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. 2020 Nov 5;2020(11):CD013779. doi: 10.1002/14651858.CD013779

Lee 2005.

Study characteristics
Methods Design: qualitative study and a survey. Small groups of nurses (4‐6 per group) were interviewed using semi‐structured interviews at the end of the "mission". This was followed with a 72‐item SARS team questionnaire
Country: Taiwan
Study aim: to understand the needs and experiences of frontline female nurses in order to provide better psychiatric services
Study recruitment details: not reported
Setting: tertiary medical centre designated to provide care for SARS patients during the outbreak
Epidemic/pandemic disease: SARS
Phase of disease outbreak: during the pandemic
Participants Total study population: 26
Inclusion criteria: SARS team of nursing staff was organised and cared for SARS patients in the ED. Team selection was made by both the director of the nursing department and the head nurse of the ED based on the nurses’ clinical performance, physical conditions, adaptability, willingness and their family’s considerations.
Exclusion criteria: not reported
Type (profession) of staff: nurses
Length of time in the profession: 5‐12 years (mean = 6.5, S.D. = 1.98)
Previous experience of working in the frontline during an epidemic/pandemic: not reported
Details of who the frontline staff were providing care for: SARS patients
Interventions 1. Debriefing intervention: (n = 26)
  • Type of intervention: psychological support interventions

  • Materials:

  • Procedures: a psychiatric team was organised to provide assistance to all hospital staff and patients. This team offered various psychiatric services including psycho‐education, debriefing groups, a counselling hotline and individual psychotherapy, among others. SARS team members were invited to participate in 2 debriefing groups. Topics related to their SARS experiences were discussed in these 2 groups, such as the psychological conflicts and stresses experienced in this mission, coping strategies and possible preventive or intervening measures for staff.

  • Provided by: 2 senior psychiatrists and 2 psychologists

  • Delivery:

  • Regimen: 10 nurses participated in the first group, which lasted 50 min, during the early phase of their mission and 22 participated in the second, lasting 90 min, during the middle phase

  • Tailoring: not reported

  • Modification: not reported

  • Adherence: not reported

  • Details of any adverse events/unintended consequences: not reported

Outcomes Outcomes: 72‐item questionnaire, which assessed 6 areas
  1. immediate reactions to the mission

  2. major stressors inherent in caring for SARS patients

  3. effective measures to reduce stress

  4. coping strategies

  5. motivators to join future missions

  6. evaluation of psychiatric services


Data collection: retrospectively collected at the end of the "mission"
Funding Funding statement: not reported
Conflict of interest: not reported
Notes Included in the review of qualitative evidence synthesis. Classified as a 'qualitative study', as this study had a qualitative study design.
Methodological assessment: assessed using CASP tool
Overall assessment: minor limitations. For details of assessment see Table 9, and for support for judgements see Appendix 13.