Providing Care and Facing Death: Nursing During Ebola Outbreaks in Central Africa
Identifieur interne : 001426 ( Istex/Curation ); précédent : 001425; suivant : 001427Providing Care and Facing Death: Nursing During Ebola Outbreaks in Central Africa
Auteurs : Bonnie L. Hewlett ; Barry S. HewlettSource :
- Journal of Transcultural Nursing [ 1043-6596 ] ; 2005-10.
English descriptors
- Teeft :
- Amola, Biomedical, Biomedical model, Biomedical models, Biomedical training, Broad range, California press, Central africa, Common illnesses, Community members, Congolese nurse, Contact cases, Cultural contexts, Cultural models, Current study, Democratic republic, Disease control, Early phases, Ebola, Ebola epidemic, Ebola hemorrhagic fever, Ebola outbreaks, Ebola spread, Ebola virus, Family members, Fatality, Focus group, Focus groups, Gemo, Head nurse, Healer, Health care, Health care system, Health care workers, Health workers, Hemorrhagic, Hewlett, Hewlett amola, Hewlett nurses, Infectious disease, International teams, Isolation units, Isolation ward, Kabananukye, Kikwit, Killer epidemic, Little money, Local health care workers, Local nurses, Local people, Many nurses, Many parts, Many patients, Many people, Medical staff, Multiple deaths, Nosocomial transmission, Nurse, Nursing care, October, Other health care workers, Other illnesses, Outbreak, Political economy, Previous year, Protective gear, Regular illness, Rural area, Rural villages, Semistructured interviews, Stigmatization, Traditional beliefs, Traditional healer, Traditional healers, Transcultural nursing october, Uganda, Ugandan, Ugandan nurse, Urban area, Washington state university, Western europeans, World health organization.
Abstract
Few studies have focused on describing the experiences of health care workers during rapid killing epidemics. In this article, the views and experiences of nurses during three outbreaks of Ebola hemorrhagic fever (EHF) in Central Africa are examined. These three outbreaks occurred in Kikwit, Democratic Republic of Congo (DRC, 1995); Gulu, Uganda (2000-2001); and Republic of Congo (ROC, 2003). Open-ended and semistructured interviews with individuals and small groups were conducted during the outbreaks in Uganda and ROC; data from DRC are extracted from published sources. Three key themes emerged from the interviews: (a) lack of protective gear, basic equipment, and other resources necessary to provide care, especially during the early phases of the outbreaks; (b) stigmatization by family, coworkers, and community; and (c) exceptional commitment to the nursing profession in a context where the lives of the health care workers were in jeopardy.
Url:
DOI: 10.1177/1043659605278935
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Bonnie L. Hewlett<affiliation><mods:affiliation>Oregon State University</mods:affiliation>
<wicri:noCountry code="no comma">Oregon State University</wicri:noCountry>
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<affiliation><mods:affiliation>Washington State University</mods:affiliation>
<wicri:noCountry code="no comma">Washington State University</wicri:noCountry>
</affiliation>
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<front><div type="abstract" xml:lang="en">Few studies have focused on describing the experiences of health care workers during rapid killing epidemics. In this article, the views and experiences of nurses during three outbreaks of Ebola hemorrhagic fever (EHF) in Central Africa are examined. These three outbreaks occurred in Kikwit, Democratic Republic of Congo (DRC, 1995); Gulu, Uganda (2000-2001); and Republic of Congo (ROC, 2003). Open-ended and semistructured interviews with individuals and small groups were conducted during the outbreaks in Uganda and ROC; data from DRC are extracted from published sources. Three key themes emerged from the interviews: (a) lack of protective gear, basic equipment, and other resources necessary to provide care, especially during the early phases of the outbreaks; (b) stigmatization by family, coworkers, and community; and (c) exceptional commitment to the nursing profession in a context where the lives of the health care workers were in jeopardy.</div>
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