With COVID-19 affecting all types of research, the authors of this article contribute to the discussions on how COVID-19 affects the world of qualitative nursing research in irrefutable ways. Underrepresented and vulnerable populations are faced with higher rates and severity of COVID-19, heightening the need to better address their health needs, which require their voices to be heard. Moreover, nurses’ perspectives on practicing during COVID-19 are needed. These nurses are vulnerable and their voices must be heard. Qualitative research methodology is advantageous to bringing attention to the lived experience of others as they unfold. Thus, we offer suggestions to aid in the collection and interpretation of qualitative data among vulnerable populations. We also provide practical tips for qualitative researchers, including an exemplar of conducting qualitative research among vulnerable nurses in light of COVID-19.
The authors describe the methodological strategies used to effectively recruit a diverse sample of nurses in a qualitative study. Adequate representation of diverse populations is necessary to advance science and health equity. A multimodal research approach (research team composition, flyers, social media, and purposive sampling) was used. When undertaking research with underrepresented groups, recruitment efforts should begin in the early phases of study planning with research team development that can assist in employing multiple recruitment strategies accordingly.
Introduction: The ongoing COVID-19 pandemic represents the largest contemporary challenge to the nursing workforce in the 21st century given the high stress and prolonged strain it has created for both human and healthcare supply resources. Nurses on the frontlines providing patient care during COVID-19 have faced unrivaled psychological and physical demands. However, no known large-scale qualitative study has described the emotions experienced by nurses providing patient care during the first wave of the COVID-19 pandemic in the US. Objective: Therefore, the purpose of this study was to qualitatively describe the emotions experienced by US nurses during the initial COVID-19 pandemic response. Methods: One hundred individual interviews were conducted with nurses across the United States from May to September of 2020 asking participants to describe how they felt taking care of COVID-19 patients. All interviews followed a semi-structured interview guide, were audio recorded, transcribed, verified, and coded by the research team. Results: Participants narratives of the emotions they experienced providing patient care during COVID-19 unequivocally described (1) moral distress, and moral distress related (1.1) fear, (1.2) frustration, (1.3) powerlessness, and (1.4) guilt. In sum, the major emotional response of nurses across the US providing patient care during the pandemic was that of moral distress. Conclusion: Investments in healthcare infrastructures that address moral distress in nurses may improve retention and reduce burnout in the US nursing workforce.
5 December 2022 in Journal of Racial and Ethnic Health Disparities