Healthcare Providers' Experiences of Caring for Patients With COVID-19 Requiring Extracorporeal Membrane Oxygenation Support

• Published in: American journal of hospice & palliative medicine Vol. 41; no. 5; p. 568
• Main Authors: Constantine, Lori, DeCicco, Danielle, Carpenter, Roger D, Pockl, Stephanie, Seachrist, Katherine B, Navia, R Osvaldo
• Format: Journal Article
• Language: English
• Published: United States 01.05.2024
• Subjects: COVID-19 - therapy; Extracorporeal Membrane Oxygenation; Humans; Patient Care; SARS-CoV-2; COVID-19; healthcare providers; extracorporeal membrane oxygenation; moral distress; palliative; extracorporeal membranous oxygenation
• ISSN: 1938-2715
• DOI: 10.1177/10499091231178503

Coronavirus 19 (COVID-19) affected healthcare workers (HCW) in ways more than increasing the volume of patients needing care. Increased numbers of patients at younger ages required support with extracorporeal membrane oxygenation (ECMO). Providing this care requires an interdisciplinary team. This study explored the experiences of HCW caring for patients with COVID-19 on ECMO. Face-to-face semi-structured interviews were conducted via videoconferencing, and transcript comparison was used for the analysis. Open coding of the data generated 7 categories including (1) fearing the unknown, (2) confronting challenges in patient and/or family interactions, (3) encountering barriers to providing care, (4) facing moral distress, (5) working through exhaustion, (6) persevering by strengthening teamwork, (7) and acknowledging frustration with non-believers. HCW balanced pessimism and optimism while caring for patient with COVID-19 on ECMO. They used negative experiences caring for these patients to strength teamwork and bonding among peers. The practice implications for caring for patients with COVID-19 on ECMO include viligance by clinician and organization to protect the wellbeing of healthcare providers, particularly in ICU and ECMO units were moral distress and burnout can be high.