Enduring the Unbearable-A Phenomenological Hermeneutical Study on Nurses’ Lived Experiences of Stress During the COVID-19 Pandemic.

Publication date: Sep 01, 2025

The COVID-19 pandemic continues to pose significant challenges to the welfare system by stress-related ill health and increased turnover rates among nurses. The aim of this study was to explore nurses’ lived experiences of stress in the transformed caring reality during the COVID-19 pandemic. Caring theory and phenomenological hermeneutical philosophy guided this interpretative study. Findings comprise a broadened understanding of stress experienced by nurses. Ethical approval was granted from the Swedish Ethical Review Authority. All participants provided informed consent to participate beforehand. In-depth audio recorded interviews with 13 nurses were performed and transcribed verbatim. Analysis was guided by the three steps of Lindseth and Norberg: nacEFve understanding, structural thematic analysis and comprehensive understanding. In this study, one main theme Enduring the unbearable emerged, and was illuminated in the major themes: Being deprived of the caring self; Seeing self-neglect as the way forward and Feeling vulnerable and unsupported. The interpreted meaning of nurses’ lived experiences of stress during the COVID-19 pandemic accommodates the dilemma of enduring the unbearable whilst being subjected to silencing one’s inner ethical, caring compass. The results underscore the substantial and persistent stress related health risks nurses faced during the COVID-19 pandemic and emphasise the necessity of integrating ethical considerations into policies designed to support nurses’ health in future emergencies.

Concepts Keywords
Covid Adult
Interviews compassion
Nurses COVID-19
Pandemic emergency care
Swedish Female
Hermeneutics
hospital
Humans
lifeworld
Male
Middle Aged
moral stress
Nurses
Nursing Staff, Hospital
Pandemics
SARS-CoV-2
stress of conscience
Stress, Psychological
stressors
Sweden
work environment

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease MESH self-neglect
disease MESH emergencies
drug DRUGBANK Etoperidone
disease MESH Psychological stressors

Original Article

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