What do nurses need to survive the emotional impacts of COVID-19?
In speaking to 20 nurses across the Greater Toronto Area from six hospitals, researchers found that nurses are experiencing emotional trauma and post-traumatic stress while treating COVID-19 patients.
It was during COVID-19âs first wave that professor Jennifer Lapum, who teaches in Ryersonâs Daphne Cockwell School of Nursing, was approached by a group of nurse leaders from a Toronto hospital with an important request. They wanted, and needed, Lapum to study nurses as they navigated the emotional roller coaster of front-line care.
âNurses were experiencing everything from fear of catching the virus, to uncertainty of not knowing what the virus was because it was so brand new, to helplessness as families said goodbye to loved ones on Zoom,â said Lapum.
Lapumâs study, titled, â, examines the âdire work environments'' that nurses are working under during COVID-19 and how emotions shape their nursing practice.
Persistent distress
The study involved speaking to 20 registered nurses across the Greater Toronto Area from six hospitals. Ultimately, the study uncovered experiences of emotional trauma and post-traumatic stress. Lapum refers to these experiences as âpowerful and persistent distress.â
â[Nurses] talked about being the âsacrificial lambâ because they often lacked access to high-quality personal protective equipment,â said Lapum. âThere were some powerful stories. I got emotional listening to their interviews as they spoke about being emotionally drained and physically exhausted with no time to deal with the grief and loss they were experiencing.â
While results of the study show clear emotional impacts, like fear, uncertainty, helplessness and sadness, it also shows resiliency and opportunity.
âOne nurse said to me, âyou canât be resilient without struggleâ and COVID-19 really is the struggle,â said Lapum. âBut there was such camaraderie and resilience amongst this group as well, and thatâs important.â
Opportunities for support
Lapum and her team of researchers have identified ways to âbetter support nurses in environments that are emotionally ladenâ with a series of recommendations to ensure that a nurseâs sacrifice is not all-encompassing.
âSome of these recommendations are simple and can be implemented right now, while others require provincial and federal fundingâ said Lapum.
Recommendations include:
- Increased presence of health-care leadership
- On-site access to psychological support
- Greater advocacy for adequate supply of personal protective equipment
- Support for the use of mental health days as sick days
Lapum hopes that this research helps Canadaâs health-care leaders and government bodies understand the emotional impacts that nurses are experiencing and encourages them to act by offering access to more support.
âIf we want to support nurseâs mental health and well-being and we want them to stay in the profession and stay dedicated to a particular hospital, this is needed.â
This research was funded by the Faculty of Community Services COVID-19 Rapid Response Research Grant, Ryerson University.
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