Gilo Ericka Louise C, Tuanquin Maricel Grace T, Bangayan Carina Luisa G, Arada Jennifer Anne O, Ticar Frese L, Juano Aubrey Jell B, Araquil Jacqueline B, Rosales Neil Roy B, Rosete Angelique A
Department of Medicine, Philippine General Hospital, University of the Philippines Manila.
Division of Nursing Research and Development, Philippine General Hospital, University of the Philippines Manila.
Acta Med Philipp. 2024 Sep 13;58(16):103-116. doi: 10.47895/amp.v58i16.8416. eCollection 2024.
Nurses are at the forefront of caring for patients during the height of the COVID-19 pandemic. Nurses themselves are exposed to serious risk and even death while providing care for these patients. Among other healthcare professionals, nurses are mostly exposed to psychologically distressing situations during this time of crisis. Fear of COVID-19 can affect nurses' overall well-being, which in turn may affect their job performance and lead to a decline in the quality of patient care.
To determine the level of fear of COVID-19, and to explore the experiences of COVID-19-related fear of frontline nurses in a national university hospital in the Philippines.
To achieve the study objectives, the study utilized a convergent mixed methodology approach. In the quantitative phase, a random sample of participants completed the Fear of COVID-19 scale (FCV-19S) in order to assess their level of fear of COVID-19. Semi-structured interviews were conducted in the qualitative strand. Participants in the qualitative phase was selected using maximum variation sampling. Integration of data was done through a narrative contiguous approach.
Quantitative data was obtained from 206 frontline registered nurses. The mean age of the participants was 35.5 years (SD =8.17). Overall, the composite score of the fear of COVID-19 scale was 21.76 (SD = 4.92), indicating an elevated level of fear. Having friends and relatives who tested positive predicted fear of COVID-19 (β = -3.658; = 0.005; CI: -6.213 to -1.104). Three major themes categories emerged from qualitative data analysis: (1) balancing feelings of fear and moral obligation, (2) challenges experienced while providing frontline work, and (3) resilience amidst challenges. For the reporting and integration of our mixed-method results, a narrative contiguous approach was implemented.
Frontline nurses reported an elevated level of fear during the height of the COVID-19 pandemic. This study was also able to capture the impact of COVID-19 on the mental health of nurses, specifically on their fear experiences. Understanding the underlying causes of fear, such as uncertainties surrounding guidelines and protocols, shortage of personal protective equipment, and moral distress, offers invaluable insights for shaping proactive strategies and policies aimed at mitigating these concerns in subsequent pandemics.
在新冠疫情高峰期，护士处于照顾患者的最前沿。护士在为这些患者提供护理时自身面临严重风险甚至死亡。在其他医疗专业人员中，护士在此次危机期间大多暴露于心理压力较大的情况。对新冠病毒的恐惧会影响护士的整体幸福感，进而可能影响其工作表现并导致患者护理质量下降。
确定对新冠病毒的恐惧程度，并探索菲律宾一家国立大学医院一线护士与新冠病毒相关的恐惧经历。
为实现研究目标，本研究采用了收敛性混合方法。在定量阶段，随机抽取参与者完成新冠病毒恐惧量表（FCV - 19S）以评估他们对新冠病毒的恐惧程度。在定性部分进行了半结构化访谈。定性阶段的参与者采用最大变异抽样法选取。数据整合通过叙述性连续法完成。
从206名一线注册护士那里获得了定量数据。参与者的平均年龄为35.5岁（标准差 = 8.17）。总体而言，新冠病毒恐惧量表的综合得分为21.76（标准差 = 4.92），表明恐惧程度较高。有检测呈阳性的朋友和亲属可预测对新冠病毒的恐惧（β = -3.658；P = 0.005；置信区间：-6.213至-1.104）。定性数据分析得出三个主要主题类别：（1）平衡恐惧情绪与道德义务，（2）提供一线工作时遇到的挑战，（3）在挑战中保持韧性。为了报告和整合我们的混合方法结果，采用了叙述性连续法。
一线护士报告在新冠疫情高峰期恐惧程度较高。本研究还能够捕捉到新冠病毒对护士心理健康的影响，特别是对他们恐惧经历的影响。了解恐惧的潜在原因，如指南和规程的不确定性、个人防护设备短缺以及道德困扰，为制定旨在减轻后续疫情中这些问题的积极策略和政策提供了宝贵见解。
