Experience in Professional Resilience for Nurses Caring for Patients with COVID-19: A Qualitative Descriptive Study.

PURPOSE: During the COVID-19 pandemic, nurses have faced many professional and ethical dilemmas and challenges along with bearing physical, mental, and emotional stress resulting from worrying about themselves or their family being infected and stigmatized. This stress can potentially lead to burnout and resignation. Professional resilience is crucial for nurses to cope with these adverse situations. This study aimed to investigate the process by which nurses adapt, change, and overcome challenges during the COVID-19 pandemic and ultimately demonstrate professional resilience. METHODS: Descriptive phenomenology was applied. Semi-structured interviews were conducted with 11 nurses working in COVID-19 wards and intensive care units to collect data. Giorgi's phenomenological analysis method was employed. RESULTS: Based on the interview responses, four major themes were identified: 1) balancing patient care, self-protection, and passing on experience; 2) providing timely pandemic team resources and social support; 3) nurses' perseverance amid social discourse and constrained lives; and 4) selfless dedication shaping nursing's pinnacle experiences. CONCLUSIONS: In the face of a sudden pandemic, frontline nurses play a critical role in maintaining medical capacity. Consequently, they must balance their families, lives, and work while adapting to the impact of the pandemic and changing practices and procedures based on the development of the pandemic and policy demands. The study findings provide insights into the challenges and emotional experiences encountered by nurses during a sudden pandemic outbreak and can serve as a reference for developing strategies to help nurses overcome these challenges and enhance their professional resilience.

[A Study on Self-Care Behaviors and Related Factors in Diabetes Patients].

BACKGROUND: The self-care behaviors of patients with diabetes represent the most important part of diabetic healthcare. However, few studies have investigated the self-care behaviors of diabetes patients in the context of diabetes shared care networks. PURPOSE: The present study applied a health belief model to determine the self-care behaviors of diabetes patients and the related factors affecting those behaviors. METHODS: A cross-sectional approach and convenience sampling were employed. A questionnaire survey was completed by 165 patients with type 2 diabetes in a diabetes shared care network of a teaching hospital in Yilan County, Taiwan. The questionnaire comprised scales including knowledge, health beliefs, cues to action, self-efficacy, and self-care behavior for diabetes. The collected data were analyzed using the Pearson product-moment correlation and multiple regression analysis. RESULTS: The percentage of accomplishment of diabetes self-care behavior was 62.93%, with taking medication achieving the highest rate of compliance and monitoring blood sugar achieving the lowest rate of compliance. On the diabetes health belief scale, the perceived benefits of taking action scored the highest and the perceived barriers to taking action scored the lowest. Medical treatment, duration of joining the diabetes shared care network, cues to action, age, and self-efficacy were the most important factors of influence in self-care behavior, accounting for 20.2% of total variance. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: Diabetes health educators should pay attention to factors that affect the self-care behaviors of patients receiving diabetes shared care. The results of the present study provide healthcare professionals with information that may be used to develop better healthcare and suggests further research on diabetes interventions.