Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic
Thesis (MNur)--Stellenbosch University, 2024.
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | en_ZA |
| Published: |
Stellenbosch : Stellenbosch University
2024
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613906805981184 |
|---|---|
| access_status_str | Open Access |
| author | De Klerk, Natasha Maryna |
| author2 | Jordan, Portia |
| author_browse | De Klerk, Natasha Maryna Jordan, Portia |
| author_facet | Jordan, Portia De Klerk, Natasha Maryna |
| author_sort | De Klerk, Natasha Maryna |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNur)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/130283 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:35.721Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/130283 The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic De Klerk, Natasha Maryna Jordan, Portia Van Schalkwyk, Talita Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. COVID-19, Critical Care Nursing, Mental Healh consequences, Support COVID-19 Pandemic, 2020 -- Eastern Cape (South Africa) Intensive care nursing -- Eastern Cape (South Africa) Critical care medicine -- Eastern Cape (South Africa) COVID-19 Pandemic, 2020 -- Nurses -- Eastern Cape (South Africa) UCTD Thesis (MNur)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: Critical Care Professional Nurses were likely to feel the extended effects of the COVID-19 pandemic during the primary pathological impact of the disease, as the patients required ventilation or some form of respiratory support and due to the fact that they were directly working with, and closely exposed to, the COVID-19-positive patients. Although initially assumed to be a ‘lung disease’, COVID-19 has a broad organotropism and causes neurological, nephrological, cardiological and haematological problems. These high-acuity COVID-19 patients were considered the sickest critical care patients ever nursed. The management of these patients was complex proportionate to the difficulties of treating patients with an unknown, unpredictable disease and due to limitation of treatment options. Therefore, these patients require knowledgeable and skilled nurses to care for them. Critical care Professional Nurses endured high levels of stress, having to cope with limited resources, and caring for labour-intensive critical COVID-19-positive patients while simultaneously wearing uncomfortable personal protective equipment. This study aimed to explore and describe the experiences of Professional Nurses in two private critical care units in Nelson Mandela Bay during the COVID-19 pandemic, including the support that was available for Critical Care Professional Nurses. Methods: A qualitative, explorative, descriptive design was used. A purposive non-probability sampling method was used to collect data from 19 critical care PN’s utilising in-depth, semi-structured interviews. Using Tesch’s principles and Atlas.ti, inductive thematic analysis was applied to analyse the data. Ethical principles applied were based on the Declaration of Helsinki and the Belmont Report. Results: The intensive care environment became more stressful than before. Stressors experienced working in the intensive care units during COVID-19 included debilitating changes in the working environment, increased task demands often leading to role overload, lack of financial remuneration and general lack of support from management, particularly mental health support. The study findings revealed that there was a general lack of mental health support, especially to assist in coping with high rates of death exposure and coping under pressure due to critical care nursing staff shortages. Participants who indicated that they reached high levels of frustration and depression and became burned out needing professional help, as well as the high turnover of resignations, confirmed the lack of support experienced.The emotional effects related to COVID-19 included fear and anxiety caused by direct exposure to COVID-19, death and awareness of mortality, emotionally overwhelming traumatic experiences, burnout and depression. Conflict existed between moral obligation and provision of care influenced by significant critical care staff shortages, as well as general conflict experienced. Additionally, participants reflected on positive experiences, including personal growth, and made propositions for improvements in the ICU. Conclusion: Critical care Professional Nurses experienced organisational, personal and environmental negative stressors while caring for critical COVID-19 patients. The study findings warrant further investigation and review of the particular critical care unit’s employee wellness systems, focusing on their mental health, to ultimately encourage staff retention and the mental well-being of Professional Nurses in critical care nursing. AFRIKAANSE OPSOMMING: Agtergrond: Intensiewe sorg Professionele Verpleegsters was waarskynlik geneig om die verlengde uitwerkings van die COVID-19 pandemie te ervaar gedurende die primere patologiese impak van die siekte, aangesien die pasiente ventilasie of 'n vorm van respiratoriese ondersteuning benodig het en as gevolg van die feit dat hulle direk met, en naby aan, die COVID-19-positiewe pasiente gewerk het. Alhoewel dit aanvanklik as 'n 'longsiekte' aanvaar is, het COVID-19 'n bree organotropisme en veroorsaak dit neurologiese, nefrologiese, kardiologiese en hematologiese probleme. Hierdie COVID-19 pasiente word beskou as die siekste intensiewe sorg pasiente wat ooit verpleeg is. Die hantering van hierdie pasiente was kompleks in verhouding tot die uitdagings van die behandeling van pasiente met 'n onbekende, onvoorspelbare siekte en as gevolg van die beperking van behandelingsopsies. Daarom het hierdie pasiente kundige en bekwame verpleegsters benodig om vir hulle te sorg. Intensiewe sorg professionele verpleegsters het hoe vlakke van stres verduur. Hulle moes met beperkte hulpbronne klaar kom, om om te sien na arbeids intensiewe kritieke COVID-19-positiewe pasiente, terwyl hulle terselfdertyd ongemaklike persoonlikebeskermende toerusting moes dra. Hierdie studie het ten doel gehad om die ervarings van professionele verpleegkundiges in twee private intensiewe sorg eenhede in Nelson Mandela Baai tydens die COVID-19 pandemie te verken en te beskryf, insluitend die ondersteuning wat beskikbaar was vir hulle. Metodes: 'n Kwalitatiewe, eksploratiewe, beskrywende studie metologiese ontwerp was gebruik. 'n Doelgerigte nie-waarskynlikheid steekproef metode was gebruik om data van 19 intensiewe-sorg profesionele verpleegsters in te samel, deur gebruik te maak van in-diepte, semi-gestruktureerde onderhoude. Met behulp van Tesch se beginsels en Atlas.ti, was induktiewe tematiese analise toegepas om die data te ontleed. Etiese beginsels wat toegepas was, was gebaseer op die Verklaring van Helsinki en die Belmont Report. Resultate: Die intensiewe-sorg omgewing was meer stresvol ervaar as voor die COVID-19 pandemie. Stressors wat tydens COVID-19 in die intensiewe-sorg eenhede beleef was, sluit in aftakelende veranderinge in die werksomgewing, verhoogde werks vereistes wat dikwels tot rol-oorlading gelei het, gebrek aan finansiele vergoeding en algemene gebrek aan ondersteuning van hospitaal bestuur, veral geestesgesondheids ondersteuning. Die studie bevindinge het aan die lig gebring dat daar 'n algemene gebrek aan geestesgesondheids ondersteuning was; veral om te help met die blootstelling en hantering van hoe getalle sterftes en hoe om onder geweldige druk te funksioneer as gevolg van intensiewe sorg verpleeg personeel tekorte. Deelnemers wat aangedui het dat hulle hoe vlakke van frustrasie en depressie bereik het, uitgebrand geraak het en professionele sielkundige hulp benodig het, asook die hoe omset van bedankings, het die aansienlike gebrek aan die alomvattende ondersteuning wat ervaar is bevestig. Die emosionele gevolge wat met COVID-19 verband hou, sluit in die vrees en angs wat veroorsaak word deur direkte blootstelling aan COVID-19, verhoogte blootstelling aan sterftes, emosioneel oorweldigende traumatiese ervarings, emosionele uitbranding en depressie. Konflik het bestaan tussen morele verpligtinge en verskaffing van sorg wat beinvloed was deur beduidende intensiewe-sorg personeel tekorte, sowel as verdere algemene konflik. Daarbenewens het deelnemers gereflekteer op positiewe ervarings, insluitend persoonlike groei, en voorstelle gemaak vir verbeterings in die intensiewesorgeenheid. Afsluiting: Intensiewe-sorg professionele verpleegsters het organisatoriese, persoonlike en omgewings stressors ervaar terwyl hulle na kritieke COVID-19 pasiente moes omsien. Die studiebevindinge regverdig verdere ondersoek en hersiening van die betrokke intesiewe sorgeenheid se werknemerswelstandstelsels, met die fokus op hul geestesgesondheid, om uiteindelik personeelretensie en die geesteswelstand van Professionele Verpleegsters in intensiewe sorgverpleging aan te moedig. Masters 2024-02-28T00:54:43Z 2024-04-26T11:58:21Z 2024-02-28T00:54:43Z 2024-04-26T11:58:21Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130283 en_ZA Stellenbosch University xvi, 159 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | COVID-19, Critical Care Nursing, Mental Healh consequences, Support COVID-19 Pandemic, 2020 -- Eastern Cape (South Africa) Intensive care nursing -- Eastern Cape (South Africa) Critical care medicine -- Eastern Cape (South Africa) COVID-19 Pandemic, 2020 -- Nurses -- Eastern Cape (South Africa) UCTD De Klerk, Natasha Maryna The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title | The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title_full | The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title_fullStr | The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title_full_unstemmed | The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title_short | The experiences of Professional Nurses in two private critical care units in the Eastern Cape Province during the COVID-19 pandemic |
| title_sort | experiences of professional nurses in two private critical care units in the eastern cape province during the covid 19 pandemic |
| topic | COVID-19, Critical Care Nursing, Mental Healh consequences, Support COVID-19 Pandemic, 2020 -- Eastern Cape (South Africa) Intensive care nursing -- Eastern Cape (South Africa) Critical care medicine -- Eastern Cape (South Africa) COVID-19 Pandemic, 2020 -- Nurses -- Eastern Cape (South Africa) UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/130283 |
| work_keys_str_mv | AT deklerknatashamaryna theexperiencesofprofessionalnursesintwoprivatecriticalcareunitsintheeasterncapeprovinceduringthecovid19pandemic AT deklerknatashamaryna experiencesofprofessionalnursesintwoprivatecriticalcareunitsintheeasterncapeprovinceduringthecovid19pandemic |