{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T11:06:28Z","timestamp":1775819188278,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Health Care and Philos"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This paper is an insight on a front-line doctor\u2019s experience of Coronavirus in Italy, in an Internal Medicine ward transformed to a COVID-19 ward. Using content analysis were analyzed 52 destructurated interviews to \u201cCovid clinicians\u201d in the \u201cOspedale dei Castelli\u201d hospital structure in Rome, Italy. Thematic analysis was performed to recognize common topics in the interviews. Finally, a correlation between the 5 Ovid\u2019s forces (love and thirst for knowledge\u2014positive ones\u2014anger, envy and fear\u2014negative ones) and Narrative Medicine scenarios (Physician and Patients, Physician and Society, Physician and Self, Physician and Colleagues) is described. Coronavirus is a \u201ctsunami\u201d by confrontation with the poet Ovid\u2019s five driving forces. Covid-19 never gave health-workers a chance to draw breath for a moment themselves, as presentation and treatment hypotheses changed at dizzying speed, constantly forcing them to modify and adapt established procedures and behavior as the pandemic evolved. Every scenarios present a correlation with at least one positive and one negative force (Physician and Patients: love and anger, Physician and Self: Fear and Thirst for\u00a0Knowledge, Physician and Colleagues: Thirst for\u00a0Knowledge and Envy, Physician and Society: Love, Fear and Anger). Many healthcare workers who came face-to-face with the magnitude of this emergency are able in some way to contextualize the social implications of this experience, which paradoxically has some positive aspects, having let them discover newfound courage, resourcefulness, and hope. Negative forces result from too strong positive emotions and they are a signal of deteriorated relationships and an alarm bell of clinician\u2019s burn-out. Covid era has been defined by the lack of emergency preparedness, together with lack of international coordination and media reports generating terror. People can defeat Covid by combatting against terror of the heart, by finding passion and courage and by dealing honestly with the fear of disease and death.<\/jats:p>","DOI":"10.1007\/s11019-021-10063-y","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:03:51Z","timestamp":1643155431000},"page":"299-304","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Beyond Coronavirus: the metamorphosis as the essence of the phenomenon"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1119-0869","authenticated-orcid":false,"given":"Filomena","family":"Pietrantonio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,26]]},"reference":[{"issue":"1","key":"10063_CR1","doi-asserted-by":"publisher","first-page":"1897","DOI":"10.1001\/jama.286.15.1897","volume":"286","author":"R Charon","year":"2001","unstructured":"Charon, R. 2001. Narrative medicine. A model for empathy, reflection, profession, and trust. JAMA 286 (1): 1897\u20131901.","journal-title":"JAMA"},{"issue":"3","key":"10063_CR2","first-page":"128","volume":"32","author":"T-H Chiu","year":"2005","unstructured":"Chiu, T.-H. 2005. Attributes and factors affecting the organization of knowledge resources: a case study of the library and information service industry in Taiwan. Knowledge Organization 32 (3): 128\u2013134.","journal-title":"Knowledge Organization"},{"issue":"2011\u201307","key":"10063_CR3","doi-asserted-by":"publisher","first-page":"532","DOI":"10.2471\/BLT.11.086173.URLaccessedOctober10","volume":"89","author":"P Doshi","year":"2020","unstructured":"Doshi, P. 2020. The elusive definition of pandemic influenza. Bulletin of the World Health Organization 89 (2011\u201307): 532\u2013538. https:\/\/doi.org\/10.2471\/BLT.11.086173.URLaccessedOctober10.","journal-title":"Bulletin of the World Health Organization"},{"key":"10063_CR4","doi-asserted-by":"publisher","first-page":"2352","DOI":"10.1016\/j.jacc.2020.03.031","volume":"75","author":"E Driggin","year":"2020","unstructured":"Driggin, E., M.V. Madhavan, B. Bikdeli, T. Chuich, J. Laracy, G. Biondi-Zoccai, T.S. Brown, C. Der Nigoghossian, D.A. Zidar, J. Haythe, D. Brodie, J.A. Beckman, A.J. Kirtane, G.W. Stone, H.M. Krumholz, and S.A. Parikh. 2020. Cardiovascular considerations for patients, health care workers, and health systems during the coronavirus disease 2019 (COVID-19) pandemic. Journal of the American College of Cardiology 75: 2352\u20132371.","journal-title":"Journal of the American College of Cardiology"},{"issue":"8","key":"10063_CR5","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1001\/jamainternmed.2020.2306","volume":"180","author":"JS Faust","year":"2020","unstructured":"Faust, J.S., and C. del Rio. 2020. Assessment of deaths from COVID-19 and from seasonal Influenza. JAMA Internal Medicine 180 (8): 1045\u20131046.","journal-title":"JAMA Internal Medicine"},{"key":"10063_CR6","doi-asserted-by":"publisher","first-page":"2485","DOI":"10.1056\/NEJMp2003149","volume":"382","author":"P Hartzband","year":"2020","unstructured":"Hartzband, P., and J. Groopman. 2020. Physician burnout, interrupted. New England Journal of Medicine 382: 2485\u20132487. https:\/\/doi.org\/10.1056\/NEJMp2003149.","journal-title":"New England Journal of Medicine"},{"key":"10063_CR7","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.1056\/NEJMcp1206782","volume":"368","author":"B Hoen","year":"2013","unstructured":"Hoen, B., and X. Duval. 2013. Clinical practice. Infective endocarditis. New England Journal of Medicine 368: 1425.","journal-title":"New England Journal of Medicine"},{"key":"10063_CR8","unstructured":"Illich I. 1994. Nella vigna del testo (Im Weinberg des Textes). Raffaello Cortina Editore."},{"key":"10063_CR9","unstructured":"Investing in and building longer-term health emergency preparedness during the COVID-19 pandemic interim guidance for WHO Member States. 6 July 2020 | COVID-19: Critical preparedness, readiness, and response. https:\/\/www.who.int\/publications\/i\/item\/investing-in-and-building-longer-term-health-emergency-preparedness-during-the-covid-19-pandemic. Accessed 10 Oct 2020"},{"issue":"20","key":"10063_CR10","doi-asserted-by":"publisher","first-page":"30150","DOI":"10.1016\/j.jacr.2020.02.008","volume":"S1546\u20131440","author":"S Kooraki","year":"2020","unstructured":"Kooraki, S., M. Hosseiny, L. Myers, and A. Gholamrezanezhad. 2020. Coronavirus (COVID-19) outbreak: what the department of radiology should know. Journal of the American College of Radiology S1546\u20131440 (20): 30150\u201330152. https:\/\/doi.org\/10.1016\/j.jacr.2020.02.008.","journal-title":"Journal of the American College of Radiology"},{"key":"10063_CR11","volume-title":"Content Analysis: An Introduction to Its Methodology","author":"K Krippendorff","year":"2012","unstructured":"Krippendorff, K. 2012. Content Analysis: An Introduction to Its Methodology. Thousand Oaks, CA: Sage."},{"key":"10063_CR12","first-page":"26","volume":"2\u20133","author":"M Nonis","year":"2020","unstructured":"Nonis, M., and E. Di Virgilio. 2020. Letture, riflessioni e considerazioni sul \u201cgoverno\u201d dell\u2019epidemia COVID-19 in corso. Organizzazione Sanitaria 2\u20133: 26\u201352.","journal-title":"Organizzazione Sanitaria"},{"key":"10063_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/1609406917733847","volume":"16","author":"LS Nowell","year":"2017","unstructured":"Nowell, L.S., J.M. Norris, D.E. White, and N.J. Moules. 2017. Thematic analysis: striving to meet the trustworthiness criteria. International Journal of Qualitative Methods 16: 1\u201313. https:\/\/doi.org\/10.1177\/1609406917733847.","journal-title":"International Journal of Qualitative Methods"},{"key":"10063_CR14","unstructured":"Publio Ovidio Nasone. 1853. Metamorphoses. In Italian verses by Massimiliano P. Castagnoli\u2014Florence\u20141853"},{"issue":"4","key":"10063_CR15","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1111\/iwj.13441","volume":"17","author":"D Queen","year":"2020","unstructured":"Queen, D., and K. Harding. 2020. Societal pandemic burnout: a COVID legacy. International Wound Journal 17 (4): 873\u2013874. https:\/\/doi.org\/10.1111\/iwj.13441.","journal-title":"International Wound Journal"},{"key":"10063_CR16","doi-asserted-by":"publisher","first-page":"2368","DOI":"10.1056\/NEJMms2009984","volume":"382","author":"L Rosenbaum","year":"2020","unstructured":"Rosenbaum, L. 2020. The untold toll\u2014the pandemic\u2019s effects on patients without Covid-19. New England Journal of Medicine 382: 2368\u20132371. https:\/\/doi.org\/10.1056\/NEJMms2009984.","journal-title":"New England Journal of Medicine"},{"issue":"1\u20132","key":"10063_CR17","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1515\/scr-2017-0005","volume":"15","author":"I Silistraru","year":"2017","unstructured":"Silistraru, I. 2017. Narrative Medicine\u2014the methodology of doctor-patient communication analysis. Social Change Review. Winter 15 (1\u20132): 105\u2013128. https:\/\/doi.org\/10.1515\/scr-2017-0005.","journal-title":"Social Change Review. Winter"},{"key":"10063_CR18","unstructured":"WHO. 2020. Clinical management of severe acute respiratory infections when novel coronavirus is suspected: What to do and what not to do. https:\/\/www.who.int\/csr\/disease\/coronavirus_infections\/InterimGuidance_ClinicalManagement_NovelCoronavirus_11Feb13u.pdf?ua=1&ua=1. Accessed 10 Oct 2020."},{"key":"10063_CR19","unstructured":"William Shakespeare, Hamlet. A. Lombardo, Edited by Feltrinelli, 2013"},{"key":"10063_CR20","unstructured":"World Health Organization. 2019. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected."}],"container-title":["Medicine, Health Care and Philosophy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11019-021-10063-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11019-021-10063-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11019-021-10063-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T17:19:53Z","timestamp":1653585593000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11019-021-10063-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,26]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10063"],"URL":"https:\/\/doi.org\/10.1007\/s11019-021-10063-y","relation":{},"ISSN":["1386-7423","1572-8633"],"issn-type":[{"value":"1386-7423","type":"print"},{"value":"1572-8633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,26]]},"assertion":[{"value":"10 December 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 January 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}