Lump in the Throat: Narratives of Health Personnel Caring for Patients with COVID-19
PDF (Español)
XML (Español)

Keywords

narrative analysis
COVID-19
mutual aid groups
virtual service
nursing staff
mental health

How to Cite

Figueroa-Varela, M. del R., & Rangel Delgado, K. E. (2024). Lump in the Throat: Narratives of Health Personnel Caring for Patients with COVID-19 . Psicumex, 14(1), 1–37. https://doi.org/10.36793/psicumex.v14i1.430

Metrics

Abstract

The mental health for workers in healthcare was affected by the overload derived from care for COVID-19 patients. It is recognized that there was no knowledge about the disease or labor systems prepared to deal with the pandemic. Mental health problems among of a group of eight nursing workers (6 women and 2 men) employed at a state health institution was addressed through a mutual help group created as an emotional support network. The information co-created by the group across 10 sessions was analyzed through narratives using a relativistic approach, with the thematic axes of emotional discomfort in the face of uncertainties and aggressions; need to be and moral dilemmas; courage to overcome institutional disorganization; emotional overload and the recovery of strategies and resources. The implications of the process narrated by the group resulted in an effective strategy for improving the mental health of the participants and the need to have virtual services to cope with needs or circumstances such as those triggered by a pandemic as well as the strength of the group process are discussed.

https://doi.org/10.36793/psicumex.v14i1.430
PDF (Español)
XML (Español)

References

Abdelhafiz, A. S. & Alorabi, M. (2020). Social Stigma: The Hidden Threat of COVID-19. Frontiers in Public Health 8(429). https://doi.org/10.3389/fpubh.2020.00429

Aleixandre-Benavent, R., Castelló-Cogollos, L. y Valderrama-Zurián, J. C. (2020). Información y comunicación durante los primeros meses de Covid-19. Infodemia, desinformación y papel de los profesionales de la información. Profesional de la Información 29(4). https://doi.org/10.3145/epi.2020.jul.08

Álvarez, J., Andrade, C., Vieyra, V., Esquivias, H., Merlín, I., Neria, R. y Bezanilla, J. (2020). Manual operativo del curso emergente para la Brigada de Atención Psicoemocional y Psicosocial a distancia durante la pandemia de la COVID-19 en México. Secretaría de Salud. http://inprf.gob.mx/ensenanzanew/archivos/2020/manual_brigadas_2020.pdf

Arrogante, O. y Aparicio-Zaldivar, E. G. (2020). Síndrome de burnout en los profesionales de cuidados intensivos: relaciones con la salud y el bienestar. Enfermería Intensiva 31(2), 60-70. https://doi.org/10.1016/j.enfi.2019.03.004

Arumir, R. (2009). Protocolo para el desahogo psicoemocional del personal que atiende emergencias y desastres en el área de protección civil del Distrito Federal [tesis de licenciatura]. Universidad Nacional Autónoma de México. http://www.paginaspersonales.unam.mx/app/webroot/files/2722/Tesis_Licenciatura_Rodrigo_Arumir_Garcia.pdf

Bedoya, J.C.M. (2020). COVID-19: The Pandemic of Abuse Against Health Personnel in Times of Pandemic. IJEPH 3(1). https://doi.org/10.18041/2665-427X/ijeph.1.6276

Blake, H., Bermingham, F., Johnson, G. & Tabner, A. (2020). Mitigating the Psychological Impact of COVID-19 on Healthcare Workers: A Digital Learning Package. International Journal of Environmental Research and Public Health 17(9), 2997. https://doi.org/10.3390/ijerph17092997

Cancino, K. (2020, 19 de abril). Nayarit endurece aislamiento social por Covid-19. Aristegui Noticias.

https://aristeguinoticias.com/1904/mexico/nayarit-endurece-aislamiento-social-por-covid-19/

Cárdenas, M. C. (2020). COVID-19: la lucha invisible contra la ignorancia y el estigma. Index de Enfermería 29(1-2), 67-68. https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962020000100016

Centro Estatal de Vigilancia Epidemiológica y Control de Enfermedades. (2020). Estigma y discriminación por COVID-19. Visión CEVECE, semana 44. Gobierno del Estado de México. https://salud.edomex.gob.mx/cevece/documentos/difusion/tripticos/2020/Semana44.pdf

Domínguez de la Ossa, E. D. y González, J. D. H. (2013). La investigación narrativa en psicología: definición y funciones. Psicología desde el Caribe 30(3), 620-641. https://www.redalyc.org/articulo.oa?id=21329176009

Dzau, V. J., Kirch, D. & Nasca, T. (2020). Preventing a Parallel Pandemic—A National Strategy to Protect Clinicians’ Well-being. New England Journal of Medicine 383(6), 513-515. https://www.nejm.org/doi/full/10.1056/NEJMp2011027

Fiorillo, A. & Gorwood, P. (2020). The Consequences of the COVID-19 Pandemic on Mental Health and Implications for Clinical Practice. European Psychiatry 63(1), e32, 1–2. https://pubmed.ncbi.nlm.nih.gov/32234102/

Fukuti, P., Uchôa, C., Mazzoco, M., Corchs, F., Kamitsuji, C., Rossi, L., De Rios, I., Lancman, S., Bonfa, E., Barros-Filho, T. & Miguel, E. (2020). How Institutions Can Protect the Mental Health and Psychosocial Well-Being of Their Healthcare Workers in the Current COVID-19 Pandemic. Clinics, 75, e1963. https://dx.doi.org/10.6061/clinics/2020/e1963

García, C. (2020, 1 julio). Más de 200 médicos y enfermeras fueron atacados por el estigma asociado al virus en México. Saludconlupa.com. https://saludconlupa.com/noticias/mas-de-200-medicos-y-enfermeras-fueron-atacados-por-el-estigma-asociado-al-virus-en-mexico/

García-Reyna, B., Castillo-García, G. D., Barbosa-Camacho, F. J., Cervantes-Cardona, G. A., Cervantes-Pérez, E., Torres-Mendoza, B. M., Fuentes-Orozco, C., Pintor-Belmontes, K. J., Guzmán-Ramírez, B. G., Bernal-Hernández, A., González-Ojeda, A. & Cervantes-Guevara, G. (2020). Fear of COVID-19 Scale for Hospital Staff in Regional Hospitals in Mexico: A Brief Report. International Journal of Mental Health and Addiction, 1-12. https://doi.org/10.1007/s11469-020-00413-x

Gavin, B., Lyne, J. & McNicholas, F. (2020). Mental Health and the COVID-19 Pandemic, 37, 156-158. https://doi.org/10.1017/ipm.2020.72

Gobierno de México. (2020, 4 de abril). México contra el COVID-19. Jornada Nacional de Reclutamiento de Recursos Humanos para la Salud. https://www.gob.mx/imss/articulos/jornada-nacional-de-reclutamiento-y-contratacion-de-recursos-humanos-para-la-salud

Gobierno del Estado de Nayarit. (2021). Portal Covid-19. https://covid19.nayarit.gob.mx/

Greenberg, N., Docherty, M., Gnanapragasam, S. & Wessely, S. (2020). Managing Mental Health Challenges Faced by Healthcare Workers During Covid-19 Pandemic. BMJ 368(1211). https://doi.org/10.1136/bmj.m1211

Heath, C., Sommerfield, A. & Von Ungern‐Sternberg, B. S. (2020). Resilience Strategies to Manage Psychological Distress Among Healthcare Workers During the COVID‐19 Pandemic: A Narrative Review. Anaesthesia 75(10), 1364-1371. https://doi.org/10.1111/anae.15180

Instituto Mexicano del Seguro Social. (diciembre de 2020). Para atención COVID-19 en etapa crítica diciembre-enero-febrero, IMSS garantiza cobertura con personal de salud. No. 821/2020 [comunicado de prensa]. http://www.imss.gob.mx/prensa/archivo/202012/821

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado. (2008). Guía técnica para la integración de Grupos de Ayuda Mutua. https://studylib.es/doc/7054683/gu%C3%ADa-t%C3%A9cnica-para-la-integraci%C3%B3n-de-grupo-de-ayuda-mutua

Kameno, Y., Hanada, A., Asai, D., Naito, Y., Kuwabara, H., Enomoto, N. & Yamasue, H. (2021). Individual Psychotherapy Using Psychological First Aid for Frontline Nurses at High Risk of Psychological Distress During The COVID‐19 Pandemic. Psychiatry and Clinical Neurosciences 75(1), 25-27. doi: 10.1111/pcn.13170

Manrique De Lara, A. & Medina Arellano, M. (2020). The COVID-19 Pandemic and Ethics in Mexico Through a Gender Lens. Bioethical Inquiry 17(4), 613–617. https://doi.org/10.1007/s11673-020-10029-4

Martínez, E. N., Castañón, M. A. H., González, B. G., Rodríguez, V. M. H. y Perales, M. S. (2020). Correlación entre los aspectos personales y laborales con el desgaste profesional de enfermería en un hospital de segundo nivel. Lux Médica 15(44), 59-70. https://doi.org/10.33064/44lm20202798

Miotto, K., Sanford, J., Brymer, M. J., Bursch, B. & Pynoos, R. S. (2020). Implementing an Emotional Support and Mental Health Response Plan for Healthcare Workers During the COVID-19 Pandemic. Psychological Trauma: Theory, Research, Practice, and Policy 12(S1), S165-S167. http://dx.doi.org/10.1037/tra0000918

Namhee, O., NamSoo H., Dong, H. R., Sang G. B., Sin K. & Keon-Yeop. (2015). Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreakin South Korea. Asian Nursing Research 11(3), 230-236. https://doi.org/10.1016/j.anr.2017.08.005

Organización Panamericana de la Salud. (12 de marzo del 2020). Consideraciones psicosociales y de salud mental durante el brote de COVID-19 [comunicado]. https://www.paho.org/sites/default/files/2020-03/smaps-coronavirus-es-final-17-mar-20.pdf

Payne, M. (2010). Terapia narrativa. Una introducción para profesionales (3ª ed.). Paidós.

Plataforma Duelo COVID. (2020). https://www.duelocovid.com/index.aspx

Ripp, J., Peccoralo, L. & Charney, D. (2020). Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Academic Medicine 95(8), 1136-1139. https://doi.org/10.1097/ACM.0000000000003414

Rodríguez, M. R., Sánchez, L. M. S. y Chávez, L. C. J. (2017). Eventos adversos, centinela y cuasifallas en el Servicio de Pediatría de un hospital de tercer nivel. Enfermedades Infecciosas y Microbiología 37(2), 56-64. https://www.imbiomed.com.mx/articulo.php?id=110050

Robles, R., Rodríguez, E., Vega-Ramírez, H., Álvarez-Icaza, D., Madrigal, E., Durand, S., Morales-Chainé, S., Astudillo, C., Real-Ramírez, J., Medina-Mora, M.E., Becerra, C., Escamilla, R., Alcocer-Castillejos, N., Ascencio, L., Díaz, D., González, H., Barrón-Velázquez, E., Fresán, A. Rodríguez-Bores, L., Quijada-Gaytán, J. M., Zabicky, G., Tejadilla-Orozco, D., González-Olvera, J. & Reyes-Terán, G. (2020). Mental Health Problems Among Healthcare Workers Involved with the COVID-19 Outbreak. Brazilian Journal of Psychiatry 43(5), 494-503. https://dx.doi.org/10.1590/1516-4446-2020-1346

Secretaría de Salud. (2016). Estrategia de grupos de ayuda mutua. lineamientos de operación 2016. http://www.cenaprece.salud.gob.mx/programas/interior/adulto/descargas/pdf/LineamientosGAM_2016.pdf

Self Help Alliance. (2013). Starting and Maintaining a Peer Support Group Manual. https://cmhawwselfhelp.ca/wp-content/uploads/2016/10/Starting-and-Maintaining-Peer-Group-Manual-2013.pdf

Shah, K., Bedi, S., Onyeaka, H., Singh, R. & Chaudhari, G. (2020). The Role of Psychological First Aid to Support Public Mental Health in the COVID-19 Pandemic. Cureus 12(6), e8821. https://doi.org/10.7759/cureus.8821

Sibley, C. G., Greaves, L. M., Satherley, N., Wilson, M. S., Overall, N. C., Lee, C. H. & Barlow, F. K. (2020). Effects of the COVID-19 Pandemic and Nationwide Lockdown on Trust, Attitudes Toward Government, And Well-Being. American Psychologist 75(5), 618-630. http://dx.doi.org/10.1037/amp0000662

The Lancet Global Health. (2020). Mental Health Matters. The Lancet Global Health 8(11), e1352. https://doi.org/10.1016/S2214-109X(20)30432-0

Vitorelli Diniz Lima Fagundes, K., Almeida Magalhães, A., dos Santos Campos, C. C., Garcia Lopes Alves, C., Ribeiro, P. M. & Mendes, M. A. (2014). Speaking of Participant Observation in Qualitative Research in the Process of Health-Illness. Index de Enfermería 23(1-2), 75-79. https://dx.doi.org/10.4321/S1132-12962014000100016

Walton, M., Murray, E. & Christian, M. D. (2020). Mental Health Care for Medical Staff and Affiliated Healthcare Workers During the COVID-19 Pandemic. European Heart Journal: Acute Cardiovascular Care 9(3), 241-247. https://doi.org/10.1177/2048872620922795

Watson, E. (2017). The Mechanisms Underpinning Peer Support: A Literature Review. Journal of Mental Health 28(6), 677-688. https://doi.org/10.1080/09638237.2017.1417559

World Bank Group. (2020). Peer Support Group Facilitator Guide. Health y Safety Directorate. http://pubdocs.worldbank.org/en/178031585674457717/Peer-Group-Facilitator-Guide.pdf

Worrall, H., Schweizer, R., Marks, E., Yuan, L., Lloyd, C. & Ramjan, R. (2018). The Effectiveness of Support Groups: A literature review. Mental Health and Social Inclusion 22(2), 85-93. https://ro.uow.edu.au/smhpapers/5441

Zárate-Grajales, R.A., Salcedo-Álvarez, R.A., Olvera-Arreola, S.S., Hernández-Corral, S., Barrientos-Sánchez, J., Pérez-López, M.T., Sánchez-Ángeles, S., Dávalos-Alcázar, A.G., Campuzano-Lujano, G., y Terrazas-Ruíz, C. I. (2017). Eventos adversos en pacientes hospitalizados reportados por enfermería: un estudio multicéntrico en México. Enfermería universitaria 14(4), 277-285. https://doi.org/10.1016/j.reu.2017.08.005

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023

Downloads

Download data is not yet available.