Cancer nurses’ experience during the COVID-19 pandemic: Multicenter mixed-methods study on coping and resilience strategies.

Publication date: Jul 23, 2024

In early 2020, the COVID-19 pandemic created severe difficulties in clinical and organizational fields. Healthcare workers needed to protect their health and avoid infecting their family members, but also limit the virus’s spread among vulnerable oncology patients undergoing hospital treatment. To evaluate the resilience and coping strategies of nurses working in the oncology setting. A mixed-methods study was conducted. First, two questionnaires (CD-RISK and COPE- NVI-25) were used to assess nurses’ resilience strategies and coping mechanisms quantitatively. Second, qualitative semi-structured interviews were conducted to explore the personal experiences of nurses who cared for patients during the pandemic, and Colaizzi’s framework was used for content analysis. The 164 participants, the majority of whom were women (88. 4%), reported high resilience. The CD-RISK score varied according to education. With respect to COPE-NIV-25, transcendent orientation and avoidance strategies had the lowest mean scores, while problem orientation was higher in nurses aged ≥ 40. Five themes emerged: (1) changes in work and personal areas; (2) feelings/emotions, such as fear of infection of themselves or their loved ones, difficulty in using the face mask, relational repercussions with patients or their families; (3) personal and working group strategies used to counteract the suffering attributable to COVID-19; (4) professionalism/nursing responsibilities in developing new rules and protocols, and (5) metaphors to describe their experiences. The COVID-19 pandemic led to major changes in the nurses’ roles, but they showed resilience and generated a positive working climate. Even in emergency situations, nursing administrations and policymakers ought to ensure that nurses receive adequate training and support to develop resilience and coping strategies.

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Concepts Keywords
Colaizzi Coping strategies
Nurses COVID-19
Pandemic Mixed-methods
Training Oncology setting
Pandemic
Resilience

Semantics

Type Source Name
disease MESH Cancer
disease MESH COVID-19 pandemic
disease MESH infection
disease MESH emergency
drug DRUGBANK Coenzyme M
disease VO organization
drug DRUGBANK L-Phenylalanine
disease VO time
disease VO protocol
disease VO ANOVA
drug DRUGBANK Tropicamide
disease MESH insomnia
drug DRUGBANK Trestolone
disease VO age
drug DRUGBANK Etoperidone
disease VO effective
disease MESH panic
disease VO vaccination
disease MESH uncertainty
disease MESH death
drug DRUGBANK Pentaerythritol tetranitrate
drug DRUGBANK Tretamine
disease VO effectiveness
drug DRUGBANK Icodextrin
disease MESH burnout
disease VO company
disease IDO facility
disease VO report
disease MESH Middle East Respiratory Syndrome
disease MESH Severe acute respiratory syndrome
disease MESH bile
disease MESH mesothelioma
disease VO Iss

Original Article

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