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. 2021 Nov 17;69:103179. doi: 10.1016/j.iccn.2021.103179

Table 2.

Analysis matrix for CCNs’ experiences during the first phase of the COVID-19 pandemic based on the Person-centred Practice Framework (McCormack and McCance, 2016).

Domain Attributes Experiences
Prerequisites Professionally competent
Developed interpersonal skills
Commitment to the job
Clarity of beliefs and values
Having self-knowledge
Never hesitated to go to work
Felt unprepared
Fear of being infected or infecting others, to a limited extent
Fear of COVID-19 virus
Worked with unfamiliar colleagues, not knowing them or their skills



Care environment Appropriate skill mix
Shared decision-making system
Effective staff relationships
Power sharing
Physical environment
Supportive organizational systems
Potential for innovation and risk-taking
Went direct to work without introductions
Nurse managers invisible and unsupportive
Low degree of participation in work conditions
Increased strain caused by the organization
Importance of having the right competence around the patients
Constant need for ICU nurses
Commuting distance took a lot of energy
Physical environment chaotic at the beginning



Person-centred processes Working with patients’ beliefs and values
Shared decision-making
Engaging authentically
Being sympathetically present
Providing holistic care
Difficult to communicate because of protective equipment
Good at prioritizing nursing care
Nursing care impersonal and based on routines



Person-centred outcomes Good care experience
Involvement in care
Feeling of well-being
Existence of a healthful culture
Patients objectified
All the focus was on the COVID-19 diagnosis
Less involvement with patients’ care due to absence of contact with relatives