An analysis of COVID-19 disease perceptions and metaphors of nurses working in COVID-19 intensive care units


Journal of Psychiatric Nursing, vol.14, no.1, pp.24-32, 2023 (Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.14744/phd.2022.17048
  • Journal Name: Journal of Psychiatric Nursing
  • Journal Indexes: Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.24-32
  • Keywords: Coronavirus, COVID-19, family relations, intensive care unit, mental health, metaphor, nurses, nursing care
  • Hacettepe University Affiliated: Yes


Objectives: Coronavirus disease 2019 (COVID-19) is seen not only as a disease, but it is also defined by a series of met-aphors: mysterious, evil, an invisible enemy, an insidious danger, and a democratic virus. This study was conducted to analyze the nurses’ perceptions of COVID-19 through metaphors. Methods: This qualitative research was planned as a descriptive phenomenological approach. Twenty-eight nurses working in the COVID-19 intensive care unit (ICU) participated in the study. The metaphor-based data collection process was carried out with five open-ended questions. The data were analyzed through a thematic analysis. The Consolidated Criteria for Reporting Qualitative Research Checklist was used to analyze this study. Results: Most military and fatigue related to the time nurses work in intensive care; Hero and nightmare of patient care with COVID-19; distance and restlessness in family relationships; their mental health darkroom and fatigue; COVID-19 as an insidious enemy and infinity . A total of 128 metaphors were produced. Conclusion: Working during the COVID-19 epidemic, COVID-19 ICU nurses exhibit unfavorable approaches toward their jobs, family relationships, and mental health. Improving the working conditions of ICU nurses and considering their desires will help contribute to a favorable direction.