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dc.contributor.authorCarnesten, Hillewi
dc.contributor.authorvon Heideken Wågert, Petra
dc.contributor.authorWiklund Gustin, Lena
dc.contributor.authorToivanen, Susanna
dc.contributor.authorSkoglund, Karin
dc.contributor.authorJaarsma, , Tiny
dc.contributor.authorAndreae, Christina
dc.date.accessioned2024-10-16T10:50:07Z
dc.date.available2024-10-16T10:50:07Z
dc.date.issued2024-02-02
dc.description.abstractAim To explore healthcare workers' experiences of the changed caring reality during the COVID-19 pandemic in Sweden. <p><p>Design An online fully mixed-methods design. <p>Methods A web-based self-reported questionnaire with fixed and open-ended answers collected data from March to April 2021, analysed in three steps. First, free-text questions were analysed by qualitative content analysis. Then quantitative linear regression analyses using models covering stress and coping mechanisms were conducted. Finally, a meta-inference of qualitative and quantitative data emerged a new comprehensive understanding. The COREQ guidelines were used for reporting. <p>Results Meta-inferenced results of quantitative and qualitative findings show the pandemic was a traumatic experience for healthcare workers. Main theme; When work became a frightening experience in a dehumanized reality, comprised four themes: Entering unprepared into a frightful, incomprehensible world; Sacrificing moral values and harbouring dilemmas in isolation; Lack of clear management; and Reorient in togetherness and find meaning in a changed reality. Qualitative results comprised four categories; Working in a dehumanized world; Living in betrayal of ones' own conscience; Lack of structure in a chaotic time and Regaining vitality together. Subdimensions comprehensibility and meaningfulness were associated significantly with post-traumatic stress disorder in multiple regression analysis. In multiple regression analysis, sense of coherence was the most prominent coping strategy. <p>Conclusions Forcing oneself to perform beyond one's limit, sacrificing moral values and lacking management was a traumatic experience to healthcare workers during the pandemic. Reorienting as a way of coping was possible in togetherness with colleagues. There is an urgency of interventions to meet the needs among healthcare workers who took on a frontline role during the COVID-19 pandemic and to prevent mental health illness in future crisis. Patient or Public Contribution No patient or public contribution. Summary The pandemic outbreak exposed frontline healthcare workers to unparallelled stress shown as negative for their mental health in several meta-analyses and systematic reviews. In-depth understanding on experiences and how symptoms of post-traumatic stress disorder relate to coping mechanisms have been scarcely explored. This study contributes to understanding on healthcare workers' experiences and the relation between lower sense of coherence and increased risk of developing symptoms of post-traumatic stress disorder. Implications for Practice/Policy This study might guide how to prepare for resilience in future emergencies.en_US
dc.identifier.citationCarnesten, von Heideken Wågert, Wiklund Gustin, Toivanen, Skoglund, Jaarsma,, Andreae. Struggling in the dehumanized world of COVID—An exploratory mixed-methods study of frontline healthcare workers' experiences. Journal of Advanced Nursing. 2024en_US
dc.identifier.cristinIDFRIDAID 2242736
dc.identifier.doi10.1111/jan.16083
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.urihttps://hdl.handle.net/10037/35257
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalJournal of Advanced Nursing
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.subjectVDP::Medisinske fag: 700::Helsefag: 800::Sykepleievitenskap: 808en_US
dc.subjectVDP::Midical sciences: 700::Health sciences: 800::Nursing science: 808en_US
dc.subjectCovid-19 / Covid-19en_US
dc.subjectHelsepersonell / Health professionalsen_US
dc.subjectSykehus / Hospitalsen_US
dc.titleStruggling in the dehumanized world of COVID—An exploratory mixed-methods study of frontline healthcare workers' experiencesen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)