A qualitative study of nurses' perceptions of caring for patients with Covid-19
| ISRCTN | ISRCTN41048497 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN41048497 |
| Secondary identifying numbers | IRB 1605198 |
- Submission date
- 20/08/2023
- Registration date
- 04/09/2023
- Last edited
- 04/09/2023
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English Summary
Background and study aims
This study was a study of nurses working at a specific medical center in the USA to understand the nurses' perceptions and experiences of caring for adult patients with Covid-19 at the beginning of the pandemic in the USA. The purpose of the study was to understand the nurses' perception of caring for patients with Covid-19, overr a period of about one year.
Who can participate?
Nurses caring for hospitalized adults with Covid-19 at a specific facility were approached, to participate in the study. Nurses were selected by chance, based on the specialized unit where they normally worked.
What does the study involve?
Private interviews were held with 41 nurses at three time points: the beginning of the pandemic, about six to nine months later, and again at about six months later. Interviews were taped and transcribed, with formal consent from each participant. Transcripts of the interviews were examined for common statements and feelings. A summary and discussion of the interviews were conducted and verified using established techniques. Nurses specializing in research (PhD prepared) conducted the interviews and checked the analysis. Two other nurses on the team had a masters in nursing or a doctorate in nursing practice.
What are the possible benefits and risks of participating?
None
Where is the study run from?
Atlantic Health System/Morristown Medical Center (USA)
When is the study starting and how long is it expected to run for?
May 2020 to December 2022
Who is funding the study?
Atlantic Health System/Morristown Medical Center (USA)
Who is the main contact?
Mildred Ortu Kowalski, PhD, RN, NE-BC, Mildred.Kowalski@atlantichealth.org
Contact information
Principal Investigator
14 Newman Place
East Hanover
07936
United States of America
 ORCID ID |
0000-0002-0079-9102 |
|---|---|
| Phone | +1 9735159636 |
| m_ortu@usa.net |
Study information
| Study design | Qualitative randomized longitudinal study |
|---|---|
| Primary study design | Observational |
| Secondary study design | Longitudinal study |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | Not available in web format, please use the contact details to request a patient information sheet. |
| Scientific title | A longitudinal study of forty-one clincial nurses caring for hospitlaized adults with Covid-19 during March-April 2020 |
| Study acronym | QualNrsC19 |
| Study hypothesis | This qualitative study explored the perceptions of nurses, working in a single institution, caring for patients with Covid-19 early in the pandemic to understand what compelled nurses to come to work during the pandemic. |
| Ethics approval(s) |
Approved 22/05/2020, Atlantic Health System Institutional Review Board (475 South Street, Morristown, 07960, United States of America; +1 973 660 3128; Anita.Richards@atlantichealth.org), ref: IRB 1605198 |
| Condition | Nurses caring for patients with Covid-19 in a single institution. |
| Intervention | Nurses working a minimum of 12 hours during the initial peak of the pandemic in the USA were interviewed up to three times to explore perceptions of caring for adult patients with Covid-19. Randomization was conducted to include nurses from a variety of specialty units. |
| Intervention type | Other |
| Primary outcome measure | Transcripts of interviews (Phase 1, 2, 3) were analyzed for common themes. Data were analyzed for themes that changed over time. A phenomenological methodology was used to analyze the interviews conducted to explore perceptions of nurses caring for adult patients during the onset of the pandemic in New Jersey, USA. An analysis of professional self-image, memories, communication and advice to others were explored over three individual interviews. Philosophical linkages were explored. |
| Secondary outcome measures | There are no secondary outcome measures. |
| Overall study start date | 22/05/2020 |
| Overall study end date | 27/12/2022 |
Eligibility
| Participant type(s) | Health professional, Employee, Other |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 80 Years |
| Sex | Both |
| Target number of participants | 40 |
| Total final enrolment | 41 |
| Participant inclusion criteria | 1. Registered nurses employed by Morristown Medical Center (MMC), who worked at least 12 hours during the peak of the pandemic at MMC 2. Consenting individuals 3. Willing to participate in three taped interviews over a period of approximately nine - 12 months. |
| Participant exclusion criteria | 1. Non-consenting individuals 2. Individuals who are not nurses 3. Nurses not caring for patients hospitalized at the designated medical center 4. Nurses not caring for patients with Covid-19 at least 12 hours during the designated time period |
| Recruitment start date | 23/05/2020 |
| Recruitment end date | 04/11/2020 |
Locations
Countries of recruitment
- United States of America
Study participating centre
Morristown
07960
United States of America
Sponsor information
Hospital/treatment centre
100 Madison Avenue
Morristown
07960
United States of America
| Phone | +1 9739714239 |
|---|---|
| Anita.Richards@atlantichealth.org | |
| Website | https://www.atlantichealth.org/locations/hospitals/morristown-medical-center.html |
Funders
Funder type
Hospital/treatment centre
No information available
Results and Publications
| Intention to publish date | 31/12/2023 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal |
| IPD sharing plan | Individual participant data is not expected to be made available as a matter of confidentiality in agreement with consenting parties. |
Editorial Notes
04/09/2023: Trial's existence confirmed by Atlantic Health System Institutional Review Board.
