ABSTRACT

Nurses are living in unprecedented times and the first-line against the COVID-19 pandemic. Nurses see controversial issues and face different complications that lead to work-life conflicts and compromise patient safety. Finding volunteer nurses is a fantastic adventure in such a situation. This study attempted to analyze volunteer nurses’ experiences and factors influencing care in the COVID-19 pandemic situation. A qualitative descriptive study was applied from Jun to May 2021 in four different hospitals in Iran. Data was collected by Semi-structured interviews (N:13) with an open-ended question until data saturation. Data were analyzed using qualitative content analysis. The study was approved by the ethics committee of Birjand University medical and science and was conducted in achievement of the moral standards in terms of voluntary participation, the confidentiality of data, anonymity, and verbal informed consent. Two main themes obtained were “A faith-based approach” and “Care, an opportunity for spiritual transcendence.” Five categories are “Belief in a divine destiny,” “Transformation of life meaning”, “spiritual hedonism”, “Wise self-sacrifice”, and “Sacred Defense” and ten subcategories were extracted that indicated volunteer nurses’ perspectives during the COVID-19 outbreak. Cultural and individual factors lead to making decisions in nurses. Themes indicate that spiritual perspectives, ethical issues, and religious points of view are factors that can influence willingness, commitment, and function of nurses. Spiritual transcendence is one of the most valuable humanistic situations that manifest for nurses than normal circumstances. It is pivotal for senior educational and clinical managers to identify, develop, and strengthen the capacity of nurses with such a vision to recruit them in high-responsibility departments, and know-how to transfer these perspectives to the next generation of nurses.

摘要

护士生活在前所未有的时代，站在抗击新冠肺炎 (COVID-19) 大流行的第一线。护士会看到有争议的问题并面临不同的并发症，这些并发症会导致工作与生活冲突并危及患者安全。在这种情况下寻找志愿护士是一次奇妙的冒险。本研究试图分析志愿者护士在 COVID-19 大流行情况下的经验和影响护理的因素。2021 年 6 月至 5 月在伊朗四家不同医院进行了一项定性描述性研究。通过半结构化访谈（N：13）和开放式问题收集数据，直到数据饱和。使用定性内容分析对数据进行分析。该研究得到了比尔詹德大学医学和科学伦理委员会的批准，并在自愿参与、数据保密、匿名和口头知情同意方面达到了道德标准。获得的两个主题是“基于信仰的方法”和“关怀，精神超越的机会”。五个类别是“对神圣命运的信仰”、“生命意义的转变”、“精神享乐主义”、“明智的自我牺牲”和“神圣的防御”，并提取了十个子类别，反映了志愿者护士在新冠肺炎期间的观点。 19日爆发。文化和个人因素导致护士做出决定。主题表明精神观点、伦理问题和宗教观点是可以影响意愿、承诺、和护士的职能。精神超越是护士所表现出的比正常情况最有价值的人文情境之一。对于高级教育和临床管理人员来说，识别、发展和加强具有这种愿景的护士的能力至关重要，以便在高责任部门中招募他们，并了解如何将这些观点传递给下一代护士。