{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:54:00Z","timestamp":1765886040420,"version":"3.37.3"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,16]],"date-time":"2016-10-16T00:00:00Z","timestamp":1476576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to describe Norwegian healthcare staffs\u2019 experiences of participating in care of patients with Ebola virus disease in Sierra Leone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Ebola is one of the most feared viruses known. Ebola virus disease is highly contagious with high mortality. The few qualitative studies made on experiences among healthcare professionals have highlighted problems as lack of protective resources, insufficient personnel and risk of societal stigmatization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Descriptive study with qualitative approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Individual narrative and focus group interviews were obtained during 2015 with eight nurses and one physician who had worked in Ebola care in Sierra Leone. The interviews were analysed using qualitative content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>The analysis resulted in the two themes: \u2018Experiencing security by learning to manage risks\u2019; and \u2018Developing courage and growth by facing personal fears\u2019. Subthemes were: \u2018Relying on safeguard actions\u2019, \u2018Managing risk of contagion\u2019, \u2018Developing strategies for care despite risks\u2019, \u2018Constantly reminded of death\u2019, \u2018Successively defeating fears\u2019 and last, \u2018Increasing motivation through meaningfulness\u2019. The participants described the reliance on training, organized effort, strict guidelines and equipment. They were respectful of the risk of transmission, made risk assessments, took responsibility, handled risky situations and were reminded of suffering and death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite challenges, the hazardous work with Ebola virus disease patients was experienced as meaningful which was an important motivator. Safe care was central in working with Ebola patients, but the care relation was challenged.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13167","type":"journal-article","created":{"date-parts":[[2016,10,17]],"date-time":"2016-10-17T00:02:49Z","timestamp":1476662569000},"page":"643-652","source":"Crossref","is-referenced-by-count":15,"title":["Ebola virus disease: caring for patients in Sierra Leone \u2013 a qualitative study"],"prefix":"10.1111","volume":"73","author":[{"given":"Sara","family":"Andertun","sequence":"first","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-6512","authenticated-orcid":false,"given":"\u00c5sa","family":"H\u00f6rnsten","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Senada","family":"Hajdarevic","sequence":"additional","affiliation":[{"name":"Department of Nursing Ume\u00e5 University Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,10,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.11648\/j.ajcem.s.2015030101.13"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.14-0746"},{"issue":"12","key":"e_1_2_11_4_1","first-page":"e114364","article-title":"Healthcare workers\u2019 challenges in the implementation of tuberculosis infection prevention and control measures in Mozambique","volume":"9","author":"Brouwer M.","year":"2014","journal-title":"Public Library of Science One"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.05.020301"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1678\u20109199\u201020\u201044"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2004.01072.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.11.015"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659607301301"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/514290"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_11_12_1","first-page":"105","volume-title":"Handbook of Qualitative Research","author":"Guba E.G.","year":"1994"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659605278935"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000176"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-5153.2012.00520.x"},{"key":"e_1_2_11_16_1","unstructured":"ICN \u2013 International Council of Nurses(2012)The ICN Code of Ethics for Nurses.International Council of Nurses Geneva. Retrieved fromhttp:\/\/www.icn.ch\/images\/stories\/documents\/about\/icncode_english.pdfon 04 March 2016."},{"volume-title":"Content Analysis: An Introduction to its Methodology","year":"2004","author":"Krippendorff K.","key":"e_1_2_11_17_1"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldw005"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.02857.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02069.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412984287"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/phn.12217"},{"volume-title":"Essentials of Nursing Research: Appraising Evidence for Nursing Practice","year":"2014","author":"Polit D.F.","key":"e_1_2_11_23_1"},{"issue":"7","key":"e_1_2_11_24_1","first-page":"e1001857","article-title":"Ebola virus disease: experience and decision making for the first patients outside of Africa","volume":"12","author":"Stephens D.S.","year":"2015","journal-title":"Public Library of Science One Medicine"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1473325009103374"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1411100"},{"volume-title":"Ebola features map","year":"2014","author":"WHO","key":"e_1_2_11_27_1"},{"volume-title":"Ebola situation report","year":"2015","author":"WHO","key":"e_1_2_11_28_1"},{"key":"e_1_2_11_29_1","unstructured":"WMA Declaration of Helsinki(2013)Ethical principles for medical research involving human subjects. 64th WMA General Assembly Fortaleza Brazil. Retrieved fromhttp:\/\/www.wma.net\/en\/30publications\/10policies\/b3\/on 4 March 2016."},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.10.0779"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.13167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.13167","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.13167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T13:39:37Z","timestamp":1696167577000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.13167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,16]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1111\/jan.13167"],"URL":"https:\/\/doi.org\/10.1111\/jan.13167","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"type":"print","value":"0309-2402"},{"type":"electronic","value":"1365-2648"}],"subject":[],"published":{"date-parts":[[2016,10,16]]}}}