perception and barriers of intensive care init nurses in comprehensive care during covid 19 pandemic in hanoi medical university hospital vietnam

r-u -ÍM Qỉ ugc V Hl AND TRAINING HANOI MEDICAL UNIVERSITY ----JI — —---PHAM THI DUNG PERCEPTION AND BARRIERS OF INTENSIVE CARE UNIT NURSES IN COMPREHENSIVE CARE DURING COVID-19 PANDEMIC

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AND TRAINING

HANOI MEDICAL UNIVERSITY JI <•=£>—

— -PHAM THI DUNG PERCEPTION AND BARRIERS OF INTENSIVE CARE UNIT NURSES IN COMPREHENSIVE CARE DURING COVID-19 PANDEMIC IN HANOI MEDICAL UNIVERSITY’ HOSPITAL VIETNAM

GRADUATION THESIS BACHELOR OF SCIENCE IN NURSING Advanced Program in Nursing

2016-2021

Supervisor: Assoc Prof Hoang Bui Hai M.D Ph.D

Mai Till Hue MPH

Hanoi 2021 ĩii

r-u -ÍM CỊỈ Hgc V Hl

Prof Hoang Bui Hai M.D P11.D arid Mrs Mai Till Hue MPH for the excellent guidance, caring, patience and providing with the tremendous support during this research

I am also grateful to all lecturers in the Institute of Intensive care and Emergency department Hanoi Medical University for their comments, helps and supports

I would like to express my sincere thanks to all hospital staff in Intensive Care Unit at Hanoi Medical University Hospital for their facilitation in data collection process

I place on my record, my sincere gratitude to all members in the research team for sliaring expertise, valuable support and encouragement extended to me

Hanoi May 5th 2021 Thesis author

Plain Thi Dung

DECLARATION

I hereby declare that this thesis is composed by myself, which lias not been previously submitted, either in a part or in full, for a degree to any other institution or university As far as I know, material lias been previously published or written by other persons are not contained in my thesis except where reference has been shown in the text

Hanoi May 5* 2021 Thesis author

Pham Till Dung

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ACKNOWLEDGEMENT iii

DECLARATION iv

CONTENTS V LIST OF TABLES viii

LIST OF FIGURES ix

LIST OF ABBREVIATIONS X INTRODUCTION 1

CHAPTER 1: LITERATURE REVIEW 3

1.1 Comprehensive care model 3

1.1.1 Comprehensive care definition 3

1.12 Comprehensive care and the COVID-19 pandemic 3

1.12.1 Overview of the COVID-19 pandemic 3

1.12.2 The situation of comprehensive care before the COVID-19 pandemic 5

1.12.3 The situation of comprehensive care during the COVID-19 pandemic s 1.2 The nursing role in comprehensive care 9

1.3 The barriers of nurses in comprehensive cares 10

1.4 Comprehensive care in ICƯ Vietnam 11

CHAPTER 2: SUBJECTS AND METHOD 13

2.1 Study time & setting 13

2.2 Study participants 13

2.3 Study design 13

2.4 Study instruments 14

2.5 Study parameters 15

2.-6 Data collection 16

2.7 Data analysis 18

2.8 The trustworthinessof a qualitative research 20

2.8.1 Credibility of this study 20

2.82 Dependability of this study 21

2.83 Transferability of tills study 21

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2.9 Ethical consideration 21 CHAPTER 3: RESULT 22 3.1 General characteristics of participants 22 3.2 The barriers of nurses performing Comprehensive care in Intensive care unit during the COVID-19 pandemic 25

3.2.1 Barners related to insufficiency of human resource 26 3.22 Barrier related to overwhelmed and stressed by the nursing workload 29 3.23 Barrier related to the unprofessional structure of the ICƯ35 3.2.4 Barrier related to non-cooperation of the patient’s relatives

37 3.25 Banier related to the uncertainty and anxiety of being infected COVID-19 and infecting others 38 3.3 The perception of nurses about comprehensive care in the ICU

during COVID-19 pandemic 41 3.3.1 The participant’s perspective about the future nursing care model 41

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CHAPTER 4: DISCUSSION 46 4.1 General charact eristic of study 46 4.2 The barriers of nurses performing comprehensive care in the ICU

during the COVID-19 pandemic 48 4.2.1 Barrier related to insufficiency' of human resource 49 4.22 Barrier related to overwhelmed and stressed by the nursing workload 50 4.23 Barrier related to the unprofessional structure of the ICU51 4.2.4 Barrier related to non-cooperation of the patient’s relatives

52 4.25 Barrier related to the uncertainty and anxiety’ of being infected withCOVID-19 and infecting others 53 4.3 Tire perception of nurses about comprehensive care in the ICƯ

during the COVID-19 pandemic 54 4.3.1 The participant's perspective about the future nursing care model 54 4.32 The expected factors that should be available to achieve