Death and resistance: professionals on the front line against COVID-19
DOI:
https://doi.org/10.1590/1982-4327e3209Keywords:
Occupational health, Stress, Public health, Hospital administration, PhenomenologyAbstract
The COVID-19 pandemic has intensely affected the quality of life and labor conditions of healthcare workers (HCWs). This study sought to understand the experiences of 16 professionals in medicine, nursing and physical therapy who work on the “frontline” of the new Coronavirus. A phenomenological design was used. Results were organized into four axes: (a) the impact of the arrival of the pandemic; (b) participants’ progressive exhaustion; (c) fear and coping; and (d) rethinking life and death. Experiences of anguish, anxiety, depression, and physical and psychological health problems stand out. It was possible to observe that the lack of national coordination, in addition to unscientific political positions, were felt as an aggravating factor for work demands, and that impotence in the face of the disease implicated in rethinking the meaning of life and death. According to the JD-R model, the need to expand resources and emotional support so HCWs can properly manage psychosocial risk factors at work is evident.
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Arafa, A., Mohammed, Z., Mahmoud, O., Elshazley, M., & Ewis, A. (2020). Depressed, anxious, and stressed: What have healthcare workers on the frontlines in Egypt and Saudi Arabia experienced during the COVID-19 pandemic? Journal of Affective Disorders, 278, 365-371. doi:10.1016/j.jad.2020.09.080
Ardebili, D. M. E., Naserbakht, D. M., Bernstein, C., Alazmani-Noodeh, M. F., Hakimi, M. H., & Ranjbar, D. H. (2020). Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. American Journal of Infection Control, 49(5), 547-554. doi:10.1016/j.ajic.2020.10.001
Bakker, A. B., & Demerouti, E. (2007). The job demands‐resources model: State of the art. Journal of Managerial Psychology, 22(3), 309-328. doi:10.1108/02683940710733115
Benn, A. (2017). Dealing with death. Australian Nursing & Midwifery Journal, 24(7), 27.
Bennett, P., Noble, S., Johnston, S., Jones, D., & Hunter, R. (2020). COVID-19 confessions: A qualitative exploration of healthcare workers experiences of working with COVID-19. BMJ Open, 10(12), e043949. doi:10.1136/ bmjopen-2020-043949
Borges, L. O., Barbosa, S. C., & Guimarães, L. A. M. (Orgs.). (2021). Psicossociologia do Trabalho: Temas contemporâneos [Psychosociology of work: Contemporary themes]. Curitiba, PR: CRV.
Brisola, E. B. V., Cury, V. E., & Davidson, L. (2017). Building comprehensive narratives from dialogical encounters: A path in search of meanings. Estudos de Psicologia (Campinas), 34(4), 467-475. doi:10.1590/1982-02752017000400003
Britt, T. W., Shuffler, M. L., Pegram, R. L., Xoxakos, P., Rosopa, P. J., Hirsh, E., & Jackson, W. (2021). Job demands and resources among healthcare professionals during virus pandemics: A review and examination of fluctuations in mental health strain during COVID-19. Applied Psychology, 70(1), 120-149. doi:10.1111/apps.12304
Buselli, R., Corsi, M., Baldanzi, S., Chiumiento, M., Del Lupo, E., Dell’Oste, V., … Carmassi, C. (2020). Professional quality of life and mental health outcomes among health care workers exposed to Sars-Cov-2 (Covid-19). International Journal of Environmental Research and Public Health, 17(17), 6180. doi:10.3390/ijerph17176180
Coe, C. (2019). Meaningful deaths: Home health workers' mediation of deaths at home. Medical Anthropology, 39(1), 96-108. doi:10.1080/01459740.2019.1693560
Duarte, I., Teixeira, A., Castro, L., Marina, S., Ribeiro, C., Jácome, C., ... Serrão, C. (2020). Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health, 20(1), 1885. doi:10.1186/s12889-020-09980-z
Fernandes, C. M., Oliveira, L. A., Campos, M. M., & Coimbra, M. R. (2020). A pós-verdade em tempos de Covid 19: O negacionismo no discurso de Jair Bolsonaro no Instagram [The post-truth in Covid-19 times: The negationism in the government's speech on Instagram]. Liinc Em Revista, 16(2), e5317. doi:10.18617/liinc.v16i2.5317
Franklin, P., & Gkiouleka, A. (2021). A scoping review of psychosocial risks to health workers during the Covid-19 pandemic. International Journal of Environmental Research and Public Health, 18(5), 2453. doi:10.3390/ ijerph18052453
Giménez-Espert, M. C., Prado-Gascó, V., & Soto-Rubio, A. (2020). Psychosocial risks, work engagement, and job satisfaction of nurses during COVID-19 pandemic. Frontiers in Public Health, 8, 566896. doi:10.3389/fpubh.2020.566896
Granek, L., Barrera, M., Scheinemann, K., & Bartels, U. (2016). Pediatric oncologists' coping strategies for dealing with patient death. Journal of Psychosocial Oncology, 34(1-2), 39-59. doi:10.1080/07347332.2015.1127306
Leka, S., & Cox. T. (Eds.). (2008). PRIMA-EF: Guidance on the European framework for psychological risk management: A resource for employers and worker representatives. Geneva, Switzerland: WHO. Retrieved from https://www.who.int/occupational_health/publications/PRIMA-EF%20Guidance_9.pdf
Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., … Yang, B. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. The Lancet Global Health, 8(6), e790-e798. doi:10.1016/s2214-109x(20)30204-7
Mojtahedzadeh, N., Wirth, T., Nienhaus, A., Harth, V., & Mache, S. (2021). Job demands, resources and strains of outpatient caregivers during the COVID-19 pandemic in Germany: A qualitative study. International Journal of Environmental Research and Public Health, 18(7), 3684. doi:10.3390/ijerph18073684
Organização Pan-Americana da Saúde. (2020). Entenda a infodemia e a desinformação na luta contra a COVID-19 [Understand infodemia and misinformation in the fight against COVID-19]. Washington, DC: Author. Retrieved from https://iris.paho.org/handle/10665.2/52054
Prescott, K., Baxter, E., Lynch, C., Jassal, S., Bashir, A., & Gray, J. (2020). COVID-19: How prepared are front line healthcare workers in England? Journal of Hospital Infection, 105(2), 142-145. doi:10.1016/j.jhin.2020.04.031
Rigotti, T., Yang, L. Q., Jiang, Z., Newman, A., De Cuyper, N., & Sekiguchi, T. (2021). Work-related psychosocial risk factors and coping resources during the COVID-19 crisis. Applied Psychology, 70(1), 3-15. doi:10.1111/apps.12307
Schmidt, B., Crepaldi, M. A., Bolze, S. D. A., Neiva-Silva, L., & Demenech, L. M. (2020). Saúde mental e intervenções psicológicas diante da pandemia do novo coronavírus (COVID-19) [Mental health and psychological interventions during the new coronavirus pandemic (COVID-19)]. Estudos de Psicologia (Campinas), 37, e200063. doi:10.1590/1982-0275202037e200063
Sheraton, M., Deo, N., Dutt, T., Surani, S., Hall-Flavin, D., & Kashyap, R. (2020). Psychological effects of the COVID 19 pandemic on healthcare workers globally: A systematic review. Psychiatry Research, 292, 113360. doi:10.1016/j.psychres.2020.113360
Teixeira, C. F. S., Soares, C. M., Souza, E. A., Lisboa, E. S., Pinto, I. C. M., Andrade, L. R., & Espiridião, M. A. (2020). The health of healthcare professionals coping with the Covid-19 pandemic. Ciência & Saúde Coletiva, 25(9), 3465-3474. doi:10.1590/1413-81232020259.19562020
Zhang, M., Zhou, M., Tang, F., Wang, Y., Nie, H., Zhang, L., & You, G. (2020). Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. The Journal of Hospital Infection, 105(2), 183-187. doi:10.1016/j.jhin.2020.04.012
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