Nurses' professional commitment in COVID-19 crisis: A qualitative study.

Background: Professional commitment is an important factor in employee performance. COVID-19 outbreak has seriously affected the nurses working conditions. Numerous factors can affect nurses' professional commitment in this situation.Aim: To explore the nurses' lived experiences, attitudes, views and perceptions toward professional commitment and factors affecting it in the Covid-19 crisis.Method, Setting and Participants: This qualitative study was conducted using phenomenological approach and content analysis method. Twenty-five nurses were interviewed using semi structured in-depth interviews. Conventional content analysis was used to analyze collected data.Ethical considerations: Ethical approval was obtained from the Ethics Committee of Qazvin University of Medical Sciences.Results: Five themes were extracted as follows: "Collaborative empathetic commitment", "Loyal commitment", "Sacrificial commitment", "Commitment with doubt and concern" and "humanistic commitment".Discussion and Conclusion: The Covid-19 crisis has caused major changes in nurses' working conditions, which have also affected the concept of professional commitment to the nursing profession and revealed new concepts. Identifying internal and external factors that can enhance nurses' commitment to the profession in critical situations such as the Covid-19 outback is of particular importance.

Stigma in the Context of COVID-19 Crisis: An Evolutionary Concept Analysis.

BACKGROUND: Stigmatizing anyone during a pandemic poses a threat to everyone and can be an obstacle to disease treatment. The stigma around COVID-19 stems from the fact that it is a life-threatening disease and a lot is unknown about it. AIM: This study was conducted with the aim of analyzing and clarifying the concept of stigma in the context of COVID-19; determining its psychological and socio-psychological outcomes; enhancing understanding and recognition of features, antecedents, and consequences of the concept; and proposing an adequate definition for use in clinical practice or research. METHODS: Rodgers' evolutionary concept analysis was used. RESULTS/CONCLUSION: Stigma in the context of COVID-19 has antecedents, which include informational and psychological issues, media performance, and some governments' policies and actions to control COVID-19 pandemic. The attributes of COVID-19 stigma are subjective and variable, perceived, and/or experienced with interrelated intrapersonal, interpersonal, and structural or institutional dimensions that can be summarized as social stigma and self-stigma. The consequences of COVID-19 stigma are social isolation and psychological burden, physical and mental violence and harassment, hiding disease, and reduced care-seeking behavior. These results will extend the body of knowledge on theory and practice and also assists future researchers in many folds. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: These findings will be a major tool for the case manager/health care team, policy makers, and other human resource planning professionals to develop plans for preventing, combating, and stopping the COVID-19-related stigma.