Evidence map›Paper›PMID 36253939›Full record

ArticleJournal of advanced nursing2023

Intensive care nurses' lived experience of altruism and sacrifices during the Covid-19 pandemic: A phenomenological study.

Anna Slettmyr, Maria Arman, Susanne Andermo, Chris Malmberg, Åsa Hällström, Karin Hugelius, Anna Schandl

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Professional altruism in nursing care: A concept clarification study.International journal of nursing studies advances · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna SlettmyrFaculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0001-5476-7803
Maria ArmanDepartment of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1683-6972
Susanne AndermoDepartment of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Stockholm, Sweden.
Chris MalmbergDepartment of Child Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
Åsa HällströmRegulatory Secretariat, Karolinska University Hospital, Stockholm, Sweden.
Karin HugeliusFaculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0003-0534-4593
Anna SchandlDepartment of Anaesthesia and Intensive Care, Södersjukhuset, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to understand the lived experience of altruism and sacrifices among Swedish nurses working in intensive care units (ICU) during the COVID-19 pandemic.

designThis was a descriptive phenomenological study.

methodsThe study was conducted between June 2020 and March 2021 and included 20 nurses who were directly involved in the ICU care of COVID-19 patients in Sweden during the pandemic. The text transcripts were analysed using Malterud's Systematic Text Condensation.

findingsThe analysis revealed four themes. The work situation changed from 1 day to another-the nurses were brutally confronted with a new and highly demanding situation. Adapting to the chaotic situation-despite fear, anguish and exhaustion, the nurses adapted to the new premises. They shouldered the moral responsibility and responded to the needs of the patients and the health care system since they had the competence. Being confronted with ethical and moral challenges-the nurses were overwhelmed by feelings of helplessness and inadequacy because despite how hard they worked, they were still unable to provide care with dignity and of acceptable quality. The importance of supporting each other-collegiality was fundamental to the nurses' ability to cope with the situation.

conclusionsTaken together, being exposed to a constantly changing situation, facing the anguish and misery of patients, families, and colleagues, and being confronted with a conflict between the moral obligation to provide care of high quality and the possibility to fulfil this commitment resulted in suffering among the nurses. Collegial back-up and a supportive culture within the caring team were important for the nurses' endurance. IMPACT: The study contributes an understanding of nurses' lived experience of working during the COVID-19 pandemic and highlights the importance of protecting and preparing nurses and nursing organisation for potential future crises.

Indexed as

COVID-19NursesAltruismCritical CareHumansPandemicsCOVID-19dignitylived experiencemoral stressnursing carenursing sciencequalitativesuffering

Identifiers

PMID36253939
PMCPMC9874568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.