Skip to main content
. 2020 Oct 6;49(5):547–554. doi: 10.1016/j.ajic.2020.10.001

Table 1.

Subthemes, code and related Quotations of the Working in the pandemic era theme

Sub-themes Codes Quotations
Overwhelming workload Heavy workload
Fast changes in the workplace
Unprecedented workload
In the early days, our workload was very high, we had to move the wards and hospitalized corona patients in the non-infectious wards (Nurse)
Early in the pandemic, I was so tired and I thought I hadn't ever experienced such a lot of work (Physician)
Ambiguity Changes in protocols
Changes in guideline
Advising of new drugs
You do not know what works and what does not work
Disapproval of new drugs
Rapid changes in patients' status
Every day a new drug is introduced, every day a new route of transmission is introduced (Physician)
Health organizations first said that the only way to transmit the disease was through droplets. Then they said it could be transmitted through aerosols. They are now telling that it can be transmitted by oral-fecal method (Nurse)
As a doctor, we usually feel that we can control the disease, but it gets worse very quickly and there is no cure for it (Physician)
The patients were coming today, they were fine, they were dying the next day, young, old, we didn't know what to do at all (Physician)
Losing control over situation Losing control
Feeling helpless
Ineffectiveness of routine treatments
Depletion of existing human resources
Inadequacy of previous work experiences
This disease does not have a specific drug, nor can you predict with confidence who will survive and who will die. This made me feel (completely ineffectual and I felt) like I was losing control (Physician)
Our patients (in the past) usually do not die, they are treated with antibiotics, but here (with this disease) it was different and we could not do anything (Physician)
Some of the staff had panic symptoms, they were crying and scared. Some of them who had an underlying condition or were taking corticosteroids had to go home and pressure was added to the rest of the staff (Hospital Manager)
The shortage of protective devices and the difficulty of using them Shortage in protective devices
Difficulty of usage for long periods
It's very difficult to wear N95 masks for twelve hours, I feel short of breath and I will definitely have problems later (Nurse)
They give (you) a body suit in each shift. When we wear these clothes, sweat flows from all over our bodies, we can't eat anything with these clothes, we can't drink anything too, we have to wear them for 12 hours (Nurse)
Sense of providing futile care Disease has no definite cure
Patients die despite hard work
Feelings of pointlessness
There is no cure for this disease, usually patients who are transferred to an intensive care unit do not have much chance. As for this disease, I feel that our work does not have much effect on patients' recovery (Physician)
When our patients die after all this hard work, with these protective clothes that are so difficult to wear, we say to ourselves, what is the point of our work? (Nurse)
A sense of conscientiousness and self-sacrifice Being loyal to the medical oath
Self-sacrifice
Preparing to give live for others
Risking their health for others
It is our duty to work in these situations, our work requires it (Physician)
Every job has its difficulties and difficult situations. This is the difficult situation of our work (Nurse)
We have to follow the medical oath we took, based on that oath, it is our duty to be at work now (physician)
When we came into this profession, we prepared ourselves that we might even lose our lives. This is the sacrifice that a nurse makes (Nurse)
It is our duty, and god will reward us with the best (Nurse)