fabrellas N, Rivera P. Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: A phemonenological research study. Nurse Educ Today [Internet]. 2021 [Cited 21/04/2023]; 97:104711. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7744273/

Stoichitoiu LE, Baicus C. COVID-19 pandemic preparedness period through healthcare workers’ eyes: A qualitative study from a Romanian healthcare facility. PLoS ONE [Internet]. 2021 [Cited 21/04/2023]; 16(10):e0257381. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0257381

Shahbaz S, Ashraf MZ, Zakar R, Fischer F. Psychosocial, emotional and professional challenges faced by female healthcare professionals during the COVID-19 outbreak in Lahore, Pakistan: a qualitative study. BMC Women’s Health [Internet]. 2021 [Cited 21/04/2023]; 21(1):197. Available from: https://doi.org/10.1186/s12905-021-01344-y

Mehedi N, Ismail Hossain M. Experiences of the Frontline Healthcare Professionals Amid the COVID-19 Health Hazard: A Phenomenological Investigation. Inquiry: a journal of medical care organization, provision and financing [Internet]. 2022 [Cited 21/04/2023]; 59:469580221111925. Available from: https://pubmed.ncbi.nlm.nih.gov/35819056/

Hernández-Fernández C, Meneses-Falcón C. “The worst thing that has happened to me”: Healthcare and social services professionals confronting death during the COVID-19 crisis. Front Public Health [Internet]. 2022 [Cited 21/04/2023]; 10:957173. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.957173/full

Jorge Diogo PM, Lemos e Sousa MOC, Rodrigues JRG da V, Silva TA de AM de A e, Ferreira Santos ML. Emotional labor of nurses in the front line against the COVID-19 pandemic. Rev Bras Enferm [Internet]. 2021 [Cited 21/04/2023]; 74. Available from: http://www.scielo.br/j/reben/a/gGvSvWDpB8Hb7rqhJFLmqHn/?lang=en&format=html

. 57. Zhang MM, Niu N, Zhi XX. Nurses’ psychological changes and coping strategies during home isolation for the 2019 novel coronavirus in China: A qualitative study. J Adv Nurs [Internet]. 2021 [Cited 21/04/2023]; 77(1):308-17. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jan.14572

Smeltzer SC, Copel LC, Bradley PK. Vulnerability, loss, and coping experiences of health care workers and first responders during the covid-19 pandemic: a qualitative study. Int J Qual Stud Health Well-being [Internet]. 2022 [Cited 24/11/2022]; 17(1):2066254. Available from: https://www.tandfonline.com/doi/full/10.1080/17482631.2022.2066254

Tan R, Yu T, Luo K. Experiences of clinical first-line nurses treating patients with COVID-19: A qualitative study. J Nurs Manag [Internet]. 2020 [Cited 21/04/2023]; 28(6):1381-90. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13095

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 [Internet]. 2021 [Cited 21/04/2023]; 26(5):397-406. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/nicc.12589

Catania G, Zanini M, Hayter M. Lessons from Italian front-line nurses’ experiences during the COVID-19 pandemic: A qualitative descriptive study. J Nurs Manag [Internet]. 2021 [Cited 21/04/2023]; 29(3):404-11. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13194

Huang F, Lin M, Sun W, Zhang L, Lu H, Chen WT. Resilience of frontline nurses during the COVID pandemic in China: A qualitative study. Nurs Health Sci [Internet]. 2021 [Cited 21/04/2023]; 23(3):639-45. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/nhs.12859

Alizadeh A, Khankeh HR, Barati M, Ahmadi Y, Hadian A, Azizi M. Psychological distress among Iranian health-care providers exposed to coronavirus disease 2019 (COVID-19): a qualitative study. BMC Psychiatry [Internet]. 2020 [Cited 21/04/2023]; 20(1):494. Available from: https://doi.org/10.1186/s12888-020-02889-2

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 [Internet]. 2021 [Cited 21/04/2023]; 32(2):96-102. Available from: https://doi.org/10.1177/1043659620950447

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 [Internet]. 2021 [Cited 21/04/2023]; 29(5):1159-68. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13254

Liu Q, Luo D, Haase JE. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health [Internet]. 2020 [Cited 21/04/2023]; 8(6):e790-e798. Available from: https://www.sciencedirect.com/science/article/pii/S2214109X20302047

Hantoushzadeh S, Bagheri M, Amjadi MA, Farahani MF, Haghollahi F. Experiences of health care providers on pregnancy and childbirth care during the COVID-19 pandemic in Iran: a phenomenological study. BMC Pregnancy Childbirth [Internet]. 2021 [Cited 21/04/2023]; 21(1):670. Available from: https://doi.org/10.1186/s12884-021-04148-y

Yin Z, Zhang W, Jia X. Psychological distress of frontline healthcare workers in the intensive care unit during the early stage of the COVID-19 pandemic: a qualitative study from China. BMJ Open [Internet]. 2022 [Cited 21/04/2023]; 12(2):e049627. Available from: https://bmjopen.bmj.com/content/12/2/e049627

Collado-Boira EJ, Ruiz-Palomino E, Salas-Media P, Folch-Ayora A, Muriach M, Baliño P. “The COVID-19 outbreak”—An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Educ Today [Internet]. 2020 [Cited 21/04/2023]; 92:104504. Available from: https://www.sciencedirect.com/science/article/pii/S0260691720308406

García-Martín M, Roman P, Rodriguez-Arrastia M, Diaz-Cortes M del M, Soriano-Martin PJ, Ropero-Padilla C. Novice nurse’s transitioning to emergency nurse during COVID-19 pandemic: A qualitative study. J Nurs Manag [Internet]. 2021 [Cited 21/04/2023]; 29(2):258-67. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13148

Rücker F, Hårdstedt M, Rücker SCM. From chaos to control - experiences of healthcare workers during the early phase of the COVID-19 pandemic: a focus group study. BMC Health Serv Res [Internet]. 2021 [Cited 21/04/2023]; 21(1):1219. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-07248-9

Gao X, Jiang L, Hu Y, Li L, Hou L. Nurses’ experiences regarding shift patterns in isolation wards during the COVID-19 pandemic in China: A qualitative study. J Clin Nurs [Internet]. 2020 [Cited 21/04/2023]; 29(21-22):4270-4280. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jocn.15464

Eftekhar Ardebili M, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. Am J Infect Control [Internet]. 2021 [Cited 21/04/2023]; 49(5):547-54. Available from: https://www.sciencedirect.com/science/article/pii/S0196655320308968

Norful AA, Rosenfeld A, Schroeder K, Travers JL, Aliyu S. Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States. Gen Hosp Psychiatry [Internet]. 2021 [Cited 21/04/2023]; 69:20-6. Available from: https://www.sciencedirect.com/science/article/pii/S0163834321000013?via%3Dihub

Embregts PJCM, Tournier T, Frielink N. Experiences and needs of direct support staff working with people with intellectual disabilities during the COVID-19 pandemic: A thematic analysis. J Appl Res Intellect Disabil [Internet]. 2021 [Cited 21/04/2023]; 34(2):480-90. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jar.12812

Dowrick A, Mitchinson L, Hoernke K. Re-ordering connections: UK healthcare workers’ experiences of emotion management during the COVID-19 pandemic. Sociol Health Illn [Internet]. 2021 [Cited 21/04/2023]; 43(9):2156-2177. Available from: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.13390

Nelson H, Hubbard Murdoch N, Norman K. The Role of Uncertainty in the Experiences of Nurses During the Covid-19 Pandemic: A Phenomenological Study. Can J Nurs Res [Internet]. 2021 [Cited 21/04/2023]; 53(2):124-33. Available from: http://journals.sagepub.com/doi/10.1177/0844562121992202

Konduru L, Das N, Kothari-Speakman G, Behura AK. Experiencing the COVID-19 pandemic as a healthcare provider in rural Dhanbad, India: An interpretative phenomenological analysis. PLoS ONE [Internet]. 2022 [Cited 24/11/2022]; 17(8):e0273573. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273573

Ali I, Sadique S, Ali S. Doctors Dealing With COVID-19 in Pakistan: Experiences, Perceptions, Fear, and Responsibility. Front Public Health [Internet]. 2021 [Cited 21/04/2023]; 9:647543. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.647543/full

He J, Liu L, Chen X. The experiences of nurses infected with COVID-19 in Wuhan, China: A qualitative study. J Nurs Manag [Internet]. 2021 [Cited 21/04/2023]; 29(5):1180-8. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13256

Martínez Garduño MD, Cruz Bello P, Esquivel Campuzano U, Martínez Garduño MD, Cruz Bello P, Esquivel Campuzano U. Acciones y percepciones en aislamiento por COVID-19 en los alumnos de la Facultad de Enfermería y Obstetricia de la UAEMéx. Dilemas contemporáneos: educación, política y valores [Internet]. 2021 [Cited 21/04/2023]; 9(SPE1). Available from: http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S2007-78902021000800049&lng=es&nrm=iso&tlng=es

Karimi Z, Fereidouni Z, Behnammoghadam M. The Lived Experience of Nurses Caring for Patients with COVID-19 in Iran: A Phenomenological Study. Risk Manag Healthc Policy [Internet]. 2020 [Cited 21/04/2023]; 13:1271-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450521/

Qureshi I, Gogoi M, Al-Oraibi A. Factors influencing the mental health of an ethnically diverse healthcare workforce during COVID-19: a qualitative study in the United Kingdom. Eur J Psychotraumatol [Internet]. 2022 [Cited 24/11/2022]; 13(2):2105577. Available from: https://pubmed.ncbi.nlm.nih.gov/35967893/

Mohammadi F, Tehranineshat B, Bijani M, Oshvandi K, Badiyepeymaiejahromi Z. Exploring the experiences of operating room health care professionals’ from the challenges of the COVID-19 pandemic. BMC Surg [Internet]. 2021 [Cited 21/04/2023]; 21:434. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8709905/

Zhang Y, He M, Li C, Xu R. Experience of Frontline Clinicians Fighting against COVID-19: a Qualitative Study. Chinese General Practice [Internet]. 2020 [Cited 21/04/2023]; 23(9):1078-82. Available from: https://doi.org/10.12114/j.issn.1007-9572.2020.00.261

Carman Copel L, Lengetti E, McKeever A, Pariseault CA, Smeltzer SC. An uncertain time: Clinical nurses’ first impressions during the COVID-19 pandemic. Res Nurs Health [Internet]. 2022 [Cited 21/04/2023]; 45(5):537-48. Available from: https://onlinelibrary.wiley.com/doi/10.1002/nur.22265

Shaukat N, Ali DM, Barolia R. Documenting response to COVID-individual and systems successes and challenges: a longitudinal qualitative study. BMC Health Serv Res [Internet]. 2022 [Cited 21/04/2023]; 22(1):656. Available from: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08053-8

Goberna-Tricas J, Biurrun-Garrido A, Perelló-Iñiguez C, Rodríguez-Garrido P. The COVID-19 Pandemic in Spain: Experiences of Midwives on the Healthcare Frontline. Int J Environ Res Public Health [Internet]. 2021 [Cited 24/11/2022]; 18(12):6516. Available from: https://www.mdpi.com/1660-4601/18/12/6516

McGlinchey E, Hitch C, Butter S, McCaughey L, Berry E, Armour C. Understanding the lived experiences of healthcare professionals during the COVID-19 pandemic: an interpretative phenomenological analysis. Eur J Psychotraumatol [Internet]. 2021 [Cited 21/04/2023]; 12(1):1904700. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820784/

Dragioti E, Tsartsalis D, Mentis M, Mantzoukas S, Gouva M. Impact of the COVID-19 pandemic on the mental health of hospital staff: An umbrella review of 44 meta-analyses. Int J Nurs Stud [Internet]. 2022 [Cited 21/04/2023]; 131:104272. Available from: https://www.sciencedirect.com/science/article/pii/S0020748922001018?via%3Dihub

Batra K, Singh TP, Sharma M, Batra R, Schvaneveldt N. Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis. Int J Environ Res Public Health [Internet]. 2020 [Cited 21/04/2023]; 17(23):9096. Available from: https://www.mdpi.com/1660-4601/17/23/9096

Balai MK, Avasthi RD, Va R, Jonwal A. Psychological Impacts among Health Care Personnel during COVID-19 Pandemic: A Systematic Review. J Caring Sci [Internet]. 2022 [Cited 21/04/2023]; 11(2):118-125. Available from: https://jcs.tbzmed.ac.ir/Article/jcs-30496

Billings J, Ching BCF, Gkofa V, Greene T, Bloomfield M. Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics: a systematic review and qualitative meta-synthesis. BMC Health Serv Res [Internet]. 2021 [Cited 21/04/2023]; 21:923. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8419805/

Joo JY, Liu MF. Nurses’ barriers to caring for patients with COVID-19: a qualitative systematic review. International Nursing Review [Internet]. 2021 [Cited 21/04/2023]; 68(2):202-13. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12648

Tao X, Yu CC, Low JA. Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies. Ann Acad Med Singap [Internet]. 2022 [Cited 21/04/2023]; 51(10):619-28. Available from: https://pubmed.ncbi.nlm.nih.gov/36317572/



Añadir comentario

Licencia de Creative Commons
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.