Impact of the COVID-19 pandemic on the experiences of hepatology nurses in Canada

Abstract

Background: In March 2020, COVID-19 was declared a global pandemic, directly affecting the management of liver disease. Aims: This study aimed to gain insights on the impact of COVID-19 on Canadian hepatology nursing care practices, on the personal stress levels of nurses and on strategies employed in the delivery of care. Methods: The 129 members of the Canadian Association of Hepatology Nurses (CAHN) were invited to an online survey, with a mixed-methods design consisting of 22 quantitative and seven optional qualitative questions. Findings: Of CAHN members, 41 (32%) responded to the survey; 90% reported moderate-to-severe negative impacts on practice settings, while 68% reported hepatitis C testing and treatment delays. The qualitative data identified six main themes within two broad categories: barriers in access to care and strategies employed by nurses. Conclusions: Participants identified that COVID-19 had negative impacts on themselves personally and on their delivery of healthcare to patients. Hepatology nurses led positive changes through collaboration with community partners and mobilisation of outreach work.