The experiences of public health nurses during the COVID-19 in Taiwan: A qualitative study.

Fei-Ling Wu, Jui-Chiung Sun, Hsueh-Ching Wu, Mei-Chen Su, Chia-Ling Lin
Author Information
  1. Fei-Ling Wu: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
  2. Jui-Chiung Sun: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
  3. Hsueh-Ching Wu: Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taoyuan City, Taiwan. ORCID
  4. Mei-Chen Su: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
  5. Chia-Ling Lin: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan. ORCID

Abstract

AIM: The coronavirus disease 2019 (COVID-19) pandemic has had a substantial effect on frontline health care workers and caused public health nurses (PHNs) to come under various forms of pressure. PHNs face high-risk challenges in their work environment, and their professional commitment and adaptability are key concerns. The aim of this qualitative study was to describe the experiences of PHNs during the COVID-19 outbreak.
METHODS/DESIGN: Twenty PHNs who worked during the COVID-19 outbreak were recruited from seven public health centres through posters. Data were collected through in-depth interviews that comprised semi-structured and open-ended questions; subsequently, the data were analysed through content analysis.
RESULTS: Three themes emerged from the study findings, namely (1) the disorderliness of COVID-19 pandemic prevention work, (2) managing stress and fear, and (3) the establishment of a new normal. Because of the severity of the pandemic, the workload and stress associated with epidemic prevention policies continue to increase. PHNs may infect their family members and experience a sense of alienation and distance. They must also deal with irrationality and reactions in the people within their community.
CONCLUSION: Health department directors and policymakers should provide the necessary support and assistance to frontline pandemic prevention workers to increase the efficiency of pandemic prevention efforts.
PATIENT OR PUBLIC CONTRIBUTION: The participants agreed to participate in the qualitative study during the study period.

Keywords

References

  1. Med Care. 2005 Jul;43(7):676-82 [PMID: 15970782]
  2. Int J Nurs Stud. 2007 Aug;44(6):991-8 [PMID: 16618485]
  3. Int J Infect Dis. 2020 Dec;101:348-352 [PMID: 33035674]
  4. Int J Environ Res Public Health. 2023 Mar 10;20(6): [PMID: 36981795]
  5. Res Nurs Health. 2000 Aug;23(4):334-40 [PMID: 10940958]
  6. ANS Adv Nurs Sci. 1993 Dec;16(2):1-8 [PMID: 8311428]
  7. J Nurs Manag. 2021 Jul;29(5):1159-1168 [PMID: 33480145]
  8. Int J Environ Res Public Health. 2020 Nov 03;17(21): [PMID: 33153198]
  9. Phys Ther. 2021 Apr 4;101(4): [PMID: 33517462]
  10. J Nurs Manag. 2020 Oct;28(7):1553-1560 [PMID: 32713047]
  11. Nurse Educ Today. 2004 Feb;24(2):105-12 [PMID: 14769454]
  12. Arch Psychiatr Nurs. 2018 Feb;32(1):2-6 [PMID: 29413067]
  13. Hu Li Za Zhi. 2012 Oct;59(5):84-90 [PMID: 23034552]
  14. Lancet Glob Health. 2020 Jun;8(6):e790-e798 [PMID: 32573443]
  15. Lancet Glob Health. 2020 Jun;8(6):e740-e741 [PMID: 32573442]
  16. Heliyon. 2021 Dec;7(12):e08570 [PMID: 34901484]
  17. Am J Infect Control. 2021 May;49(5):547-554 [PMID: 33031864]
  18. Psychiatr Serv. 2004 Sep;55(9):1055-7 [PMID: 15345768]
  19. Int J Environ Res Public Health. 2022 Jan 04;19(1): [PMID: 35010814]
  20. Front Psychol. 2021 May 28;12:645460 [PMID: 34122233]
  21. J Clin Nurs. 2022 Aug;31(15-16):2167-2180 [PMID: 34606133]
  22. Int J Environ Res Public Health. 2021 Apr 20;18(8): [PMID: 33924084]
  23. Nurs Open. 2024 Jan;11(1):e2091 [PMID: 38268278]
  24. BMJ. 2020 May 05;369:m1642 [PMID: 32371466]
  25. Int J Soc Psychiatry. 2020 Jun;66(4):317-320 [PMID: 32233719]
  26. Hu Li Za Zhi. 2020 Jun;67(3):84-89 [PMID: 32495333]
  27. J Affect Disord. 2020 Dec 1;277:347-357 [PMID: 32861835]
  28. Int J Nurs Pract. 2018 Oct;24(5):e12664 [PMID: 29851209]
  29. BMJ Open. 2021 Jan 20;11(1):e046199 [PMID: 33472794]
  30. BMC Psychiatry. 2021 May 12;21(1):250 [PMID: 33980215]
  31. J Nurs Manag. 2020 Oct;28(7):1662-1669 [PMID: 32770772]

MeSH Term

Humans
Taiwan
Nurses, Public Health
Pandemics
COVID-19
Qualitative Research

Word Cloud

Created with Highcharts 10.0.0COVID-19studypandemichealthPHNspublicqualitativepreventionnursesfrontlineworkersworkexperiencesoutbreakstressincreaseexperienceAIM:coronavirusdisease2019substantialeffectcarecausedcomevariousformspressurefacehigh-riskchallengesenvironmentprofessionalcommitmentadaptabilitykeyconcernsaimdescribeMETHODS/DESIGN:TwentyworkedrecruitedsevencentrespostersDatacollectedin-depthinterviewscomprisedsemi-structuredopen-endedquestionssubsequentlydataanalysedcontentanalysisRESULTS:Threethemesemergedfindingsnamely1disorderliness2managingfear3establishmentnewnormalseverityworkloadassociatedepidemicpoliciescontinuemayinfectfamilymemberssensealienationdistancemustalsodealirrationalityreactionspeoplewithincommunityCONCLUSION:HealthdepartmentdirectorspolicymakersprovidenecessarysupportassistanceefficiencyeffortsPATIENTORPUBLICCONTRIBUTION:participantsagreedparticipateperiodTaiwan:

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