Family resilience in a crisis: A qualitative study of family resilience in multimember infected families in the context of COVID-19.

OBJECTIVE: This study aimed to understand the family experience and identify family resilience factors to help families adapt to and cope with COVID-19. METHOD: A purposive sample of 21 patients (from nine families) diagnosed with COVID-19 were recruited for interviews. Participants were interviewed using a semistructured question guide to explore family experiences. Deductive content analysis was used to develop emerging themes. RESULTS: Deductive findings included three main themes: belief systems, family organizational patterns, and communication and problem solving. These themes can be applied to the analysis and conclusions related to family resilience during a crisis such as the COVID-19 pandemic. CONCLUSION: This study reveals the coping process of families after multiple members were diagnosed with COVID-19, from the establishment and reinforcement of belief systems to the determination of how the family copes with risks and finally their ability to withstand risks. In addition, the study supports the concept that family resilience can be demonstrated during epidemics. Considering that the COVID pandemic might persist for a significant period of time, doctors and nurses must focus not only on individuals but also on the overall recovery of the family and develop interventions aimed at improving family resilience during these challenging times. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Ethical dilemmas faced by frontline support nurses fighting COVID-19.

BACKGROUND: In 2019, an outbreak of COVID-19 broke out in Hubei, China. Medical workers from all over the country rushed to Hubei and participated in the treatment and care of COVID-19 patients. These nurses, dedicated to their professional practice, volunteered to provide compassion and expert clinical care during the pandemic. As with other acts of heroism, the ethical dilemmas associated with working on the front line must be considered for future practice. PURPOSE: To explore the ethical dilemmas of frontline nurses of Jiangsu Province in China during deployment to Wuhan to fight the novel coronavirus pneumonia, and to provide a basis for developing strategies to help nursing staff address personal and practice concerns in order to work more effectively during this pandemic and other disasters in the future. RESEARCH DESIGN AND METHOD: Using the phenomenological research method and the purpose sampling method, semi-structured interviews were conducted with 10 nurses, post-deployment to Wuhan, who had worked on the front line to fight the novel coronavirus. ETHICAL CONSIDERATIONS: The research proposal was approved by the Research Ethic Committee of Yangzhou University, China. FINDINGS: From the analysis of the interviews of the 10 participants, three main themes were identified: ethical dilemmas in clinical nursing, ethical dilemmas in interpersonal relationships, and ethical dilemmas in nursing management. CONCLUSION: During a quick response to public health emergencies, where nurses are deployed immediately as a call to action, the issues surrounding ethical dilemmas from several perspectives must be considered. This research suggests that a team approach to proactive planning and open communication during the emergency is an efficient and productive strategy to improve the nurses' experience and sense of well-being.

Gender Bias and the Lack of Equity in Pandemic Nursing in China: A Qualitative Study.

There has long been a gender bias in medicine. This qualitative study aims to identify the experience of sexism among frontline female nurses and further explore their expectations and possible strategies to get rid of gender bias. This is a descriptive phenomenological study of 23 female nurses with 11 ± 3.98 years of experience who spent 36 ± 6.50 days at the frontline during the initial COVID-19 outbreak. We employed Colaizzi's phenomenological analysis method to understand the subjective experiences, revealing the following themes: (a) materialization of gender identity; (b) incoordinate relationships; (c) future voice of female nurses. The gender bias experienced by female frontline nurses further challenges their emotional identity and self-identity. Therefore, it is important to require extensive consciousness-raising and policy support to defend female nurses' rights.

The Importance of Patients' Perceptions of Technology: Reminders for Nursing Care Delivery.

BACKGROUND: This study investigates hospitalized patients' perceptions of nurses' use of technology in care delivery and provides an overview of the professional debate regarding high-touch versus high-technology nursing practice. METHOD: A mixed-methods qualitative study combined concepts from phenomenology and narrative analysis to allow the nurse researcher to engage with the patient to solicit patient stories. This approach acknowledges the researcher's role as a nurse, which cannot be fully eliminated from the patient stories and analysis of their experiences. The combined methodology also focuses on a phenomenological approach that uses a semistructured interview as a mechanism to gather data specific to questions about the patients' perspective of the influence of technology on patient care. RESULTS: Five main themes were identified from patient interviews: Noise/Lack of Sleep, Emotional/Patient Engagement, Individualized Care, Patient and Nurse Knowledge Levels (related to technology), and the Benefits/Challenges of Care (related to technology). CONCLUSION: Nurses are missing opportunities to improve their practice and the quality of patient care when using technology as an adjunct to care delivery. [J Contin Educ Nurs. 2019;50(6):263-267.].