Journal of Anesthesia and Intensive Care

Volume 2, Issue 2 (2021)

Research Article - Open Access
Adaptation of the ICU Nursing Team Working During COVID-19 Pandemic: Qualitative Focus Group Analysis

Sigal Shafran-Tikva1, Julie Benbenishty2,*, Naela Hayek3

1Director Nursing Research and Innovation, Hadassah Hebrew University Medical Center, Kiryat Hadassah, 12000, Jerusalem, Israel

2Hadassah Hebrew University Medical Center, PO Box 12000, Ein Kerem, Jerusalem 91120, Israel

3ICU Division Supervisor, Hadassah Hebrew University Medical Center, Jerusalem, Israel

*Corresponding Author:
Julie Benbenishty, RN PhD, Academic Consultant
Hadassah Hebrew University Medical Center, PO Box 12000, Ein Kerem, Jerusalem 91120, Israel.
Tel: 972507874009
E-mail: julie@hadassah.org.il

Received date: June 24, 2021; Accepted date: July 13, 2021; Published date: July 20, 2021

Citation: Shafran-Tikva S, Benbenishty J, Hayek N. Adaptation of the ICU Nursing Team Working During COVID-19 Pandemic: Qualitative Focus Group Analysis. J Anest Inten Care. 2021;2(2):21-29.

Copyright: © 2021 Shafran-Tikva S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Throughout the COVID 19 pandemic ICU nurses globally, have suffered from anxiety, stress, and depression due to high workload, insufficient personal protective equipment, lack of knowledge of the pathogen, and direct contact with patients. Leadership action is needed to assess and care for nurses’ mental health and wellbeing. Nurse leaders need to use innovative strategies to sustain and support nurses.

Objectives: To analyze interventional action of structured social support provided by nurse division leader to critical care nurses between first and second COVID 19 wave.

Design and Methods: Focus groups of intensive care COVID 19 nurses “free speech open conversation” platform exploring Logistical, Clinical, Emotional challenges of working in intensive care COVID 19.

The data collected through focus groups from participating ICU nurses were analyzed using a categorization technique that made it possible to broadly reflect participants’ perceptions and experiences.

Results: Group participants included 15 nurses, 4 males. Before COVID 19 working in Respiratory, Medical, Cardiac, and Neurosurgical intensive care units. All found that working in a non-organic team, unfamiliar environment, treatment plan uncertainty, non-standardize treatment, difficulty in clinical decision making, family pressures from home and families of COVID 19 critically ill patients’ stress, compounded the difficulties of daily work. Positive outcomes included post COVID 19 return to original unit viewed as heroes and much knowledge and respect acquired. The relationships developed in original unit were not as close as those working together in COVID 19.

Conclusion: As a result of these sessions, conditions were changed and improved. This reflected that the nursing administration seriously listened to the nurses and took their recommendations earnestly.

Keywords

Intensive Care; Intensive Care Nursing; Leadership; Management and Organization of ICU; Professional Issues; Support Workers in ICU



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