James Olatunde Okediran1, Olayinka Stephen Ilesanmi2, Adedoyin Anuoluwapo Fetuga3, Ikenna Onoh4, Aanuoluwapo Adeyimika Afolabi5, Oladipo Ogunbode6, Lois Olajide7, Ayi Vandi Kwaghe8, Muhammad Shakir Balogun9. 1. MBBS, MSc, FWACP, Nigeria Field Epidemiology and Laboratory Training Programme, 50, Haile Selassie Street, FCT Abuja, Nigeria, Nigeria Centre for Disease Control, Abuja Nigeria, Department of Public Health, Federal Capital Territory Administration, Abuja Nigeria. 2. MBBS, MBA, MSc, MPH, PhD FWACP, Department of Community Medicine, University of Ibadan, PMB 5116, Oyo State, Nigeria, Department of Community Medicine, University College Hospital, PMB 5116, Ibadan, Oyo State, Nigeria. 3. MBBS, MPH, Nigeria Field Epidemiology and Laboratory Training Programme, 50, Haile Selassie Street, Abuja, Nigeria, Lagos State Health Service Commission, Obafemi Awolowo Way, Ikeja, Lagos, Nigeria. 4. MBBS, MSc, FWACP, Nigeria Field Epidemiology and Laboratory Training Programme, 50, Haile Selassie Street, Abuja, Nigeria, Nigeria Centre for Disease Control, Abuja Nigeria. 5. B. Tech. Department of Community Medicine, University of Ibadan, PMB 5116, Oyo State, Nigeria. 6. MBBS, MSc, FWACP, Nigeria Centre for Disease Control, Abuja Nigeria. 7. MBBS, MPH, FWACP, Nigeria Centre for Disease Control, Abuja Nigeria. 8. DVM, PGDE, MVSc, PhD, Nigeria Field Epidemiology and Laboratory Training Programme, 50, Haile Selassie Street, Abuja, Nigeria, Department of Veterinary and Pest Control Services, Federal Ministry of Agriculture and Rural Development, Abuja, Nigeria. National Tuberculosis, Leprosy and Buruli Ulcer Control Programme, Abuja, Nigeria. 9. MBBS, MPH, FMCPath, Nigeria Field Epidemiology and Laboratory Training Programme, 50, Haile Selassie Street, Abuja, Nigeria.
Abstract
INTRODUCTION: The novel coronavirus (COVID-19) pandemic has overwhelmed health systems globally. Healthcare workers (HCWs) are faced with numerous challenges during the COVID-19 response. In this study, we aimed to describe the experiences of HCWs during the COVID-19 outbreak in Lagos, Nigeria. METHODS: We conducted a qualitative study on the experiences of frontline HCWs at the COVID-19 isolation centers in Lagos, Nigeria using purposive and snowballing sampling techniques. An in-depth interview which lasted for 25-40 minutes for each respondent was conducted among ten medical officers and four nurses between 15th June and 13th July 2020. We analyzed data using Colaizzi's phenomenological method. RESULTS: Respondents' age ranged between 29 and 51 years with a median age of 36.5 years. Four themes were identified from data analysis. In the first theme, "COVID-19 care: A call to responsibility", HCWs expressed optimism regarding COVID-19 care, and described the work conditions at COVID-19 isolation centers. In the second theme, "Challenges encountered while caring for COVID-19 patients - coping strategies", HCWs experienced difficulties working in a new environment and with limited resources. They however coped through the available support systems. Regarding the "Experiences in COVID-19 care", the feelings of HCWs varied from pleasure on patients' recovery to distress following patients' demise. On the "Necessities in COVID-19 care", HCWs identified the need for increased psychosocial support, and adequate provision of material and financial support. CONCLUSIONS: HCWs at COVID-19 isolation centers need to be assured of a safe working environment while providing them with a strengthened support system. GERMS.
INTRODUCTION: The novel coronavirus (COVID-19) pandemic has overwhelmed health systems globally. Healthcare workers (HCWs) are faced with numerous challenges during the COVID-19 response. In this study, we aimed to describe the experiences of HCWs during the COVID-19 outbreak in Lagos, Nigeria. METHODS: We conducted a qualitative study on the experiences of frontline HCWs at the COVID-19 isolation centers in Lagos, Nigeria using purposive and snowballing sampling techniques. An in-depth interview which lasted for 25-40 minutes for each respondent was conducted among ten medical officers and four nurses between 15th June and 13th July 2020. We analyzed data using Colaizzi's phenomenological method. RESULTS: Respondents' age ranged between 29 and 51 years with a median age of 36.5 years. Four themes were identified from data analysis. In the first theme, "COVID-19 care: A call to responsibility", HCWs expressed optimism regarding COVID-19 care, and described the work conditions at COVID-19 isolation centers. In the second theme, "Challenges encountered while caring for COVID-19 patients - coping strategies", HCWs experienced difficulties working in a new environment and with limited resources. They however coped through the available support systems. Regarding the "Experiences in COVID-19 care", the feelings of HCWs varied from pleasure on patients' recovery to distress following patients' demise. On the "Necessities in COVID-19 care", HCWs identified the need for increased psychosocial support, and adequate provision of material and financial support. CONCLUSIONS: HCWs at COVID-19 isolation centers need to be assured of a safe working environment while providing them with a strengthened support system. GERMS.
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