Meaning of hospitalization due to covid-19: A methodological approach in grounded theory

Authors

DOI:

https://doi.org/10.21527/2176-7114.2025.50.14904

Keywords:

COVID-19, Hospitalização, Emoções, Acontecimentos que mudam a vida, Enfermagem, Pesquisa Qualitativa

Abstract

This study aimed to understand the meanings attributed to hospitalization by individuals who experienced moderate and severe forms of COVID-19. It is a qualitative study conducted with 19 individuals who had moderate and severe cases of COVID-19 in a municipality in the northwest region of the state of Paraná, from April to November 2021. The study was based on the theoretical framework of Symbolic Interactionism and employed the Constructivist Grounded Theory as its methodological approach. Data collection was carried out through individual interviews mediated by technology. The analysis followed open and focused coding, as proposed by the analytical method. The results indicate that both positive and negative meanings were constructed during hospitalization due to COVID-19. The influence of healthcare professionals was essential in fostering positive feelings toward the hospital environment, the disease, and the hospitalization units, as well as reinforcing the individual's role as an active agent in their recovery. Negative feelings such as fear and despair were also observed, both regarding the severity of the disease and the care received, due to healthcare professionals' lack of experience in handling COVID-19. Given the high number of hospitalizations, fear of hospital discharge was also significant, as patients were concerned about potential deterioration in their condition that might require readmission. The participants' experiences during the pandemic can serve as a foundation for understanding and formulating healthcare policies in public health emergencies.

References

1 Gullot CC, Ramos SG. Principales pandemias en la historia de la humanidad. Rev Cubana Pediatr [Internet]. 2020 [cited 2022 Jul 17]; 92(1):e1183. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312020000500008&lng=es

2 Fundação Oswaldo Cruz. Centro de Relações Internacionais em Saúde (CRIS). Informe sobre Saúde Global e Diplomacia da Saúde, n°4/2022. Rio de Janeiro, Brasil. 2022. Available from: https://portal.fiocruz.br/documento/cadernos-cris-fiocruz-informe-04-2022

3 Ceccon RF, Júnior CASG, Perondi F, Oliveira Marx L, Silva LAP, Cordeiro MEC, et al. Hospitalizations for COVID-19 in Brazil: sociodemographic characteristics, risk factors and clinical manifestations. Saúde Redes [Internet]. 2023;9(2):3800. Available from: https://doi.org/10.18310/2446-4813.2023v9n2.3800

4 World Health Organization. Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update, 2020.

5 Remuzzi A, Remuzzi G. COVID-19 and Italy: What next? Lancet [Internet]. 2020 [cited 2022 Jun 19];395:1225-28. Available from: https://doi.org/10.1016/S0140-6736(20)30627-9

6 González-Gil MT, González-Blázquez C, Parro-Moreno AI, Pedraz-Marcos A, More APSS, Otero-García L, et al. Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs [Internet]. 2021 [cited 2022 Mar 11];62(102966). Available from: https://doi.org/10.1016/j.iccn.2020.102966

7 Fazio P, Cerminara G, Ruberto S, Caroleo M, Puca M, Rania O, et al. Hospitalization and other risk factors for depressive and anxious symptoms in oncological and non-oncological patients. Psycho-Oncology [Internet] 2017 [cited 2021 Jun 22];26(4):493-99. Available from: https://doi.org/10.1002/pon.4170

8 Blumer, H. (1969). Symbolic Interactionism: Perspective and Method. Berkeley: University of California Press.

9 Clark AE, Friese CE, Washburn RR. Situational analysis: grounded theory after the interpretative turn. Thousand Oaks, CA: Sage, 2017.

10 Salci MA, Carreira L, Facchini LA, Oliveira MLF, Oliveira RR, Ichisato SMT, et al. Post-acute COVID and long-COVID among adults and older adults in the State of Paraná, Brazil: protocol for an ambispective cohort study. BMJ open [Internet] 2022 [cited 2023 jun 11];12(9):e061094. Available from: https://doi.org/10.1136/bmjopen-2022-061094

11 Paraná. Secretária da Saúde. Diretoria de Vigilância em Saúde. [Internet] 2020 Informe Epidemiológico. [cited 2022 Jan 20] 2020. Available from: https://www.saude.pr.gov.br/Pagina/Coronavirus-COVID-19

12 Charmaz K. A construção da teoria fundamentada: guia prático para análise qualitativa. Editora Penso; 2009.

13 Venturas M, Prats J, Querol E, Zabalegui A, Fabrellas N, Rivera P, et al. Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study. Int J Environ Res Public Health, [Internet] 2021 [cited 2022 jan 22];18(20):10958. Available from: https://doi.org/10.3390/ijerph182010958

14 Hao F, Tam W, Hu X, Tan W, Jiang L, Jiang X, et al. A quantitative and qualitative study on the neuropsychiatric sequelae of acutely ill COVID-19 inpatients in isolation facilities. Transl Psychiatry [Internet] 2020 [cited 2022 mar 19];10(355). Available from: https://doi.org/10.1038/s41398-020-01039-2

15 Shaban RZ, Nahidi S, Castillo CS, Li C, Gilroy N, O’Sullivan MVN, et al. SARS-CoV-2 infection and COVID-19: The lived experience and perceptions of patients in isolation and care in an Australian healthcare setting. Am J Infect Control [Internet] 2020 [cited 2022 jun 22];48(12):1445-50. Available from: http://dx.doi.org/10.1016/j.ajic.2020.08.032

16 Lee J, Kang SJ. Factors influencing nurses' intention to care for patients with emerging infectious diseases: application of the theory of planned behavior. Nurs. Health Sci [Internet] 2020 [cited 2022 jan 11];22(1):82-90, 2020. Available from: https://doi.org/10.1111/nhs.12652

17 Raurell-Torredà M, Martínez-Estalella G, Frade-Mera MJ, Rodriguez-Rey LFC, Pio ERS. Reflexiones derivadas de la pandemia COVID-19. Enferm. intensiva [Internet] 2020 [cited 2022 jun 19];31(2):90-93. Available from: https://doi.org/10.1016/j.enfi.2020.03.002

18 Specht K, Primdahl J, Jensen HI, Elkjaer M, Hoffmann E, Boye LK, et al. Frontline nurses' experiences of working in a COVID-19 ward-A qualitative study. Nurs Open [Internet] 2021 [ cited 2022 abr 20];8(6):3006-15. Available from: https://doi.org/10.1002/nop2.1013

19 Mohammad H, Elham M, Mehraeen E, Aghamohammadi V, Seyedalinaghi S, Kalantari S. et al. Identifying data elements and key features of a mobile-based self-care application for patients with COVID-19 in Iran. Health Informatics J [Internet] 2021 [cited 2022 mar 14];27(4). Available from: https://doi.org/10.1177/14604582211065703

20 Costa AM, Rizzotto MLF, Lobato LVC. In the COVID-19 pandemic, Brazil sees the SUS. Saúde debate [Internet] 2020 [cited 2022 mar 23];44(125):289-96. Available from: https://doi.org/10.1590/0103-1104202012500

21 Lipsitch M, Swerdlow DL, Finelli L. Defining the epidemiology of COVID-19 – studies needed. N Engl J Med [Internet] 2020 [citer 2022 jun 12];382(13):1194-95. Available from: http://dx.doi.org/10.1056/NEJMp2002125

22 Carvalho R, Carvalho R, Zagni RM. Em guerra e sem armas: a pandemia mundial e o desmonte das ciências no Brasil. Confluências [Internet] 2020 [cited 2023 jul 20];22(2):107-30. Available from: https://periodicos.uff.br/confluencias/article/view/43046

23 Rodrigues CR, Pereira F, Rocha S, Pinto M, Freitas M. As vivências do paciente hospitalizado durante a pandemia covid-19: revisão integrativa. RIIS [Internet] 2021 [cited 2023 mar 22];4(1):87-97. Available from: https://doi.org/10.37914/riis.v4i1.132

24 Timmermann C, Uhrenfeldt L, Birkelund, R. Room for caring: patients' experiences of well-being, relief and hope during serious illness, Scand J Caring Sci [Internet] 2015 [cited 2022 jan 12];29(3):426-34, 2015. Available from: https://doi.org/10.1111/scs.12145

25 Lima CKT, Carvalho PMM, Lima IAAS, Nunes JVAO, Saraiva JS, Souza RI, et al. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Research [Internet] 2020 [cited 2022 jun 15];287. Available from: https://doi.org/10.1016/j.psychres.2020.112915

26 Lavery AM. Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission - United States. MMWR Morb Mortal Wkly Rep [Internet] 2020 [cited 2022 jun 16];69(45):1695-99. Available from: https://doi.org/10.15585/mmwr.mm6945e2

27 Sandstrom KL, Martin DD, Fine, G. A. Símbolos, selves e realidade social: Uma abordagem interacionista simbólica à psicologia social e à sociologia. Coleção Sociologia. Editora: Vozes. p. 384, 2016.

Published

2025-03-13

How to Cite

Harmuch, C., Pini, J. dos S., Nacamura, P. A. B., Devechi, A. C. R., Zillmer, J. G. V., Salci, M. A., & Paiano, M. (2025). Meaning of hospitalization due to covid-19: A methodological approach in grounded theory. Revista Contexto & Saúde, 25(50), e14904. https://doi.org/10.21527/2176-7114.2025.50.14904

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Section

ORIGINAL ARTICLE