Background: Critical care nurses are exposed to serious risk and even death while administering care for patients with COVID-19 as they are exposed to aerosol generating procedures and longer periods of patient contact. According to the American Nursing Association (ANA), “Risk exceeding limits of duty is not ethically obligatory; it is a moral option and nurses should carefully balance between their professional job responsibilities and risks.” Despite fact that nurses have a professional obligation to care for critically ill patients with diagnosed or suspected COVID - 19, many nurses experience conflicts and stressors such as fear and anxiety about risk of being infected and transmitting the infection to their family members and other contacts. Exploring experiences that nurses’ face during their battle with crisis will support them and help in developing protocols and plans to improve their preparedness (ANA, 2015a b Al Thobaity et al., 2020). Therefore, this study aimed to explore critical care nurses’ experiences during their work with diagnosed or suspected COVID – 19 patients. Methods: a descriptive –a cross-sectional design was used to conduct the current study. Sample: a convenient sample of 80 critical care nurses who worked in critical care units at Main University Hospital and agreed to participate in the study were recruited. The tool was developed by researcher based on reviewing of both quantitative and qualitative studies published during 2019 and 2020 to bring critical care nurses’ experiences together. Nurses’ experiences were identified, analyzed, tabulated, and categorized into six main themes. Results: analysis of lived experiences faced critical care nurses during their working with suspected or COVID – 19 patients revealed that for first theme, the statements I am afraid of becoming infected and infecting others) and “There is a shortage of staff” were reported as agree and strongly agree by about all of the nurses. Regarding second theme, a sense of obligation toward their profession and saving patients’ lives were agreed by majority of nurses. Moreover, near of three – a quarter of nurses claimed continuous availability of an adequate amount of personal protective equipment” however, majority of the nurses had confidence in government. They agreed that the government has strong prevention and control measures and that epidemic will be controlled very soon” (theme 3). As regard theme (4), majority of nurses was appreciated the physical and psychological support received from colleagues, families, and donations provided by companies, however, they claimed hospital, Original Article Egyptian Journal of Health Care, 2020 EJHC Vol.11 No.4 445 syndicate, and media due to inadequate support and motivation. Concerning coping strategies to alleviate moral distress (Theme 5), result revealed that the majority of nurses were used positive coping strategies such as attending webinars to enhance their knowledge about COVID – 19 & followed safety guidelines. Finally, all nurses perceived that crisis makes them stronger and nothing will beat them (Theme 6). Conclusions: risks versus responsibilities were highlighted in this study. The nurses were experienced risks that potentiated a feeling of a conflict. A conflict was raised between nurses’ obligation to protect their family members (especially their children) from transmission infection and their obligations towards job responsibilities (saving of patients’ lives). Shortage in nursing staff, medical supplies, especially personnel protective equipment, inadequate support provided by administrative nursing bodies, and sometimes, media were also claimed by majority of nurses. However, they appreciated support provided by their colleagues and families and they were having confidence regarding infection control strategies used by infection control units and ability of government to control crisis very soon.
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