Vol. 2 No. 2 (2023): Promoting Integrative Healthcare: Education, Policy, and Management

Original Research Article

Behind the curtain: A narrative inquiry into nurses’ working experience in the COVID-19 referral facility in Southern Philippines

Norhanisa D. Rangaig
College of Health Sciences, Mindanao State University, Marawi City, Philippines
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Ashley A. Bangcola
College of Health Sciences, Mindanao State University, Marawi City, Philippines
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Keywords

COVID-19, nurses, isolation, narrative inquiry, working experience, Philippines

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Accepted for publication: 2023-08-21
Peer reviewed: Yes


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Abstract

Background: During the global spread of the COVID-19 pandemic, nurses emerged as the forefront responders, directly confronting the outbreak and risking their well-being to provide essential care to patients afflicted by the virus. However, there is a lack of studies focusing on Filipino nurses’ working experiences.

Objective: This study explored nurses’ working experiences in a COVID-19 referral facility in Lanao del Sur, Southern Philippines.

Methods: A qualitative narrative inquiry design was employed. A semi-structured interview was used in the study to evaluate the nurses’ experiences at the COVID-19 referral center during the early stages of the pandemic. Data were collected from April to May 2022. A thematic analysis process was used for data analysis.

Results: Three main themes were generated: 1) Working in a COVID-19 referral facility is not a matter of choice, skills mastery, or readiness, 2) Actual experience of working in the COVID-19 referral facility can be both physically and psychologically exhausting, but it brings about self-fulfillment, and 3) Social support and non-scientific sources of support can assist nurses in coping with difficulty and stress associated with working the COVID-19 facility.

Conclusion: Getting through the pandemic was not easy. This study lifted the curtain that has been kept closed from the eyes of the general public for more than two years. Despite nurses being seen as resilient towards their job, it exposed their vulnerable sides that they never talked about. It also helped us grasp what it meant for nurses who worked tirelessly in the COVID-19 isolation area, a task that only a few nurses took on. These findings can provide insights for healthcare leaders on how to help nurses during tough times.


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Declaration of Conflicting Interest

The authors declared no competing interests in this study.

Acknowledgment

The authors would like to thank all the participants who took part in the study.

Authors’ Contributions

NDR contributed to all stages of the study, from inception to dissemination. AAB contributed to the literature review, data entry, participant care, and contributing to manuscript preparation. Together, their collaborative efforts drive the success of the study. All authors met ICMJE authorship criteria, were accountable for each step of the study, and approved the final version of the article to be published.

Data Availability Statement

Data were available upon request to the corresponding author.

Declaration of the Use of AI in Scientific Writing

Nothing to declare.

References

Al Jazeera. (2020). Coronavirus: Travel restrictions, border shutdowns by country. Al Jazeera News. https://www.aljazeera.com/news/2020/6/3/coronavirus-travel-restrictions-border-shutdowns-by-country

Almino, R. H. S. C., Oliveira, S. S. d., Lima, D. M. d., Prado, N. C. d. C., Mercês, B. M. O., & Silva, R. A. R. d. (2021). Occupational stress in the context of COVID-19: Analysis based on Neuman’s theory. Acta Paulista de Enfermagem, 34, eAPE002655. https://doi.org/10.37689/acta-ape/2021AR02655

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Chandra, A., Chakraborty, U., Ghosh, S., & Dasgupta, S. (2022). Anticoagulation in COVID-19: Current concepts and controversies. Postgraduate Medical Journal, 98(1159), 395-402. https://doi.org/10.1136/postgradmedj-2021-139923

De los Santos, J. A. A., & Labrague, L. J. (2021). The impact of fear of COVID-19 on job stress, and turnover intentions of frontline nurses in the community: A cross-sectional study in the Philippines. Traumatology, 27(1), 52-59. https://doi.org/10.1037/trm0000294

Dreyfus, S. E., & Dreyfus, H. L. (1980). A five-stage model of the mental activities involved in directed skill acquisition [Unpublished report]. Operations Research Center, University of California

Earvolino Ramirez, M. (2007). Resilience: A concept analysis. Nursing Forum, 42, 73-82. https://doi.org/10.1111/j.1744-6198.2007.00070.x

El-Masri, M. M., & Roux, G. (2020). Can COVID-19 mark the rediscovery of nursing? Canadian Journal of Nursing Research, 52(3), 174-175. https://doi.org/10.1177/0844562120921583

Fawcett, J. (2005). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (2nd ed.). Philadelphia: FA Davis.

Felemban, O. O., Kassem, F. K., Almutary, H., Alharazi, R., Al-Zahrani, A., Alharbi, R. Y., & Khan, R. A. (2022). The influence of workload during the COVID-19 pandemic on the social life of the nurses. Journal of Healthcare Administration, 1(2), 35-45. https://doi.org/10.33546/joha.2304

Fontana, A., & Frey, J. H. (2008). The interview: From neutral stance to political involvement. In N. K. Denzin & Y. S. Lincoln (Eds.), Collecting and interpreting qualitative materials (3rd ed., pp. 115-159). Sage Publications Ltd.

Galehdar, N., Kamran, A., Toulabi, T., & Heydari, H. (2020). Exploring nurses’ experiences of psychological distress during care of patients with COVID-19: A qualitative study. BMC Psychiatry, 20(1), 1-9. https://doi.org/10.1186/s12888-020-02898-1

LoGiudice, J. A., & Bartos, S. (2021). Experiences of nurses during the COVID-19 pandemic: A mixed-methods study. AACN Advanced Critical Care, 32(1), 14-26. https://doi.org/10.4037/aacnacc2021816

Nashwan, A. J., Abujaber, A. A., Villar, R. C., Nazarene, A., Al-Jabry, M. M., & Fradelos, E. C. (2021). Comparing the impact of COVID-19 on nurses’ turnover intentions before and during the pandemic in Qatar. Journal of Personalized Medicine, 11(6), 456. https://doi.org/10.3390/jpm11060456

Neuman, B. (1997). The Neuman systems model: Reflections and projections. Nursing Science Quarterly, 10(1), 18-21. https://doi.org/10.1177/089431849701000108

Pappas, G., Kiriaze, I. J., Giannakis, P., & Falagas, M. E. (2009). Psychosocial consequences of infectious diseases. Clinical Microbiology and Infection, 15(8), 743-747. https://doi.org/10.1111/j.1469-0691.2009.02947.x

Polk, K. (1997). A reexamination of the concept of victim-precipitated homicide. Homicide Studies, 1(2), 141-168. https://doi.org/10.1177/1088767997001002004

Rathnayake, S., Dasanayake, D., Maithreepala, S. D., Ekanayake, R., & Basnayake, P. L. (2021). Nurses’ perspectives of taking care of patients with Coronavirus disease 2019: A phenomenological study. PloS One, 16(9), e0257064. https://doi.org/10.1371/journal.pone.0257064

Riessman, C. K. (2007). Narrative methods for the human sciences. London: SAGE Publications. https://books.google.co.th/books?id=RdN1AwAAQBAJ

RilleraMarzo, R., Villanueva Iii, E. Q., Chandra, U., Htay, M. N. N., Shrestha, R., & Shrestha, S. (2021). Risk perception, mental health impacts and coping strategies during COVID-19 pandemic among Filipino healthcare workers. Journal of Public Health Research, 10(2_suppl), jphr-2021. https://doi.org/10.4081/jphr.2021.2604

Sadang, J. M. (2021). The lived experience of Filipino nurses’ work in COVID-19 quarantine facilities: A descriptive phenomenological study. Pacific Rim International Journal of Nursing Research, 25(1), 154-164.

Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., & You, Y. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 48(6), 592-598. https://doi.org/10.1016/j.ajic.2020.03.018

Tang, C. J., Lin, Y. P., & Chan, E. Y. (2021). ‘From expert to novice’, perceptions of general ward nurses on deployment to outbreak intensive care units during the COVID‐19 pandemic: A qualitative descriptive study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.16029

Tomacruz, S. (2020). PH health workers infected with coronavirus reach 5,008. https://www.rappler.com/nation/health-workers-coronavirus-cases-philippines-august-3-2020/

Turner, S. B., & Kaylor, S. D. (2015). Neuman systems model as a conceptual framework for nurse resilience. Nursing Science Quarterly, 28(3), 213-217. https://doi.org/10.1177/0894318415585620

Villar, R. C., Nashwan, A. J., Mathew, R. G., Mohamed, A. S., Munirathinam, S., Abujaber, A. A., Al‐Jabry, M. M., & Shraim, M. (2021). The lived experiences of frontline nurses during the coronavirus disease 2019 (COVID‐19) pandemic in Qatar: A qualitative study. Nursing Open, 8(6), 3516-3526. https://doi.org/10.1002/nop2.901

Xu, H., Stjernswärd, S., & Glasdam, S. (2021). Psychosocial experiences of frontline nurses working in hospital-based settings during the COVID-19 pandemic-A qualitative systematic review. International Journal of Nursing Studies Advances, 3, 100037. https://doi.org/10.1016/j.ijnsa.2021.100037


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