La lealtà degli infermieri in prima linea nei reparti di emergenza Covid-19: uno studio qualitativo basato sulla Grounded Theory
DOI:
https://doi.org/10.54103/dn/28708Parole chiave:
Grounded Theory, Infermieri, Lealtà, Covid-19, Adattamento psicosociale, Soddisfazione lavorativaAbstract
Background. Molti infermieri impegnati nei reparti Covid-19 hanno sviluppato un forte senso di appartenenza e lealtà professionale, arrivando talvolta a resistere al ritorno nei reparti di origine.
Obiettivo. Il presente studio esplora i processi che hanno alimentato questa lealtà, con particolare attenzione all’evoluzione dell’identità personale e professionale.
Metodi. Studio qualitativo ispirato alla Grounded Theory di Strauss e Corbin. L’analisi dei dati è avvenuta attraverso codifica, confronto costante e scrittura di memo. Le interviste sono state effettuate fino al raggiungimento della saturazione dei dati.
Risultati. L’analisi di 25 interviste semi-strutturate ha portato all’elaborazione di un modello teorico che descrive il processo attraverso cui gli infermieri in prima linea hanno sviluppato un senso di lealtà professionale nei confronti dei reparti Covid-19. Il modello comprende quattro dimensioni interconnesse: “Consapevolezza dell’importanza del proprio ruolo”, “Fiducia acquisita”, “Soddisfazione per il lavoro svolto” e “Relazioni instaurate”, quest’ultima identificata come categoria centrale. I risultati evidenziano che le relazioni professionali, basate su supporto reciproco, fiducia e condivisione dell’esperienza, sono state determinanti nel rafforzare l’identificazione con il team e il contesto lavorativo, contribuendo a consolidare l’impegno professionale nel lungo periodo.
Conclusioni. Lo studio sottolinea il ruolo fondamentale di ambienti di lavoro supportivi nel promuovere la coesione del team e la fidelizzazione del personale. Programmi strutturati di supporto, relazioni tra pari e percorsi di crescita professionale possono contribuire a ridurre il turn-over post-crisi. I risultati offrono inoltre spunti rilevanti per riflettere sulla resilienza del personale sanitario e sugli effetti a lungo termine delle emergenze sulla carriera infermieristica.
Downloads
Riferimenti bibliografici
[1] Fielding J, Sullivan SG, Beard F, Macartney K, Williams J, Dawson A, Gilbert GL, Massey P, Crooks K, Moss R, McCaw JM, McVernon J. Constructing an ethical framework for priority allocation of pandemic vaccines. Vaccine. 2021, 39(5), 797-804. https://doi.org/10.1016/j.vaccine.2020.12.053.
[2] Rossi C, Berta P, Curello S, Lovaglio PG, Magoni M, Metra M, Roccaro AM, Verzillo S, Vittadini G. The impact of COVID-19 pandemic on AMI and stroke mortality in Lombardy: Evidence from the epicenter of the pandemic. PLoS One. 2021, 16(10), e0257910. https://doi.org/10.1371/journal.pone.0257910. PMID: 34597292; PMCID: PMC8486095.
[3] Aristei L, D'Ambrosio F, Villani L, Rossi MF, Daniele A, Amantea C, Damiani G, Laurenti P, Ricciardi W, Gualano MR, Moscato U. Public Health Regulations and Policies Dealing with Preparedness and Emergency Management: The Experience of the COVID-19 Pandemic in Italy. International Journal of Environment Resesearch Public Health. 2022, 19(3),1091. https://doi.org/10.3390/ijerph19031091.
[4] Jones CB, Sherwood G. The globalization of the nursing workforce: Pulling the pieces together. Nursing Outlook. 2014, 62(1): 59-63. https://doi.org/10.1016/j.outlook.2013.12.005
[5] De Filippis G, Cavazzana L, Gimigliano A, Piacenza M, Vimercati S. Covid-19 pandemic: A frontline hospital reorganization to cope with therapeutic and diagnostic emergency. Pharmacological Research. 2020, 161, 105160. https://doi.org/10.1016/j.phrs.2020.105160.
[6] Carnevale JB, Hatak I. Employee adjustment and well-being in the era of COVID-19: implications for human resource management, Journal of Busisiness Research. 2020, 116, 1837, https://doi.org/10.1016/j.jbusres.2020.05.037.
[7] Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, Xia L, Liu Z, Yang J, Yang BX. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Global Health. 2020, 8(6), e790–e798. https://doi.org/10.1016/s2214 -109x(20)30204 -7
[8] Mahdavi A, Atlasi R, Ebrahimi M, Azimian E, Naemi R. Human resource management (HRM) strategies of medical staff during the COVID-19 pandemic. Heliyon. 2023, 9(10), e20355. https://doi.org/10.1016/j.heliyon.2023.e20355.
[9] Indolfi, C., Spaccarotella, C. The Outbreak of COVID-19 in Italy Fighting the Pandemic JACC: Case reports. 2020, 2(9), 1414-8 ISSN 2666-0849
[10] Ke Q, Chan SW, Kong Y, Fu J, Li W, Shen Q, Zhu J. Frontline nurses' willingness to work during the COVID-19 pandemic: A mixed-methods study. Journal of Advanced Nursing. 2021, 77(9), 3880-3893. https://doi.org/10.1111/jan.14989.
[11] Luo Y, Feng X, Zheng M, Zhang D, Xiao H, Li N. Willingness to participate in frontline work during the COVID-19 pandemic: A cross-sectional study of nurses from a province in South-West China. Journal of Nursing Management. 2021. https://doi.org/10.1111/jonm.13309
[12] Adriaenssens J, De Gucht V, Maes S. The impact of traumatic events on emergency room nurses: Findings from a questionnaire survey. International Journal of Nursing Studies. 2012, 49, 1411-22. https://doi.org/10.1016/j.ijnurstu.2012.07.003
[13] O'Callaghan EL, Lam L, Cant R, Moss C. Compassion satisfaction and compassion fatigue in Australian emergency nurses: A descriptive cross-sectional study. Journal of Emergency Nursing. 2020, 48:100875. https://doi.org/10.1016/j.ienj.2019.06.008
[14] Hu D, Kong Y, Li, Han Q, Zhang X, Zhu LX, Wan SW, Liu Z, Shen Q, Yang J, He HG, Zhu J. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 2020, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424
[15] Marsden KM, Robertson IK, Porter J. Stressors, manifestations and course of COVID-19 related distress among public sector nurses and midwives during the COVID-19 pandemic first year in Tasmania, Australia. PLoS One. 2022, 17(8), e0271824. https://doi.org/10.1371/journal.pone.0271824. PMID: 35944016; PMCID: PMC9362919.
[16] Grande RAN, Berdida DJE, Villagracia HN, Raguindin SM, Cornejo LTO, Al Reshidi NM, Alshammari AT, Aljebari BJ, AlAbd AMA. The moderating effect of burnout on professionalism, values and competence of nurses in Saudi Arabia amidst the COVID-19 pandemic: A structural equation modelling approach. Journal of Nursing Management. 2022, 30(7), 2523-2536. https://doi.org/ 10.1111/jonm.13754.
[17] Momeni, K., Khatooni, F. Nurses' professional commitment in COVID-19 crisis: A qualitative study. Nursing Ethics. 2023, 30(1), 1-10. https://doi.org/10.1177/09697330221114339.
[18] Uysal, A., Demirdağ, İ. The image of nursing perceived by the society in the Covid‐19 pandemic: A cross‐sectional study. Nursing Forum. 2022, 57(1), 95-106. https://doi.org/10.1111/nuf.12813.
[19] Baddar F. Relationship between Nurses Job Satisfaction and Organizational Commitment. IOSR Journal of Nursing and Health Science (IOSR-JNHS). 2016, 5, 49-55. https://doi.org/10.9790/1959-05114955.
[20] Mortari, L., Guberti, M., Ghirotto, L. Covid-19: il sapere dall'esperienza. FrancoAngeli (Eds.). 2023.
[21] Yılmaz Güven D, Şener Ş. Determining the Image of Nursing Profession in the Society During Covid-19 Pandemia Process. Clinical and Experimental Health Sciences. 2023;13(3):470-7.
[22] Strauss A, Corbin J. StraussCorbin Grounded Theory Methodology. In: Handbook of Qualitative Research, 2nd Ed. 1994.
[23] Strauss A, Corbin J. Basics of Qualitative Research: Techniques and Grounded Theory Procedures for Developing Grounded Theory. The Modern Language Journal. 1998.
[24] Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal of Quality Health Care. 2007, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
[25] Charmaz K. Constructing grounded theory: A practical guide through qualitative analysis. Sage, London. 2006.
[26] Corbin JM, Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. Sage, United States of America. 2014.
[27] Mortari L, Zannini L. La ricerca qualitativa in ambito sanitario. Carocci, Roma. 2017.
[28] Dimonte, V. Da Servente a Infermiere. Cespi (Ed) 1995. pp, 266. ISBN: 9789999992299
[29] Aliakbari F, Hammad K, Bahrami M, Aein F. Ethical and legal challenges associated with disaster nursing. Nursing Ethics. 2015,22(4):493–503. https://doi.org/10.1177/0969733014534877
[30] Edward K, Hercelinskyj G. Burnout in the caring nurse: learning resilient behaviors. British Journal of Nursing. 2007, 16(4), 240-242. https://doi.org/10.12968/bjon.2007.16.4.22987
[31] Magnavita N, Chirico F, Garbarino S, Bragazzi NL, Santacroce E, Zaffina S. SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review. International Journal Environmental Research Public Health. 2021, 18(8), 4361. https://doi.org/10.3390/ijerph18084361
[32] Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, Ren R, Leung KSM, Lau EHY, Wong JY, Xing X, Xiang N et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. New England Journal of Medicine. 2020, 382 (13),1199-1207. http://doi.org/10.1056/NEJMoa2001316
[33] Sun N, Wei L, Shi S, Jiao D, Song E, Ma L, Wang H, Wang C, Wang Z, You Y, Liu S, Wang H. A Qualitative Study on the Psychological Experience of Caregivers of COVID 19 Patients. American Journal of Infection Control. 2020, 48 (6), 592-598. https://doi.org/10.1016/j.ajic.2020.03.018
[34] Hu D, Kong Y, Li, Han Q, Zhang X, Zhu LX, Wan SW, Liu Z, Shen Q, Yang J, He HG, Zhu J. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinical Medicine, 2020, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424
[35] Aliakbari F, Hammad K, Bahrami M, Aein F. Ethical and legal challenges associated with disaster nursing. Nursing Ethics. 2015, 22(4):493–503. https://doi.org/10.1177/0969733014534877
[36] Zhang Z, Fu W, Tian C, Zhang F, Zhao B, Mao J, Saligan LN. Professional identity of Chinese nursing students during the COVID-19 pandemic outbreak: A nation-wide cross-sectional study. Nurse Education in Practice. 2021, 52, 103040. https://doi.org/10.1016/j.nepr.2021.103040.
[37] Li Z, Zuo Q, Cheng J, Zhou Y, Li Y, Zhu L, Jiang X. Coronavirus disease 2019 pandemic promotes the sense of professional identity among nurses. Nursing Outlook. 2021, 69(3):389-398. https://doi.org/10.1016/j.outlook.2020.09.006.
[38] Matsuura A, Sasahara Si, Tachikawa H et al. Distress and Rewards of Nurses with Experience in COVID-19 Wards: A Qualitative Study [version 1; peer review: 1 approved with reservations]. F1000 Research 2024, 13:559. https://doi.org/10.12688/f1000research.147675.1
[39] Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring nurses' perception of taking care of patients with coronavirus disease (COVID-19): A qualitative study. Nursing Open. 2020, 8(1), 171-179. https://doi.org/10.1002/nop2.616.
[40] Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing. 2021, 30(2), 533-543. https://doi.org/10.1111/inm.12818.
[41] Häussl A, Ehmann E, Pacher A, Knödl K, Huber T, Neundlinger L, Osmanovic A, Plank-Straner A, Walter P, Schüssler S, Schoberer D. Psychological, physical, and social effects of the COVID-19 pandemic on hospital nurses. International Nursing Review. 2021, 68(4), 482-492. https://doi.org/10.1111/inr.12716.
[42] Muller AE, Hafstad EV, Himmels JPW, Smedslund G, Flottorp S, Stensland SØ, Stroobants S, Van de Velde S, Vist GE. The mental health impact of the covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research. 2020, 293, 113441. https//doi.org/10.1016/j.psychres.2020.113441.
[43] Decaro R, Gazineo D, Godino L. Percezione che l’infermieristica italiana ha di sé stessa: uno studio qualitativo. Dissertation Nursing. 2024, 3(2), 83–95. https://doi.org/10.54103/dn/23525
Dowloads
Pubblicato
Come citare
Fascicolo
Sezione
Licenza
Copyright (c) 2025 Lara Pierboni, Domenica Gazineo, Riccardo Triani, Pamela Bagli, Lea Godino

Questo lavoro è fornito con la licenza Creative Commons Attribuzione - Non commerciale - Non opere derivate 4.0 Internazionale.
Accettato 2025-05-15
Pubblicato 2025-07-31







