Experience of Nurses Responding to the COVID-19 Outbreak at a Long-term Care Hospital in Korea

Abstract

Purpose: The COVID-19 pandemic uncovered the fundamental vulnerability of Long-term Care Hospitals (LTCHs) regarding infection control. This study aimed to describe the experiences of nurses who responded to the COVID-19 outbreak on the front lines while working at a LTCH. Methods: This qualitative study was conducted with nine nurses. The data from in-depth individual interviews using semi-structured questions was analyzed thematically. Results: Three themes and 11 sub-themes were extracted. The first theme, the sudden onset of the outbreak, included finding them-selves desensitized to COVID-19 as the pandemic persisted; embarrassed by the unavoidable occurrence; and worried about becoming a spreader and aggravating the outbreak. The second theme, physically and mentally worn out, involved increased fatigue from over-time work; exhaustion from responding to inquiry calls pouring in; tension while monitoring and controlling infection control compli-ance among nursing assistants, caregivers, and elderly patients with cognitive impairment; and increased discomfort while taking on all the extra work with stifling personal protective equipment. The third theme, awakened perspectives while responding to the outbreak, covered increased compassion for patients; paying attention to infectious diseases and having confidence in infection control principles; realization of the need for isolation rooms, supplies, and a full-time infection control nurse; and pride as an LTCH nurse who responded to the COVID-19 pandemic. Conclusion: To enhance the level of prevention and response to infectious disease outbreaks in LTCHs in the future, it is necessary to establish infection control infrastructure, including personnel, isolation facilities, supplies, and continuing education for the LTCHs nursing workforce.