Impact of covid-19 on patient care delivery among nurses at a tertiary health facility in Northern Malawi: A qualitative phenomenological study

Abstract Background The emergence of COVID-19, caused by the novel SARS-CoV-2 virus, has posed profound challenges to the healthcare delivery system worldwide. This pandemic has not only resulted in severe illness and high mortality rates but has also significantly impacted the management of patients affected by the disease. This study aimed at exploring the impact of Covid-19 on patient care delivery among nurses, focusing on the concepts of Person, Environment, Health, Nursing, and Adaptation within the framework of the Adaptation Model of Nursing. Method The study employed a qualitative phenomenological design at Mzuzu Central Hospital (MCH), focusing on nurses involved in caring for COVID-19 patients. Purposive sampling, was used to selected 11 participants who met our criteria. An interview guide was used to conduct in-depth interviews to gather qualitative data. Data was analysed using Nvivo software for thematic analysis. Ethical clearance was obtained from the Mzuzu University Research Ethics Committee (MZUNIREC REF NO: MZUNIREC/DOR/23/110). Findings: We conducted interviews with 11 participants until we gathered sufficient data. The participant’s dedication to provide care was their passion for patient welfare. Some also highlighted financial incentives like allowances as contributing factors. Participants described a multifaceted approach that included emotional resilience, adherence to guidelines, and evolving perspectives. Challenges such as resource shortages, societal reactions and environmental conditions. Conclusion This study explored the impact of COVID-19 on patient care delivery among nurses at Mzuzu Central Hospital using the Adaptation model of nursing. Nurses faced challenges such as staff shortages among others. Organizational policies can harness healthcare professionals' intrinsic motivation, stemming from their passion for patient welfare, to enhance and maintain their commitment to care. Organizational policies can harness healthcare professionals' intrinsic motivation, stemming from their passion for patient welfare, to enhance and maintain their commitment to care.