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Explaining the Challenges of the CCU Department in Non-Specialized Hospitals in Small Cities in the Face of the Covid-19 Pandemic: A Qualitative Study
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Seyede Elham Fazljoo    , Seyed Shahabadin Azizadini , Abasali Dehghani , Ebrahim Salmani , KHadijeh Nasiriani * |
| Research Center for Nursing and Midwifery Care, Comprehensive Research Institute for Maternal and Child Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , nasiriani@gmail.com |
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Abstract: (57 Views) |
Background & aim: The COVID-19 pandemic has affacted a challenge to all healthcare systems. Crises put a lot of pressure on healthcare staff, especially in small towns where hospitals are not specialized. Therefore, the present study aimed to explain the challenges of the CCU department in non-specialized hospitals in small towns in the face of the COVID-19 pandemic from the perspective of service providers.
Methods: The present study is qualitative and of the conventional content analysis type. Participants were selected purposively. Semi-structured interviews were used to collect data, and the interview process continued until complete data saturation. The qualitative data analysis process was carried out based on the Granheim and Landman method.
Results: In this study, from 326 open codes, ten subcategories and three themes were extracted, including: structural environmental changes (transformation of the CCU ward into a COVID ICU, transformation of the general ward (one room) into a CCU, lack of equipment and facilities in the CCU ward, and change in the method of programming nurses' shifts from monthly to daily), personnel challenges (doctors' dissatisfaction, nurses' dissatisfaction with the ward, dissatisfaction with the lack of attention to non-COVID nurses' services, nurses' dissatisfaction with the lack of experience and knowledge of working with ICU patients), and inadequate management of cardiovascular patients (loss of cardiac patients and problems of cardiac patients in the CCU alternative ward).
Conclusion: This study showed that sudden changes in the structure and management of human resources in the CCU department led to various challenges in the field of services provided to cardiovascular patients. Therefore, it is necessary for health system officials to pay serious attention to examining and improving the working conditions of nurses and providing appropriate equipment and space for treating patients. |
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| Keywords: COVID-19, Health Challenges, Nursing, Cardiac Patient Management, CCU |
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Full-Text [PDF 1019 kb]
(19 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/02/21 | Accepted: 2025/04/16 | Published: 2025/04/22
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