Explaining Post-Traumatic Growth During COVID-19 Pandemic: A Qualitative Research

Document Type : Original Article

Authors

1 Associate Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran

2 PhD candidate in Counseling, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran

3 Associate Professor, Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 Emergency Medicine Specialist, Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Assistant Professor, Department of Infectious Diseases, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

Introduction: The sudden onset and difficult consequences of COVID-19 pandemic are considered a trauma for healthcare. Despite its devastating consequences and psychological distress, it has also undergone positive changes. The main objective of this study was to explain post-traumatic growth among nurses and physicians during COVID-19 pandemic.
Methods: In this study, a descriptive phenomenological approach was utilized and semi-structured interviews were conducted with 17 nurses and physicians who were selected by purposive sampling. The interviews were analyzed using Colizzi’s method.
Results: The findings of the study were summarized into two main themes: distress with four subthemes including corona and loss of life, psychological trauma, ambiguity and confusion about the career path, environmental and interpersonal stress, and growth with four subthemes including alternative ways to overcome trauma, promoting interpersonal relationships, empathy in treatment, and finding meaning.
Conclusion: The results of the present study revealed post-traumatic growth played an important role in maintaining the mental health of nurses and physicians beyond traumatic coronavirus pandemic. It is hoped that this study will encourage further exploration and examination of this subject and interventions for all groups of healthcare.

Keywords


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    1. World Health Organization. (2020). Situation reports-51, Coronavirus Disease (COVID-2019). https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
    2. Orru G, Ciacchini R, Gemignani A, Conversano C. Psychological intervention measures during the Covid-19 pandemic. Clin Neuropsychiatry. 2020; 17(2):76-79. doi: 10.36131/CN20200208.
    3. Marcinko D, Jakovljevic M, Jaksic N, Bjedov S, Mindoljevic Drakulic A. The importance of psychodynamic approach during COVID-19 pandemic. psychiatr danub. 2020; 32(1):15-21. doi: 10.24869/psyd.2020.15.
    4. Adams JG, Walls RM. Supporting the health care workforce during the COVID-19 global epidemic. JAMA. 2020; 323(15):1439-40. doi: 10.1001/jama.2020.3972.
    5. Ehrlich H, McKenney M, Elkbuli A. Strategic planning and recommendations for healthcare workers during the COVID-19 pandemic. Am J Emerg Med. 2020; 38(7):1446-7. doi: 10.1016/j.ajem.2020.03.057.
    6. Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020; 7(3):14. doi: 10.1016/S2215-0366(20)30047-X.
    7. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry. 2009; 54(5):302-11. doi: 10.1177/070674370905400504.
    8. Maitlis S. Who am I now? Sensemaking and identity in posttraumatic growth. Exploring positive identities and organizations. New York: Psychology Press; 2009. p. 71-100.
    9. Xu X, Hu M-L, Song Y, Lu Z-X, Chen Y-Q, Wu D-X, et al. Effect of positive psychological intervention on posttraumatic growth among primary healthcare workers in China: A preliminary prospective study. Sci Rep. 2016; 6: 39189. doi: 10.1038/srep39189.
    10. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996; 9(3):455-71. doi: 10.1007/BF02103658.
    11. Mosher CE, Adams RN, Helft PR, O'Neil BH, Shahda S, Rattray NA, et al. Positive changes among patients with advanced colorectal cancer and their family caregivers: A qualitative analysis. Psychol Health. 2017; 32(1):94-109. doi: 10.1080/08870446.2016.1247839.
    12. Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry. 2004; 15(1):1-18. doi: 10.1207/s15327965pli1501_01
    13. Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health. 2020; 8(6):790-8. doi: 10.1016/S2214-109X(20)30204-7.
    14. Taku K. Relationships among perceived psychological growth, resilience and burnout in Personality and Individual Differences. 2014; 59:120-3. doi: 10.1016/j.paid.2013.11.003
    15. Hennink M, Hutter I, Bailey A. Qualitative research methods (2th ed.). London: SAGE publications; 2020.
    16. Willig C. Introducing qualitative research in psychology. New York, NY: McGrawHill; 2013.
    17. Lincoln YS, Guba EG. The constructivist credo. London: Left Coast Press; 2013.
    18. Lima CKT, Carvalho PMM, Lima IAAS, Nunes JVAO, Saraiva JS, de Souza RI, et al. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res. 2020; 287:112915. doi: 10.1016/j.psychres.2020.112915.
    19. Galbraith N, Boyda D, McFeeters D, Hassan T. The mental health of doctors during the COVID-19 pandemic. BJPsych Bull. 2021; 45(2):93-7. doi: 10.1192/bjb.2020.44.
    20. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020; 288:112936. doi: 10.1016/j.psychres.2020.112936.
    21. Singh C, Cross W, Munro I, Jackson D. Occupational stress facing nurse academics-a mixed-methods systematic review. J Clin Nurs. 2020; 29(5-6):720-35. doi: 10.1111/jocn.15150.
    22. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020; 3(3):e203976. doi: 10.1001/jamanetwork
      2020.3976.
    23. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res. 2020; 290:113129. doi: 10.1016/j.psychres.2020.113129.
    24. Page S, Burgess J, Davies-Abbott I, Roberts D, Molderson J. Transgender, mental health, and older people: An appreciative approach towards working together. Issues Ment Health Nurs. 2016; 37(12):903-11. doi: 10.1080/01612840.2016.
    25. Wei H, Kifner H, Dawes ME, Wei TL, Boyd JM. Self-care strategies to combat burnout among pediatric critical care nurses and physicians. Crit Care Nurse. 2020; 40(2):44-53. doi: 10.4037/ccn2020621.
    26. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control. 2020; 48(6):592-8. doi: 10.1016/j.ajic.2020.03.018.
    27. Asgari Z, Naghavi A. School, A focal point for post-traumatic growth: the lived experience of adolescent students after father’s sudden death. J Qual Res Health Sci. 2020; 9(2):101-10. doi: 10.22062/JQR.2020.91455.
    28. Munawar K, Choudhry FR. Exploring stress coping strategies of frontline emergency health workers dealing Covid-19 in Pakistan: A qualitative inquiry. Am J Infect Control. 2020; 49(3): 286-92. doi: 10.1016/j.ajic.2020.06.214.
    29. Rabelo I, Lee V, Fallah MP, Massaquoi M, Evlampidou I, Crestani R, et al. Psychological distress among ebola survivors discharged from an ebola treatment unit in monrovia, liberia: A qualitative study. Front Public Health. 2016; 4:142. doi: 10.3389/fpubh.2016.00142.
    30. Haghanizemeydani M, Ahmadi S, Ashouri F, Showani E, Monavari Roozbahani L. Qualitative study of spiritual experiences in nurses of psychiatry wards. J Qual Res Health Sci. 2020; 8(4):59-67. doi: 10.22062/JQR.2020.90991.
Volume 11, Issue 1
April 2022
Pages 35-41
  • Receive Date: 28 December 2020
  • Revise Date: 01 May 2021
  • Accept Date: 02 May 2021
  • First Publish Date: 27 March 2022