{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T03:37:00Z","timestamp":1783136220543,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008102","name":"University of Cincinnati","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To understand the needs and experiences of ICU nurses during COVID\u201019.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A qualitative approach utilising focused ethnography was employed in this study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Nurses working in adult ICUs and who had taken care of COVID\u201019 patients during the pandemic were recruited using purposive sampling. Data collection took place through semi\u2010structured interviews conducted online via Zoom, and demographic data was collected using a REDCap survey. Interviews were analysed using a systematic approach as proposed by Roper and Shapira.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Three overarching themes were identified: (a) navigating constantly changing landscape; (b) facing unique challenges and stressors and (c) experiencing the impact of COVID\u201019. The changes included changes in policies, patient care and environment. ICU nurses faced numerous challenges during the COVID\u201019 pandemic including shortages, embracing the unknown and communication challenges. The COVID\u201019 pandemic significantly impacted ICU nurses, both emotionally and physically, and the emotional toll of caring for them was stressful and challenging for them.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The study findings highlight the importance of addressing ICU nurses' needs and providing support to promote their well\u2010being during the COVID\u201019 pandemic and beyond.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession<\/jats:title>\n Healthcare organisations should develop policies and guidelines that are evidence\u2010based and prioritise the safety of patients and healthcare workers. The results of this study can be used to inform policies and practices aimed at supporting the mental and emotional well\u2010being of healthcare workers, particularly those in high\u2010stress environments such as the ICU.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n The study investigated the experiences and needs of ICU nurses and found that the COVID\u201019 pandemic had a significant impact on the physical, mental and emotional health of these nurses. The findings of this study will have an impact on healthcare institutions, nursing organisations, public health authorities, nursing education and the research community. It has the potential to drive positive changes in the support and care provided to ICU nurses, ultimately leading to improved outcomes for both nurses and patients during health emergencies.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n \n Th\n e<\/jats:bold>\n authors have adhered to the standards for reporting qualitative research guidelines.\n <\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n ICU nurses were interviewed for the data collection of the study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70306","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T04:30:02Z","timestamp":1762317002000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Alone on an Island: Experiences and Needs of Intensive Care Unit Nurses During the\n COVID<\/scp>\n \u201019 Pandemic: A Focused Ethnography"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4665-2528","authenticated-orcid":false,"given":"Teenu","family":"Xavier","sequence":"first","affiliation":[{"name":"School of Nursing, College of Public Health George Mason University Fairfax Virgnia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beverly M.","family":"Hittle","sequence":"additional","affiliation":[{"name":"College of Nursing University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana Rojas","family":"Guyler","sequence":"additional","affiliation":[{"name":"College of Education, Criminal Justice, and Human Services University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca C.","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Nursing University of Cincinnati Cincinnati Ohio 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