Intensive Care Units Healthcare Professionals' Experiences and Negotiations at the Beginning of the COVID-19 Pandemic in Germany: A Grounded Theory Study

Horold, Madlen and Drewitz, Karl Philipp and Piel, Julia and Hrudey, Ilona and Rohr, Magdalena and Brunnthaler, Vreni and Hasenpusch, Claudia and Ulrich, Angela and Otto, Niklas and Brandstetter, Susanne and Apfelbacher, Christian (2022) Intensive Care Units Healthcare Professionals' Experiences and Negotiations at the Beginning of the COVID-19 Pandemic in Germany: A Grounded Theory Study. INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING, 59: 0046958022. ISSN 0046-9580, 1945-7243

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Abstract

Faced with the pandemic of the novel coronavirus (SARS-CoV-2), healthcare professionals (HCPs) in intensive care units (ICU) adjusted their organizational, operational, and personal procedures to ensure care for COVID-19 patients. We used grounded theory approach to explore ICU HCPs' perspectives on professional action at the beginning of the COVID-19 pandemic in Germany from March to July 2020. The study aimed to examine implicit principles on negotiating social practice and interaction of ICU HCPs in an exceptional situation, which was characterized by a high level of changes. We conducted theme-guided qualitative telephone/virtual interviews with 39 ICU HCPs from ten German federal states. The data collection followed the principles of theoretical sampling. We adpoted grounded theory approach proposed by Charmaz and discussed using Luscher's theoretical concept of ambivalence. The analysis revealed five interconnected categories about the ICU HCPs' negotiation of social practice and interaction at the beginning of the COVID-19 pandemic in Germany. In this context, a complex field of ambivalence (key category) emerged between habits and routines of a pre-pandemic normality. Pragmatic restructuring processes were initiated, which quickly resulted in a new normality of a "daily routine of preparation". Dealing with ambivalence offers the potential for change.

Item Type: Article
Uncontrolled Keywords: AMBIVALENCE; WORKERS; qualitative research; frontline workers; COVID-19; intensive care unit; acute critical care; pandemic experience; ambivalence
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Medicine > Institut für Epidemiologie und Präventivmedizin > Medical Sociology
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Feb 2024 11:36
Last Modified: 08 Feb 2024 11:36
URI: https://pred.uni-regensburg.de/id/eprint/57455

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