What the pandemic has taught me: Nursing during Covid-19

The past year-and-a-half has been incredibly difficult for all of us. Amongst the many difficulties brought about by the pandemic, our relationships with our home, our work, and the people we love have been tested and forcibly reshaped. This is perhaps, most true for our healthcare professionals who were never afforded the option of working from home and have often had to put their own health at risk in protecting their patients. In turn, they have had to carry the weight of the previous shift home with them each day, fearful of imposing this burden onto both the physical and psychological wellbeing of the people they love.ย 

In this series of articles, we will be asking a range of healthcare professionals about their experiences of the pandemic, and what the past eighteen months has taught them. In doing so, we hope to provide a space for these individuals to articulate both the highs and lows of their work and, if at all, how this period of intense change has altered their views on their career.

Today, weโ€™re listening to nurses. 

Across a series of interviews with members of the nursing profession (many of whom had come out of retirement in order to support overstretched local health services throughout the pandemic), perspectives on the last eighteen months varied significantly. When asked whether the pandemic had changed their perspective on their work, focus shifted between the practicalities of the nursing profession and onto the broader issue of the (mal)treatment of nurses working within our healthcare services. 

While some noted how COVID-induced changes to nursing practices meant that they now missed โ€œspeaking to people, and being given the privilege of supporting individuals within their own homesโ€, others had learnt โ€œhow much, as nurses, we put ourselves at riskโ€, and also, โ€œhow fragile life really isโ€. Responses also detailed how the pandemic had made working life more difficult, referencing how the enforced changes to nursing practices had made nursing โ€œless patient centredโ€ and had โ€œtaken focus off a lot of essential care needsโ€, with one respondent describing how the pandemic had โ€œhighlighted the desperate need for safe staffing levels in the NHSโ€, and how current staffing shortages were exacerbating difficulties and shortcomings in addressing these essential care needs.

On this note of how the pandemic has altered the nurse-patient dynamic, we were also keen to ask these individuals how they felt the pandemic may have changed the publicโ€™s perspective on their work. It was striking how responses to this question frequently centred around the โ€˜Clap For Our Carersโ€™. Individuals described how the first night of this scheme (designed to showcase the publicโ€™s appreciation for healthcare professionals) was โ€œspine chillingโ€, and was โ€œappreciatedโ€ by nursing staff. However, the sentiment of many was that this act encapsulated a wider issue in the experiences of nursing professionals: a respondent noted how they were aware that this appreciation โ€œwould not lastโ€. At times, this same split-feeling also existed in discussing public perspectives in the broader context of the pandemic as a whole. To illustrate, many nurses expressed how the pandemic had led the public to โ€œvalue the NHS as a whole, now more than everโ€, to โ€œunderstand the difficulties faced in the NHSโ€ and to have a โ€œnew awareness and appreciationโ€ for the nursing profession. 

Simultaneously, other individuals described how โ€œpeople will soon forget about nurses and carers, as they struggle to ensure their own survival in a post pandemic recessionโ€, how nurses had, on occasion, been used as โ€œscapegoatsโ€. Others spoke of how the growing public perception that โ€œhealthcare workers are angelsโ€ may not be helpful in ensuring that people fully grasp the human, emotional realities of the nursing profession and how nurses cannot possibly have remained untouched and unaffected by all that this last eighteen months has enforced upon us. It was also hugely poignant and informative to hear how the infallibility and resolve of the nurses we spoke to had been tested beyond professional boundaries. When discussing the hardest moments of the pandemic, many individuals spoke of the pain of loss: of patients, of colleagues and of old work friends. 

In spite of the many difficulties faced across the pandemic, when asked what advice they would offer to a young person that currently plans and aspires to pursue a career in nursing, responses were resoundingly consistent. They expressed that although it can be tough, itโ€™s an incredible and important career: โ€œEmbrace it – but itโ€™s difficultโ€, said one individual. Respondents also wanted to highlight the importance of interdependence and helping one another; answers conveyed how itโ€™s integral that you โ€œdonโ€™t be afraid to stand up for yourself and colleaguesโ€ and that โ€œmental health is priceless and should come firstโ€.

If the pandemic has taught us anything, itโ€™s demonstrated who we instinctively turn to for support through our darkest moments. Across this hugely challenging and sad time, weโ€™ve relied on nurses to keep us, and our loved ones, safe. We can only hope that in reflecting on these insights, we may respond to future difficulties that the profession will face (unjustly low pay, staff shortages and incidences of patient abuse to name a few) with empathy and support, and therein help to improve the day-to-day experiences of these individuals, for the benefit of us all. 

Thank you to all the nurses that have worked so hard throughout the COVID-19 pandemic to protect our health and wellbeing.

Image Credit: Alberto Giuliani / CC BY-SA 4.0

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