Pandemic Experience Research Articles

Exploring the Status and Experiences of School Nurses’ Response to the COVID-19 Pandemic: A Mixed Method Study

PurposeThis study aimed to provide a deeper understanding of the response status and school nurses’ experience of the prolonged COVID-19 pandemic in Korea. MethodRecognizing the limitations of existing tools in capturing prolonged COVID-19 response, we divided the COVID-19 pandemic into different wave periods and adopted a mixed-methods design enrolling school nurses in elementary, middle, and high schools in Korea to gain a comprehensive view. A quantitative survey was conducted among 153 school nurses nationwide and in-depth interviews were conducted with nine, using Van Kaam’s phenomenological analysis. ResultsIn 56.9% of the cases, multiple persons in charge of COVID-19 management were not designated, and there was no significant difference in response by school level. Excessive work, coping with civil complaints, unilateral work burden, difficulties communicating with related organizations, lack of concreteness in manuals, lack of cooperation among school members, and frequent changes in guidelines were continuous difficulties encountered during the pandemic. From the in-depth interviews, we extracted 189 meaningful statements, 22 subthemes, and 8 themes. The eight themes were divided into three categories: beginning of COVID-19 response, process of response to COVID-19, and lessons learned from the COVID-19 response experience. ConclusionA specific and systematic infectious disease response manual should be established, as well as an educational and training program to strengthen the capacity of educational personnel to cope with new infectious diseases.

Constructing a Conformer–Explorer Identity in Pandemic Narratives: A Qualitative Study of Chinese Emerging Adults

Existing research indicates that social crises such as the COVID-19 pandemic reshaped young people’s sense of self, but little is known about what identities emerging adults construct in their pandemic narratives. Following propositions of narrative identity and Terror Management Theory, this qualitative study investigated Chinese emerging adults’ identity construction in their narratives of the national outbreak of the COVID-19 pandemic in late 2022. Participants were 62 college students invited to share their pandemic experiences with reflections. Thematic analysis of the data suggests that the participants shared their pandemic experiences as a process of managing their death terror activated in the pandemic which threatened their sense of self and meanwhile motivated them to reconstruct who they are in the world. Based on their meaning-making capacities, the participants disclosed death awareness and vulnerabilities, adopted a temporal perspective in storytelling, emphasized their interpersonal and social connections, and made meaning out of the pandemic experiences to defend against death terror. As an outcome of their narration, a conformer–explorer identity was constructed in their pandemic narratives and we proposed a dialectical model to capture the dynamics of the construction. Although with limitations, this study contributes to our understanding of the functions of mortality salience on narrative identity among emerging adults in collectivist cultures during crises such as the COVID-19 pandemic.

Risk communication with asylum-seekers: Insights from the COVID-19 Pandemic experience in Munich

Abstract Background The COVID-19 pandemic has created a ‘double crisis’ for asylum-seekers, whose lives were already in crisis. Many reports indicated the syndemic consequences on asylum seekers’ health, underscoring the need for their inclusion in risk communication (RC) and community engagement (CE) and infodemic management (IM) actions. This study aims to describe RCCE experience with asylum seekers in Munich during the COVID-19 pandemic from an expert perspective and thus gain a thorough understanding of the requirements for inclusive RCCE. Methods Our qualitative study involved people who conducted COVID-19-related RCCE for asylum-seekers. Volunteers/workers of civil society organizations and health professionals were interviewed using purposeful sampling. After reviewing international guidelines, an interview form was created. The content analysis resulted in themes and categories. Results Four of the interviewees were health managers, while 8 were working in civil society organizations. The first category of the results describes the context in which RCCE occurs; syndemic factors (uncertainty; social exclusion and stigma; precarious housing; limited access to healthcare and unmet mental health needs) and pandemic management. The second category includes determinants of RCCE from both the asylum-seeker (trust; risk perception; health literacy; language; culture and gender) and RCCE member (competences; overburden; continuity) standpoint. The third category focuses on various RCCE-IM measures, including their effectiveness and consequences. Conclusions Syndemic factors hampered the effective implementation of RCCE for asylum seekers in Munich. RCCE determinants show that pre-crisis actions are necessary for an effective response and individual interactions should accompany community-level activities, particularly for female and marginalised migrants. This study’s scope will be expanded by incorporating the IM component.

Risk communication with migrants: Lessons learned from the COVID-19 Pandemic experience in Malmö

Abstract Background During the COVID-19 pandemic, many migrants faced challenges in accessing, comprehending and implementing information, leading to mis- and disinformation and distrust. The pandemic underscored the importance of effective risk communication (RC) and community engagement (CE) that reaches all segments of society, both for managing health effects and preventing the reinforcement of discrimination and stigmatization. This study aims to describe the experience of RCCE targeting migrants in Malmö, Sweden, from an expert perspective. Further, to gain an in-depth understanding of the requirements for inclusive RCCE actions and to identify alternative or complementary strategies based on good local practices. Methods Individual interviews were conducted with experts representing civil society and public authorities who were purposely sampled based on their engagement with RCCE targeting migrants. The interview guide was based on a review of international guidelines addressing aspects of RCCE, and analysed with content analysis. Results Three key organisations working towards undocumented migrants; unaccompanied minors; and newly arrived refugees, respectively, were included. Findings are synthesized into three key insights: a) RC through trusted sources in safe spaces; b) Understanding migrant living conditions c) Promoting intersectoral collaboration and feedback loops. Experts underscored the importance of cultivating sustainable and relationships with migrant communities to effectively communicate, aiding in compliance and counter distrust. The significance of intersectoral collaboration and communication pathways was highlighted for assessing migrant specific needs and designing appropriate interventions. Conclusions Long-term trusting relationship facilitate RC. Embedding sustainability within intersectoral collaboration structures is imperative to facilitate swift mobilization during health crises, foster resilience, and counter health inequities.

Do board characteristics affect financial sustainability? The COVID-19 pandemic experience

Do board characteristics affect financial sustainability? The COVID-19 pandemic experience

Factor Structure, Psychometric Properties, and Measurement Invariance of the Pandemic Experiences and Perceptions Scale Among Italian Hospital Workers.

The COVID-19 pandemic represented substantial risks to hospital workers' physical and mental health. The availability of validated measures on the impact of the pandemic on workplaces is crucial for developing data-driven interventions. The primary purpose of our study was to translate it into Italian and assess factor structure, psychometric properties, and measurement invariance of the Pandemic Experiences and Perceptions Scale (PEPS). The survey was completed by 766 workers from an Italian hospital. We examined the internal structure of the PEPS using confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) techniques and testing the invariance for clinical vs. nonclinical workers. The six-factor ESEM solution showed an excellent fit to the data (CFI=0.956, TLI=0.932, RMSEA=0.050), supporting the superiority of the ESEM solution. The factorial invariance of the PEPS across occupational roles (clinical vs. nonclinical hospital workers) was supported, and the ESEM-based McDonald's omega was good for all factors. The results from this study provided evidence for the factorial validity, reliability, and measurement invariance across occupational roles of the Italian version of the PEPS. Thus, the Italian version of the PEPS is a reliable and valid tool for assessing pandemic experiences and perceptions among Italian workers.

Pandemic scars: long-term impact of COVID-19 on work stress among healthcare workers in China.

This study mainly focused on the long-term effect of different risk exposure levels and prior anti-epidemic experience of healthcare workers in mitigating COVID-19 on their work stress in the post-COVID era. The study sample included 359 physicians, 619 nurses, 229 technicians and 212 administrators, for a total of 1,419 healthcare workers working in the Lanzhou area during the investigation. Data were analyzed by multivariate regression models. Our findings indicated that the interaction between pandemic effect mitigation experience and high-risk exposure significantly affected healthcare workers in the post-COVID era by increasing their work stress (p<0.001) and reducing their rest time (p<0.001). Healthcare workers may have experienced worse outcomes in the long term if they had higher levels of risk exposure and more experience in fighting epidemics. Furthermore, poor mental health (p<0.001) and prior experience with SARS (p<0.001) further amplified these adverse effects. However, surprisingly, we did not observe any effect of prior anti-epidemic experience or high-risk exposure on the mental health of healthcare workers in the post-COVID era (p>0.1). The adverse impact of COVID-19 may have left long-lasting effects on Health professionals (HPs), particularly those with high Risk exposure (RE) and more mitigation experience. Poor Mental health (MH) and previous experience in mitigating previous similar outbreaks (such as SARS) are risk factors that should be considered. Support programs must be designed and promoted to help HPs respond and improve their performance. Our study presents compelling evidence that the COVID-19 pandemic will have long-term detrimental effects on the work stress of healthcare workers.

Spirituality as an International Coping Method during Covid-19

The Covid-19 pandemic has brought forth global challenges in socioeconomic, political, and public health dimensions. For many, spirituality was a powerful source of support during this pandemic experience. The current review provides an apt overview of spirituality as a coping method to mitigate the mental and emotional impact of global turmoil of Covid-19 within the context of Europe. Using select studies from Czechia, Italy, and Turkey which have low, middle, and high religiosity indexes respectively, the potential positive effects of spirituality are examined across differing samples, geographical contexts, and traumatic events. We conclude that while spirituality is not a one-size-fits all method to mitigate the impact of trauma, exploration of potential interventions that also include spirituality might be beneficial for the field at large, and those affected by myriads of different acute or chronic traumatic events.

Clapping the nation, or, from a global pandemic to national imaginaries via local solidarities

AbstractIn the early days of the COVID‐19 pandemic, people in England stepped outside their doors once a week to clap the National Health Service. What does this have to do with nationalism? On the face of it, nothing much: clapping exercised local, and not, national solidarities. I will show, however, that local solidarities performed in clapping rituals led to the regeneration of national imaginaries via the symbols on display and the national institutions through which pandemic experiences were channelled. My argument has three parts. First, I show that helping practices during the pandemic shaped local solidarities that found collective expression through clapping. Second, I explain how the local experiences of clapping merged with national imaginaries when performed on a national canvas with symbols that marked an imagined community of national clappers. Third, I argue that clapping was subsumed into a nascent national imaginary via nationally scoped institutions that were exercised to fight the pandemic. Whilst the local has long been appreciated as a site and source for nationalism, I have added how non‐national local practices can also be constitutive of nationalism. A global pandemic led to national imaginaries via the local solidarities that were formed by clapping for carers.

Analyzing Changes in Attitudes and Behaviors towards Seasonal Influenza Vaccination in Spain’s Adult Population over Three Seasons

Background/Objectives: The experience of the COVID-19 pandemic has turned the spotlight on the importance of public health measures and disease prevention. Despite this, the acceptance of influenza vaccination has remained low in most countries (and far from the 75% target set by the World Health Organization). The objective of this study has been to investigate how attitudes and behaviors regarding influenza vaccination in the Spanish adult population have changed over the last three years (from 2021 to 2024) in order to analyze trends in influenza vaccination. Methods: To this end, a cross-sectional study was conducted through 2206 telephone interviews, and the results were compared with those obtained in previous campaigns. Results: The findings indicate a significant decline in overall vaccination intent. Healthcare professionals remain the most influential factor in encouraging vaccination, yet there is a notable increase in the lack of vaccine recommendations, contributing to the decision not to vaccinate. This study also reveals low awareness of the influenza vaccine campaign, emphasizing the need for improved public health communication. Conclusions: To counteract these trends, this study recommends intensifying awareness campaigns, strengthening the role of healthcare providers in vaccine advocacy, and tailoring communication strategies. These efforts are crucial to enhancing vaccination coverage and protecting vulnerable populations against influenza.

‘The coronavirus is a formidable foe’: children’s multimodal articulations of SARS-CoV-2 virus and COVID-19 pandemic experiences in China

Objective This study explored children’s post-pandemic articulations regarding the coronavirus along with their lived experiences during the COVID-19 pandemic. Design A qualitative survey featuring drawings, comments, questions and follow-up interviews was employed to gather data from 108 infected children aged 13 to 14 from two middle schools in China. This multimodal approach allowed for a rich capture of the children’s articulations of their pandemic experiences. Results Children’s multimodal articulations conveyed not only the biological features of, but also their emotional reactions to the coronavirus. The pandemic had disrupted children’s lives, making online learning, sleep and screen engagement dominant in their daily routines, while also compounding children’s unhappiness primarily due to restrictions on social interactions. Children associated the coronavirus with biological, medical, psychological and social aspects. Increased sanitisation and hygiene habits featured their pre‐to-post pandemic changes. Furthermore, children exhibited an awareness regarding preventive measures and transmission modes, albeit with certain biases or gaps. Their misunderstandings about recuperative strategies merit clarification. Conclusion The COVID-19 pandemic has had profound and multifaceted impacts on children’s emotional well-being, daily routines, social interactions, education, and health-related behaviors. Children’s multimodal articulations revealed a spectrum of adverse effects caused by the pandemic, calling for targeted health interventions to mitigate these negative effects while also equipping children with resilience and coping skills for navigating future health crises. Incorporating children’s perspectives and experiences into future pandemic preparedness and health promotion strategies is essential for addressing their vulnerabilities and ensuring their overall well-being during public health crises.

Pandemic perspectives from detained youth during COVID-19: Bridging the knowledge gap for future safeguards.

Despite the worsening health disparities among youth in detention during the COVID-19 pandemic, there has been minimal exploration into the pandemic experiences of detained youth and opportunities for pandemic mitigation. This paper analyzes the perspectives of youth in detention on the pandemic, including the effect of the pandemic on their detention experience and their perceptions about COVID-19 vaccination. The study used purposive sampling to recruit 16 participants (aged 14-17 years) from two juvenile detention centers in the urban Midwest. We conducted semi-structured interviews and analyzed verbatim transcripts using a hybrid deductive-inductive approach and thematic analysis. Four themes emerged: 1) personal experience influenced youth perceptions of pandemic severity and risk; 2) distrust and misconceptions contributed to youth vaccine hesitancy or refusal; 3) desired opportunities and parental opinion motivated youth to get the COVID-19 vaccine; and 4) pandemic mitigation strategies negatively impacted youths' detention center experience. Study findings identify opportunities for detention centers to minimize the negative impacts of pandemic mitigation strategies on youth in detention, expand vaccination knowledge and uptake, and build trust to positively impact the health and wellbeing of detained youth currently and during future pandemics.

Fiscal policy design and inflation: the COVID-19 pandemic experience

The significant rise in inflation (nearly) worldwide has been associated with different shocks and a range of policy responses to the COVID-19 pandemic. We study how the design of fiscal support measures helps explain the origins of the post-pandemic inflationary bout by exploring the heterogeneity of fiscal support measures across 10 large economies. Because conventional measures of real activity were distorted in the early stages of the pandemic, we control for the underlying state of the real economy using household sentiment data. We find that five weeks following support announcements, fiscal support measures already had statistically and economically significant, albeit not large, inflationary effects. The magnitude of the effect was twice as large in an environment of improving consumer sentiment and, in that case, the effects did not differ significantly whether the fiscal support targeted consumers or firms. Moreover, the inflationary effect was larger and much more immediate if the support involved cash transfers. Our findings suggest that policy design mattered for the underlying inflationary pressures in the aftermath of the pandemic.

A Phenomenological Exploration of Pandemic Experiences Among Individuals with a History of Depression

Depressive disorders are a common psychiatric illness affecting 12% of adults worldwide. This disorder represents a major problem for the general health of society and is the third leading cause of disability worldwide. In addition, the prevalence of depression appears to have increased worldwide following the Covid-19 pandemic. This study aims to find out what experiences people with depression have had in the era of Corona. Methods: The present research was a qualitative study using an interpretative phenomenological method. The number of research participants was nine. Data were collected using semi-structured interviews and analyzed in three stages with open, selective and central coding. Results: After reviewing and analyzing the data, five major themes, 10 secondary themes, and 19 primary themes were identified. The main themes included fear of death and illness, conscious acceptance of reality and improvement of lifestyle, the extent of communication, confusion of the social structure of the family economy and the use of coping strategies. Conclusion: The outbreak of COVID-19 has brought with it other problems such as anxiety, tension and loneliness, in addition to the impact on lifestyle, activities, habits, interests and mental health, in addition to the recurrence of the disease in depressed people.

The effects of the SARS-CoV-2 pandemic on the delivery of maternal and child health services in South Africa

ObjectiveThe COVID-19 pandemic severely interrupted the functioning of healthcare systems, negatively affecting the global provision of maternal and child health (MCH) services. This study aims to specify the effects of COVID-19 on these services in the Gauteng province (South Africa) and to put forward context-specific recommendations aimed at augmenting them and ensuring ongoing uninterrupted coverage, even and especially during pandemics. MethodsIn this quantitative study, a retrospective review of District Health Information System data routinely collected between February 2019 and March 2021 was conducted, comparing performance of the relevant indicators across the two-year span. The data were analyzed using Stata 16 statistical software (StataCorp). The two sample t-test with equal variance and the Mann-Whitney test were applied to evaluate the equality of the indicators. ResultsRoutine MCH services were negatively impacted, with marked declines in all relevant indicators from the onset of the pandemic. There was a statistically significant decline in cervical cancer coverage and maternal postnatal visits within six days of delivery. While declines in the other critical indicators were likewise observed, they were not statistically significant. ConclusionThe South African response to the pandemic had negative repercussions on all MCH services in the Gauteng province. The lessons to be drawn from the pandemic experience should help to strengthen health system capacities, boost service provision, and mitigate future damage to the healthcare system.

The impact of coronavirus disease 2019 (COVID-19) pandemic experiences on attitudes towards vaccinations: on the social, cultural and political determinants of preferred vaccination organization models in Poland

BackgroundThe article describes attitudes towards vaccinations in Poland in relation to issues such as voluntary versus compulsory vaccinations, the method of financing vaccinations, the method of organizing and carrying out vaccinations, the cognitive and educational aspect of vaccines (how to obtain knowledge about vaccines) and the preferred model of work and research on new vaccines. Taking into account these issues, the authors have created four ideal models of preferred vaccination policies: (a) the market model; (b) the state model; (c) the vaccine hesitancy model; and (d) the civic–social model. This perspective makes it possible to better understand and learn about the various motives behind the attitudes of anti-vaccination movements, as well as to notice cracks and divisions among vaccination supporters and their attitudes towards the financing and organization of vaccinations.MethodsThe study was carried out using the CATI method on a representative random-quota sample of Polish society of 1000 people aged 18 and over. The study took age, sex, education and the size of the place of residence into account.Additionally, in the Socio-demographic factors influencing attitudes towards vaccination practices in Poland section, we used the chi-squared test and regression analysis of factors influencing vaccination practices in Poland. PASW Statistics 18 (a version of SPSS) software was used for statistical analysis. Significant correlations were demonstrated at a significance level of 0.05% Pearson.ResultsThis article has shown that attitudes towards vaccinations are embedded in broader divisions and orientations related to the vision of the social order: the role of the state, the organization of healthcare and payments for vaccinations and medical services, as well as preferred ways of knowledge production in society and work on new vaccines. The political sympathies and the age of the respondents were the most important variables influencing vaccination behaviour. The education of the respondents was less important.ConclusionsA few years after the peak of the pandemic, the scope of anti-vaccination attitudes in Polish society ranges from 20% of the population (dogmatic anti-vaxxers) to 30% (vaccine hesitancy occurring depending on attitudes towards vaccinations).

A pandemic-related affect gap in risky decisions for self and others

ABSTRACT The early stages of the COVID-19 pandemic exposed large portions of the global populations to increased daily stressors. Research on risky choice in medical contexts suggests that affect-rich choice options promote less-advantageous decision strategies compared with affect-poor options, causing an “affect gap” in decision making. The current experiments (total N = 437, age range: 21–82) sought to test whether negative pandemic-related affect would lower expected-value (EV) maximisation within individuals. In Experiment 1, participants indicated how much they would be willing to pay to avoid specific pandemic experiences (e.g. “not being able to gather in groups”), and then chose among pairs of risky prospects that involved pandemic experiences or subjectively-equivalent monetary losses. EV maximising was lower for pandemic experiences than for equivalent monetary losses. Experiment 2 replicated this finding, and further demonstrated a moderating role of decision perspective. EV maximising was greater in decisions made for another person than in decisions made for oneself. These findings highlight potential strategies for boosting decision making under affect-rich real-world conditions.

Getting breastfeeding started under pandemic visiting restrictions: lessons learned in Germany

BackgroundThe COVID-19 pandemic contact restrictions considerably changed maternal visiting contacts during the time in which breastfeeding is initiated. We wanted to know how maternity ward staff and mothers rated the conditions of starting breastfeeding under contact restrictions.MethodsIn the Breastfeeding in North Rhine-Westphalia (SINA) study, Germany, 2021/22, chief physicians as well as ward staff from 41 (out of 131) maternity hospitals (82 members of the healthcare sector in total) were surveyed by telephone concerning structural and practical conditions for breastfeeding support before and during the pandemic; 192 (out of 426 eligible) mothers answered an online-questionnaire about their breastfeeding experiences at 2 weeks and 2 months after birth.ResultsIn almost all of the hospitals, visits were restricted due to the pandemic, with the exception of the primary support person. After more than one year of pandemic experience, the ward staff were convinced that the restrictions were mostly positive for the mothers (97.6%) and for the ward staff themselves (78.0%). A total of 80.5% of the ward staff would maintain the restrictions beyond the pandemic. The mothers themselves mostly rated the restrictions in the hospital as being just right; moreover, many mothers voluntarily maintained the restrictions at home, at least in part.ConclusionsThe unprecedented visiting restrictions in hospitals during the pandemic were like an “experiment” born out of necessity. Restricting visiting arrangements may be an underestimated beneficial component for the development of the mother-infant dyad in perinatal breastfeeding care, particularly in healthcare systems where almost all births occur in the maternity hospital.Trial registrationGerman Clinical Trials Register (DRKS) (DRKS00027975).

Cross-class solidarity in times of crisis: the economic impact of the COVID-19 pandemic on support for redistribution

This study investigates how the economic crisis associated with the COVID-19 pandemic impacted support for social assistance in Germany. We formulate our expectations drawing from the classical political economy literature on self-interest and the burgeoning research on the role of solidarity. On the one hand, we hypothesize that only low-income individuals impacted economically by COVID-19, who can benefit from social assistance, will support its expansion. On the other hand, we expect higher-income individuals affected economically by COVID-19 to be more supportive of social assistance, even though they do not benefit from it, and less likely to consider welfare recipients ‘undeserving’ compared to higher-income individuals not economically affected by the pandemic. We argue that first-hand crisis experiences update people’s beliefs about how luck impacts one’s economic situation in the presence of an exogenous shock. We combine observational and experimental data from an original survey collected in Germany in April 2021 to test our expectations. On average, low-income respondents appear to be the most vigorous supporters of social assistance, but their support is not conditional on their experience of the COVID-19 pandemic. Instead, we find that the support for more social assistance among affluent individuals depends on the economic impact of the pandemic. We experimentally manipulated the deservingness of welfare recipients and found that better-off respondents impacted by the pandemic were less likely to penalize even the most ‘undeserving’ welfare beneficiaries. We suggest that solidarity between classes in hard times may occur through a convergence of the deservingness perception among individuals. The article has broader implications for studying the effect of crises on solidarity and the conditional nature of class-based explanations for support for different welfare policies.

The Impact of COVID-19 Pandemic on the Jordanian Stock Market Returns Volatility: Evidence from ASE20

This research examines the impact of the COVID-19 pandemic on the volatility behavior of Amman Stock Exchange (ASE) returns using ARMA–GARCH-type models for three sub-periods: pre-COVID-19, during COVID-19, and post-COVID-19. The research finds that volatility persistence is significant across all periods, with the pandemic period showing the highest impact of shocks. Bad news has no statistically significant impact on volatility in the pre-COVID-19 period or during the pandemic, while in the post-pandemic period, good news significantly influences volatility. Additionally, there exist notable changes in the autocorrelation and the shock structure of the AR and MA components. Considering these alterations in the asymmetric effects, the AR and MA components suggest significant shifts in market dynamics, investor sentiments, and economic policies in response to pandemic experiences.