When and how we cannot bear it anymore? A thematic synthesis of global qualitative studies about psychological experiences of the healthcare staff during the COVID-19 pandemic

Document Type : Review Article

Authors

1 Ph.D. student, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Iran.

2 Associate professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Iran.

3 Assistant professor, Department of Psychology and Education of Children with Special Needs, Faculty of Education and Psychology, University of Isfahan, Iran.

Abstract

Introduction: This study aimed to use the thematic synthesis method to review qualitative research about the psychological experiences of healthcare staff during the COVID-19 pandemic.
 
Materials and Methods: Out of 218 English articles that are found in PsycINFO, Web of Science, Medline, and Google Scholar databases from 2019 to 2021, 22 articles met the inclusion criteria. The process of thematic synthesis was performed based on Thomas and Harden's analysis method in three stages open coding, organizing codes into common categories, and finally creating the main themes.
 
Results: After analyzing the results, five main themes were extracted including compassion fatigue, factors affecting compassion fatigue, compassion satisfaction, factors affecting compassion satisfaction, and strategic recommendations.
 
Conclusion: According to the findings, it can be concluded that the healthcare staff experienced both compassion fatigue and compassion satisfaction during the COVID-19 pandemic. Compassion fatigue and satisfaction can affect the psychological state of the healthcare staff as well as the quality of care they provide. The underlying factors of both concepts are discussed and some recommendations are provided.

Keywords


  1. World Health Organization (WHO). Coronavirus disease (COVID-2019) situation reports -51. [cited 2020]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
  2. World Health Organization (WHO). WHO Coronavirus Disease (COVID-19) Dashboard. [cited 2020]. Available from: https://covid19.who.int/
  3. Fish JN, Mittal M. Mental health providers during COVID-19: Essential to the US public health workforce and in need of support. Public Health Rep 2021; 136(1): 14-7.
  4. Fawaz M, Samaha A. The psychosocial effects of being quarantined following exposure to COVID-19: A qualitative study of Lebanese health care workers. Int J Soc Psychiatry 2020; 66(6): 560-5.
  5. Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring nurses' perception of taking care of patients with coronavirus disease (COVID-19): A qualitative study. Nurs Open 2021; 8(1): 171-9.
  6. Mattila E, Peltokoski J, Neva MH, Kaunonen M, Helminen M, Parkkila A-K. COVID-19: Anxiety among hospital staff and associated factors. Ann Med 2021; 53(1): 237-46.
  7. Kalateh Sadati A, Zarei L, Shahabi S, Heydari ST, Taheri V, Jiriaei R, et al. Nursing experiences of COVID‐19 outbreak in Iran: A qualitative study. Nurs Open 2021; 8(1): 72-9.
  8. Alizadeh A, Khankeh HR, Barati M, Ahmadi Y, Hadian A, Azizi M. Psychological distress among Iranian health-care providers exposed to coronavirus disease 2019 (COVID-19): A qualitative study. BMC Psychiatry 2020; 20(1):
    1-10.
  9. Tan R, Yu T, Luo K, Teng F, Liu Y, Luo J, et al. Experiences of clinical first-line nurses treating patients with COVID‐19: A qualitative study. J Nurs Manag 2020; 28(6): 1381-90.
  10. Naghavi A, Salimi S. An autoethnography of vicarious trauma and vicarious growth in the context of rehabilitation counseling. Iran J Psychiatry Behav Sci 2018; 12(4): e62687.
  11. Lang KR, Micah Hester D. The centrality of relational autonomy and compassion fatigue in the COVID-19 era. Am J Bioeth 2021; 21(1): 84-6.
  12. Buselli R, Corsi M, Baldanzi S, Chiumiento M, Del Lupo E, Dell'Oste V, et al. Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19). Int J Environ Res Public Health 2020; 17(17): 6180.
  13. Staub E, Pearlman LA, Gubin A, Hagengimana A. Healing, reconciliation, forgiving and the prevention of violence after genocide or mass killing: An intervention and its experimental evaluation in Rwanda. J Soc Clin Psychol 2005; 24(3): 297-334.
  14. Skovholt TM, Trotter-Mathison M. The resilient practitioner: Burnout prevention and self-care strategies for counselors, therapists, teachers, and health professionals. London: Routledge; 2014.
  15. Coetzee SK, Laschinger HK. Toward a comprehensive, theoretical model of compassion fatigue: A n integrative literature review. Nurs Health Sci 2018; 20(1): 4-15.
  16. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. Aqualitative study on the psychologycal experience of caregivers of COVID-19 patient. Am J Infect Control 2020; 48(6): 5928.
  17. Lynch SH. Looking at compassion fatigue differently: application to family caregivers. Am J Health Educ 2018; 49(1): 9-11.
  18. Edmunds M. Caring too much: compassion fatigue in nursing. Appl Nurs Res 2010; 23(4): 191-7.
  19. Zakeri MA, Bazmandegan G, Ganjeh H, Zakeri M, Mollaahmadi S, Anbariyan A, et al. Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross-sectional study. Nurs Open 2021; 8(1): 354-63.
  20. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 2008; 8(1): 1-10.
  21. Asgari Z, Naghavi, A. [Explaining post-traumatic growth: Thematic synthesis of qualitative research]. Iranian journal of psychiatry and clinical psychology 2019; 25(2): 222-34. (Persian)
  22. Long HA, French DP, Brooks JM. Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Res Methods Med Health Sci 2020; 1(1): 31-42.
  23. Schroeder K, Norful AA, Travers J, Aliyu S. Nursing perspectives on care delivery during the early stages of the covid-19 pandemic: A qualitative study. Int J Nurs Stud Adv 2020; 2: 100006.
  24. Norful AA, Rosenfeld A, Schroeder K, Travers JL, Aliyu S. Primary drivers and psychological manifestations of stress in frontline healthcare workforce during the initial COVID-19 outbreak in the United States. Gen Hosp Psychiatry 2021; 69: 20-6.
  25. Gordon JM, Magbee T, Yoder LH. The experiences of critical care nurses caring for patients with COVID-19 during the 2020 pandemic: A qualitative study. Appl Nurs Res 2021; 59: 151418.
  26. Sterling MR, Tseng E, Poon A, Cho J, Avgar AC, Kern LM, et al. Experiences of home health care workers in New York City during the coronavirus disease 2019 pandemic: A qualitative analysis. JAMA Intern Med 2020; 180(11):
    1453-9.
  27. Iheduru-Anderson K. Reflections on the lived experience of working with limited personal protective equipment during the COVID‐19 crisis. Nurs Inq 2021; 28(1): e12382.
  28. Nyashanu M, Pfende F, Ekpenyong MS. Triggers of mental health problems among frontline healthcare workers during the COVID-19 pandemic in private care homes and domiciliary care agencies: Lived experiences of care workers in the Midlands region, UK. Health Soc Care Community 2022; 30(2): e370-e6.
  29. Collado-Boira EJ, Ruiz-Palomino E, Salas-Media P, Folch-Ayora A, Muriach M, Baliño P. The COVID-19 outbreak-An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurs Educ Today 2020;
    92: 104504.
  30. Jones KF, Washington J, Kearney M, Best MC. Responding to the “unknown assailant”: A qualitative exploration with Australian health and aged care chaplains on the impact of COVID-19. J Health Care Chaplain 2020: 1-15.
  31. Ardebili ME, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare providers experience of working during the COVID-19 pandemic: a qualitative study. Am J Infect Control 2021; 49(5): 547-54.
  32. Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: A qualitative study. BMC Psychiatry 2020; 20(1): 1-9.
  33. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. Lancet Glob Health 2020; 8(6): e790-e8.
  34. Zhang Y, Wei L, Li H, Pan Y, Wang J, Li Q, et al. The psychological change process of frontline nurses caring for patients with COVID-19 during its outbreak. Issues Ment Health Nurs 2020; 41(6): 525-30.
  35. Gao X, Jiang L, Hu Y, Li L, Hou L. Nurses’ experiences regarding shift patterns in isolation wards during the COVID‐19 pandemic in China: A qualitative study. J Clin Nurs 2020; 29(21-22): 4270-80.
  36. Lee N, Lee H-J. South Korean nurses’ experiences with patient care at a COVID-19-designated hospital: Growth after the frontline battle against an infectious disease pandemic. Int J Environ Res Public Health 2020; 17(23): 9015.
  37. Kackin O, Ciydem E, Aci OS, Kutlu FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. Int J Soc Psychiatry 2021; 67(2): 158-67.
  38. Munawar K, Choudhry FR. Exploring stress coping strategies of frontline emergency health workers dealing Covid-19 in Pakistan: A qualitative inquiry. Am J Infect Control 2021; 49(3): 286-92.
  39. Buheji M, Jahrami H, Dhahi A. Minimising stress exposure during pandemics similar to COVID-19. Int J Psychol Behav Sci 2020; 10(1): 9-16.
  40. Aghili SM, Arbabi M. The COVID-19 pandemic and the health care providers; what does it mean psychologically. Adv J Emerg Med 2020; 4(2): e63.
  41. Naghavi A, Zamani-Forooshani F. Fatigue and satisfaction due to compassion: The experiences of mother caregivers of a child with disability. Journal of applied sociology 2019; 30(4): 5-8.