Primary care nurses during the coronavirus disaster and their struggle: Qualitative research

Abstract Background Coronavirus disease 2019 (COVID‐19) has substantially affected the health and lives of medical professionals. However, the experiences of nurses engaged in primary care remain unclear. We explored how nurses working in primary care were psychologically and socially affected by th...

Full description

Bibliographic Details
Main Authors: Junki Mizumoto, Toshichika Mitsuyama, Shinichiro Kumagaya, Masato Eto, Masashi Izumiya, Shoko Horita
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Journal of General and Family Medicine
Subjects:
Online Access:https://doi.org/10.1002/jgf2.566
_version_ 1798037263932719104
author Junki Mizumoto
Toshichika Mitsuyama
Shinichiro Kumagaya
Masato Eto
Masashi Izumiya
Shoko Horita
author_facet Junki Mizumoto
Toshichika Mitsuyama
Shinichiro Kumagaya
Masato Eto
Masashi Izumiya
Shoko Horita
author_sort Junki Mizumoto
collection DOAJ
description Abstract Background Coronavirus disease 2019 (COVID‐19) has substantially affected the health and lives of medical professionals. However, the experiences of nurses engaged in primary care remain unclear. We explored how nurses working in primary care were psychologically and socially affected by the COVID‐19 disaster and how they overcame the difficulties experienced. Methods We conducted a qualitative study of seven Japanese nurses working in primary care. Data collection was performed before, during, and after a workshop based on the Tojisha‐Kenkyu (user‐led research) framework to explore how the COVID‐19 disaster affected the nurses and how they coped. Data were analyzed using inductive thematic analysis. Results Three themes emerged from the analysis: effects of the COVID‐19 disaster on nurses, nurses' newly found strength during the pandemic, and their changes and achievements through the Tojisha‐Kenkyu framework. The first theme comprised four subthemes: fear of the unknown; difficulty in adaptation; dysfunction in patient care; and defilement and oppression. The second theme involved feeling in control and professionalism. The third theme, which was based on participants' discovery of “same and different” fellowships, showed work reconstruction and self‐understanding, which alleviated their difficulties. Conclusions The effect of the pandemic on nurses working in primary care ranges from work‐related frustration to daily life issues. The Tojisha‐Kenkyu method can help nurses to alleviate difficulties. Further research should be conducted to elucidate the constant burden on primary care professionals and establish appropriate occupational and daily life support during pandemics.
first_indexed 2024-04-11T21:24:14Z
format Article
id doaj.art-a23afbe7f5274b78bbece96a3e330384
institution Directory Open Access Journal
issn 2189-7948
language English
last_indexed 2024-04-11T21:24:14Z
publishDate 2022-09-01
publisher Wiley
record_format Article
series Journal of General and Family Medicine
spelling doaj.art-a23afbe7f5274b78bbece96a3e3303842022-12-22T04:02:31ZengWileyJournal of General and Family Medicine2189-79482022-09-0123534335010.1002/jgf2.566Primary care nurses during the coronavirus disaster and their struggle: Qualitative researchJunki Mizumoto0Toshichika Mitsuyama1Shinichiro Kumagaya2Masato Eto3Masashi Izumiya4Shoko Horita5Department of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education The University of Tokyo Tokyo JapanDepartment of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education The University of Tokyo Tokyo JapanTojisha‐Kenkyu Department, Research Center for Advanced Science and Technology The University of Tokyo Tokyo JapanDepartment of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education The University of Tokyo Tokyo JapanDepartment of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education The University of Tokyo Tokyo JapanDepartment of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education The University of Tokyo Tokyo JapanAbstract Background Coronavirus disease 2019 (COVID‐19) has substantially affected the health and lives of medical professionals. However, the experiences of nurses engaged in primary care remain unclear. We explored how nurses working in primary care were psychologically and socially affected by the COVID‐19 disaster and how they overcame the difficulties experienced. Methods We conducted a qualitative study of seven Japanese nurses working in primary care. Data collection was performed before, during, and after a workshop based on the Tojisha‐Kenkyu (user‐led research) framework to explore how the COVID‐19 disaster affected the nurses and how they coped. Data were analyzed using inductive thematic analysis. Results Three themes emerged from the analysis: effects of the COVID‐19 disaster on nurses, nurses' newly found strength during the pandemic, and their changes and achievements through the Tojisha‐Kenkyu framework. The first theme comprised four subthemes: fear of the unknown; difficulty in adaptation; dysfunction in patient care; and defilement and oppression. The second theme involved feeling in control and professionalism. The third theme, which was based on participants' discovery of “same and different” fellowships, showed work reconstruction and self‐understanding, which alleviated their difficulties. Conclusions The effect of the pandemic on nurses working in primary care ranges from work‐related frustration to daily life issues. The Tojisha‐Kenkyu method can help nurses to alleviate difficulties. Further research should be conducted to elucidate the constant burden on primary care professionals and establish appropriate occupational and daily life support during pandemics.https://doi.org/10.1002/jgf2.566COVID‐19family medicineoccupational stressprimary care nursingqualitative research
spellingShingle Junki Mizumoto
Toshichika Mitsuyama
Shinichiro Kumagaya
Masato Eto
Masashi Izumiya
Shoko Horita
Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
Journal of General and Family Medicine
COVID‐19
family medicine
occupational stress
primary care nursing
qualitative research
title Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
title_full Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
title_fullStr Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
title_full_unstemmed Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
title_short Primary care nurses during the coronavirus disaster and their struggle: Qualitative research
title_sort primary care nurses during the coronavirus disaster and their struggle qualitative research
topic COVID‐19
family medicine
occupational stress
primary care nursing
qualitative research
url https://doi.org/10.1002/jgf2.566
work_keys_str_mv AT junkimizumoto primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch
AT toshichikamitsuyama primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch
AT shinichirokumagaya primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch
AT masatoeto primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch
AT masashiizumiya primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch
AT shokohorita primarycarenursesduringthecoronavirusdisasterandtheirstrugglequalitativeresearch