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Fear of dying dirty: Intimate care encounters during COVID-19 pandemic in South African context


Simangele Shakwane

Abstract

Background: Physical distancing, personal protective equipment (PPE) and hand hygiene were encouraged during the pandemic of  COVID-19. However, personal hygiene procedures for patients admitted to hospitals, such as assisted baths, oral care and elimination,  were neglected.


Aim: This study aimed to describe intimate care and touch experiences for patients admitted to the hospital during the COVID-19  pandemic lockdown.


Setting: This study was conducted in the medical and surgical units of two hospitals in Gauteng province.


Methods: A generic qualitative approach was used to explore and describe the patients’ intimate care and touch experiences during the  COVID-19 hard lockdown. In-patient individuals above 18 years were purposively sampled. Twelve patients aged between 28 and 60 years  participated in semi-structured interviews. Data were analysed using thematic analysis.


Results: Three central themes emerged from the data: (1) Keeping away from the body, (2) Who is touching my body? and (3) Fear of  dying dirty - a sense of losing bodily dignity. The participants felt that the nurses were trying to avoid them, as they were seen as  potential carriers of the COVID-19 pandemic.


Conclusion: The cleanliness of a patient’s body gives them a sense of self-respect and  dignity. Nurses should find ways to ensure that patients receive quality intimate care and touch, even during situations such as the  pandemic.


Contribution: Patients’ religious or cultural beliefs and anxieties about dying dirty should be acknowledged and respected in  nursing care to provide quality bodily care for all patients. 


Journal Identifiers


eISSN: 2071-9736
print ISSN: 1025-9848