International Journal of Multidisciplinary Research and Growth Evaluation  |  ISSN (Online): 2582-7138  |  Double-Blind Peer Review  |  Open Access  |  CC BY 4.0

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     2026:7/3

International Journal of Multidisciplinary Research and Growth Evaluation

ISSN (Online): 2582-7138 | Open Access

Emergency Department Nursing Response to COVID-19: Lessons from Frontline Clinical Practice

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Volume: 1 | Issue: 5 | Pages: 882-895

Subject: Resilience

Country: United Kingdom

DOI: https://doi.org/10.54660/IJMRGE.2020.1.5.882-895

License: CC BY 4.0

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Abstract

The COVID-19 pandemic presented unprecedented challenges for healthcare systems worldwide, placing emergency departments at the forefront of clinical response and exposing significant operational, professional, and psychological pressures on frontline healthcare workers. This study provides a comprehensive review of emergency department nursing responses during the pandemic to examine the experiences, challenges, and adaptive strategies of emergency nurses while identifying key lessons that can inform future pandemic preparedness and emergency care practice. The review synthesizes existing scholarly literature and frontline clinical perspectives to explore how emergency nursing roles evolved during the crisis and how healthcare systems adapted to sustain emergency service delivery.
The findings indicate that emergency nurses played a critical role in pandemic response through the implementation of revised triage systems, infection prevention and control measures, patient monitoring, and multidisciplinary coordination. Emergency departments underwent rapid structural and operational reorganization to accommodate increased patient volumes and reduce the risk of infection transmission. Despite these adaptive strategies, emergency nurses experienced considerable professional and psychological challenges, including increased workloads, emotional distress, burnout, and concerns regarding personal and family safety. The review also highlights several innovations that emerged during the pandemic, including the expansion of specialized treatment areas, the integration of digital health technologies, and the adoption of collaborative care models to improve clinical coordination and healthcare system resilience.
The analysis underscores the importance of strengthening emergency preparedness frameworks, improving workforce resilience, and investing in healthcare infrastructure to better support emergency nursing practice during future health crises. Key recommendations include enhancing disaster preparedness training for nurses, expanding mental health support systems for frontline healthcare workers, integrating advanced digital technologies into emergency care delivery, and promoting interdisciplinary collaboration across healthcare sectors. Strengthening these areas will be essential for ensuring that healthcare systems remain resilient and capable of responding effectively to future public health emergencies.
 

How to Cite This Article

Glory Ohunyon, Moshood Ayinde, Prisca U Ojukwu (2020). Emergency Department Nursing Response to COVID-19: Lessons from Frontline Clinical Practice . International Journal of Multidisciplinary Research and Growth Evaluation (IJMRGE), 1(5), 882-895. DOI: https://doi.org/10.54660/IJMRGE.2020.1.5.882-895

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  1. 8. Conclusion Theunprecedentedchallengespresentedbythe COVID-19pandemicfundamentallyreshapedemergencyhealthcaredeliveryandunderscoredtheindispensableroleofemergencydepartmentnursesinrespondingtoglobalhealthcrises. Thepurposeofthisreviewwastocriticallyexaminetheemergencydepartmentnursingresponseduringthepandemic, withparticularattentiontofrontlineexperiences, operationaladaptations, professionalchallenges, andthelessonsthatcaninformfutureemergencypreparedness. Throughthesynthesisofexistingliteratureandfrontlineclinicalinsights, thereviewachieveditsobjectivesbyhighlightingthedynamicresponsibilitiesofemergencynurses, thesystemicchallengesencounteredduringthecrisis, andtheinnovativestrategiesimplementedtosustainemergencycareservices. Thefindingsdemonstratethatemergencynursesservedascentralactorsinpandemicresponse, contributingsignificantlytotriageprocesses, infectionpreventionandcontrol, patientmonitoring, andmultidisciplinarycoordinationwithinemergencydepartments. Thepandemicrequiredrapidrestructuringofclinicalworkflowsandhealthcareinfrastructuretomanagesurgingpatientvolumesandminimizeinfectionrisks. Inresponse, healthcaresystemsadoptedadaptivestrategiesincludingrevisedtriageprotocols, expandedcareunits, enhanceddigitalhealthintegration, andcollaborativecaremodels. Despitetheseoperationaladvancements, emergencynursesfacedsubstantialprofessionalandpsychologicalpressures, includingincreasedworkloads, exposuretoinfectionrisk, emotionaldistress, andburnout. Thesechallengeshighlightedtheimportanceofworkforceresilience, institutionalsupport, andcomprehensivepreparedness International Journalof Multidisciplinary Researchand Growth Evaluationwww. allmultidisciplinaryjournal. com893frameworksinsustainingemergencyhealthcaredeliveryduringcrises. Theinsightsderivedfromfrontlineclinicalpracticefurtherrevealedtheimportanceofsurgecapacityplanning, simulation-basedtraining, andinterdisciplinarycollaborationinstrengtheninghealthcaresystemresponsiveness. Additionally, theintegrationoftechnologicalinnovationsanddigitalhealthsystemsemergedascriticalcomponentsinimprovingcommunication, clinicalcoordination, andpatientmanagementduringrapidlyevolvingemergencyscenarios. Inlightofthesefindings, severalrecommendationsemergeforstrengtheningemergencynursingpracticeandpandemicpreparedness. Healthcaresystemsshouldprioritizeinvestmentinworkforcetraining, psychologicalsupportmechanisms, anddisasterpreparednesseducationfornursingprofessionals. Enhancingdigitalinfrastructureandpromotinginterdisciplinarycollaborationwillalsobeessentialforimprovinghealthcaresystemresilience. Ultimately, strengtheningemergencynursingcapacityandinstitutionalpreparednesswillbecriticaltoensuringthathealthcaresystemsremainequippedtorespondeffectivelytofuturepublichealthemergencies. References
  2. 1. Abdullah DM, Mohammed AA. Theconsequencesofthe COVID-19pandemiconperceivedstressinclinicalpractice: experienceofdoctorsin Iraqi Kurdistan. Rom JIntern Med.2020;58(4\:219-27. https://doi. org/10.2478/rjim-2020-
  3. 202. Adamah M, Mangelinck-No?l N, Kan-Dapaah K, Ottah DG, Salifu A, Dozie-Nwachukwu SO, etal. Amaideneditionofthe AUSTECH2015 International Conference Bookof Abstracts.2016. http://repository. aust. edu. ng/xmlui/handle/123456789/
  4. 3303. Adeniji IO, Shittu H, Opara IS. Groundingsystemdesignoptimizationformedium-voltagedistributionnetworksinemergingpowermarkets. IREJournal.2020;3(11\:19.
  5. 4. Adeojo OO, Osinibi OM. Assessingtheintersectionsbetweenrenewableenergy, sustainabledevelopment, andthechallengesofenvironmentaljusticein Nigeria. Interdiscip Environ Rev.2016;17(2\:149-66. https://doi. org/10.1504/IER.2016.
  6. 761845. Aghili SM, Arbabi M. The COVID-19pandemicandthehealthcareproviders: whatdoesitmeanpsychologically?Front Emerg Med.2020;4(2s\: e63. https://doi. org/10.22037/fem. v4i2s. XXXX(Note: originallinkprovided; DOInotfoundinstandarddatabases\
  7. 6. Atique S, Bautista JR, Block LJ, Lee JJ, Lozada-Perezmitre E, Nibber R, etal. Anursinginformaticsresponseto COVID-19: perspectivesfromfiveregionsoftheworld. JAdv Nurs.2020;76(10\:2462. https://doi. org/10.1111/jan.
  8. 144177. Bowden K, Burnham EL, Keniston A, Levin D, Limes J, Persoff J, etal. Harnessingthepowerofhospitalistsinoperationaldisasterplanning: COVID-
  9. 19. JGen Intern Med.2020;35(9\:2732-7. https://doi. org/10.1007/s11606-020-05984-
  10. 68. Brydges R, Campbell DM, Beavers L, Khodadoust N, Iantomasi P, Sampson K, etal. Lessonslearnedinpreparingforandrespondingtotheearlystagesofthe COVID-experienceadaptingtothenewnormal. Adv Simul(Lond\.2020;5:8. https://doi. org/10.1186/s41077-020-00128-y
  11. 9. Buheji M, Buhaid N. Nursinghumanfactorsduringthe COVID-19pandemic. Int JNurs Sci.2020;10(1\:12-24. https://doi. org/10.5923/j. nursing.20201001.
  12. 210. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, etal. Psychologicalimpactandcopingstrategiesoffrontlinemedicalstaffin Hunanbetween Januaryand March2020duringtheoutbreakofcoronavirusdisease2019(COVID-19\in Hubei, China. Med Sci Monit.2020;26: e924171. https://doi. org/10.12659/MSM.
  13. 92417111. Carenzo L, Costantini E, Greco M, Barra FL, Rendiniello V, Mainetti M, etal. Hospitalsurgecapacityinatertiaryemergencyreferralcentreduringthe COVID-19outbreakin Italy. Anaesthesia.2020;75(7\:928-34. https://doi. org/10.1111/anae.
  14. 1507212. Chen H, Sun L, Du Z, Zhao L, Wang L. Across-sectionalstudyofmentalhealthstatusandself-psychologicaladjustmentinnurseswhosupported Wuhaninfightingagainst COVID-
  15. 19. JClin Nurs.2020;29(21-22\:4161-70. https://doi. org/10.1111/jocn.
  16. 1544413. Coen D, Paolillo C, Cavazza M, Cervellin G, Bellone A, Perlini S, etal. Changingemergencydepartmentandhospitalorganizationinresponsetoachangingepidemic. Emerg Care J.2020;16(1\. https://doi. org/10.4081/ecj.2020.
  17. 861014. Dewart G, Corcoran L, Thirsk L, Petrovic K. Nursingeducationinapandemic: Academicchallengesinresponseto COVID-
  18. 19. Nurse Educ Today.2020;92:104471. https://doi. org/10.1016/j. nedt.2020.
  19. 10447115. Elhadi M, Msherghi A, Alkeelani M, Zorgani A, Zaid A, Alsuyihili A, etal. Assessmentofhealthcalevelsofpreparednessandawarenessregarding COVID-19infectioninlow-resourcesettings. Am JTrop Med Hyg.2020;103(2\:828-33. https://doi. org/10.4269/ajtmh.20-
  20. 33016. Frempong D, Ifenatuora GP, Ofori SD. AI-Powered Chatbotsfor Education Deliveryin Remoteand Underserved Regions. Int JFront Multidiscip Res.2020;1(1\:156-72. https://doi. org/10.54660/IJFMR.2020.1.1.156-
  21. 17217. Goh KJ, Wong J, Tien JCC, Ng SY, Duu Wen S, Phua GC, etal. Preparingyourintensivecareunitforthe COVID-19pandemic: practicalconsiderationsandstrategies. Crit Care.2020;24(1\:215. https://doi. org/10.1186/s13054-020-02916-
  22. 418. Grange ES, Neil EJ, Stoffel M, Singh AP, Tseng E, Resco-Summers K, etal. Respondingto COVID-19: the UWMedicineinformationtechnologyservicesexperience. Appl Clin Inform.2020;11(2\:265-75. https://doi. org/10.1055/s-0040-
  23. 170971519. Hickey S, Mathews KS, Siller J, Sueker J, Thakore M, Ravikumar D, etal. Rapiddeploymentofanemergencydepartment-intensivecareunitforthe COVID-19pandemic. Clin Exp Emerg Med.2020;7(4\:319-25. https://doi. org/10.15441/ceem.20.
  24. 8720. Hou Y, Zhou Q, Li D, Guo Y, Fan J, Wang J. Preparednessofouremergencydepartmentduringtheperspectives: aqualitativeresearchstudy. JEmerg Nurs.2020;46(6\:848-61. https://doi. org/10.1016/j. jen.2020.07.008 International Journalof Multidisciplinary Researchand Growth Evaluationwww. allmultidisciplinaryjournal. com
  25. 89421. Jackson D, Bradbury-Jones C, Baptiste D, Gelling L, Morin K, Neville S, etal. Lifeinthepandemic: Somereflectionsonnursinginthecontextof COVID-
  26. 19. JClin Nurs.2020;29(13-14\:2041-3. https://doi. org/10.1111/jocn.
  27. 1525722. Jee M, Khamoudes D, Brennan AM, O'Donnell J. COVID-19outbreakresponseforanemergencydepartmentusinginsitusimulation. Cureus.2020;12(4\: e7624. https://doi. org/10.7759/cureus.
  28. 762423. Jose S, Dhandapani M, Cyriac MC. Burnoutandresilienceamongfrontlinenursesduringthe COVID-19pandemic: across-sectionalstudyintheemergencydepartmentofatertiarycarecenter, North India. Indian JCrit Care Med.2020;24(11\:1081-8. https://doi. org/10.5005/jp-journals-10071-
  29. 2366724. Leiker B, Wise K. COVID-19casestudyinemergencymedicinepreparednessandresponse: frompersonalprotectiveequipmenttodeliveryofcare. Dis Mon.2020;66(9\:101060. https://doi. org/10.1016/j. disamonth.2020.
  30. 10106025. Li J, Li P, Chen J, Ruan L, Zeng Q, Gong Y. Intentiontorespond, emergencypreparedness, andintentiontoleaveamongnursesduring COVID-
  31. 19. Nurs Open.2020;7(6\:1867-75. https://doi. org/10.1002/nop2.
  32. 57626. Markwell A, Mitchell R, Wright AL, Brown AF. Clinicalandethicalchallengesforemergencydepartmentsduringcommunicablediseaseoutbreaks: Canlessonsfrom Ebola Virus Diseasebeappliedtothe COVID-19pandemic?Emerg Med Australas.2020;32(3\:520-4. https://doi. org/10.1111/1742-6723.
  33. 1351427. Miller GA, Buck CR, Kang CS, Aviles JM, Younggren BN, Osborn S, etal. COVID-19in Seattle Earlylessonslearned. JACEPOpen.2020;1(2\:85-91. https://doi. org/10.1002/emp2.
  34. 1206428. Mossa-Basha M, Meltzer CC, Kim DC, Tuite MJ, Kolli KP, Tan BS. Radiologydepartmentpreparednessfor COVID-19: radiologyscientificexpertreviewpanel. Radiology.2020;296(2\: E106-12. https://doi. org/10.1148/radiol.
  35. 202020098829. Nie A, Su X, Zhang S, Guan W, Li J. Psychologicalimpactof COVID-19outbreakonfrontlinenurses: Across-sectionalsurveystudy. JClin Nurs.2020;29(21-22\:4217-26. https://doi. org/10.1111/jocn.
  36. 1545430. Noble J, Degesys NF, Kwan E, Grom E, Brown C, Fahimi J, etal. Emergencydepartmentpreparationfor COVID-19: acceleratedcareunits. Emerg Med J.2020;37(7\:402-6. https://doi. org/10.1136/emermed-2020-
  37. 20978831. Omotayo OO, Kuponiyi AB. Telehealth Expansionin Post-COVIDHealthcare Systems: Challengesand Opportunities. ICONICRes Eng J.2020;3(10\:496-513.
  38. 32. Oshoba TO, Aifuwa SE, Ogbuefi E, Olatunde-Thorpe J. Portfolio Optimizationwith Multi-Objective Evolutionary Algorithms: Balancing Risk, Return, and Sustainability Metrics. Int JMultidiscip Res Growth Eval.2020;1(3\:163-70. https://doi. org/10.54660/IJMRGE.2020.1.3.163-
  39. 17033. Paganini M, Conti A, Weinstein E, Della Corte F, Ragazzoni L. Translating COVID-19pandemicsurgetheorytopracticeintheemergencydepartment: howtoexpandstructure. Disaster Med Public Health Prep.2020;14(4\:541-50. https://doi. org/10.1017/dmp.2020.
  40. 5734. Palinkas LA, Whiteside L, Nehra D, Engstrom A, Taylor M, Moloney K, etal. Rapidethnographicassessmentofthe COVID-impactonservicedeliveryinan Acute Care Medical Emergency Departmentand Trauma Center. BMJOpen.2020;10(10\: e041772. https://doi. org/10.1136/bmjopen-2020-
  41. 4177235. Pourvakhshoori N. Emergencyanddisasterpreparednessinnurses: aconceptanalysis. JHolist Nurs Midwifery.2017;27(1\:35-42.
  42. 36. Quah LJJ, Tan BKK, Fua TP, Wee CPJ, Lim CS, Nadarajan G, etal. Reorganisingtheemergencydepartmenttomanagethe COVID-19outbreak. Int JEmerg Med.2020;13(1\:32. https://doi. org/10.1186/s12245-020-00294-w
  43. 37. Rosa WE, Gray TF, Chow K, Davidson PM, Dionne-Odom JN, Karanja V, etal. Recommendationstoleveragethepalliativenursingroleduring COVID-19andfuturepublichealthcrises. JHosp Palliat Nurs.2020;22(4\:260-9. https://doi. org/10.1097/NJH.
  44. 66538. Russi CS, Heaton HA, Demaerschalk BM. Emergencymedicinetelehealthfor COVID-19: minimizefront-lineproviderexposureandconservepersonalprotectiveequipment. Mayo Clin Proc.2020;95(10\:2065-8. https://doi. org/10.1016/j. mayocp.2020.08.
  45. 439. Saberian P, Conovaloff JL, Vahidi E, Hasani-Sharamin P, Kolivand PH. Howthe COVID-19epidemicaffectedprehospitalemergencymedicalservicesin Tehran, Iran. West JEmerg Med.2020;21(6\:110. https://doi. org/10.5811/westjem.2020.8.
  46. 4867940. Schreyer KE, Del Portal DA, King LL, Blome A, De Angelis M, Stauffer K, etal. Emergencydepartmentmanagementofthe COVID-19pandemic. JEmerg Med.2020;59(6\:946-51. https://doi. org/10.1016/j. jemermed.2020.07.
  47. 2241. Schroeder K, Norful AA, Travers J, Aliyu S. Nursingperspectivesoncaredeliveryduringtheearlystagesofthe COVID-19pandemic: Aqualitativestudy. Int JNurs Stud Adv.2020;2:100006. https://doi. org/10.1016/j. ijnsa.2020.
  48. 10000642. Servotte JC, Welch-Horan TB, Mullan P, Piazza J, Ghuysen A, Szyld D. Developmentandimplementationofanend-of-shiftclinicaldebriefingmethodforemergencydepartmentsduring COVID-
  49. 19. Adv Simul(Lond\.2020;5:32. https://doi. org/10.1186/s41077-020-00150-
  50. 43. Sharifi M, Asadi-Pooya AA, Mousavi-Roknabadi RS. Burnoutamonghealthcareprovidersof COVID-19: asystematicreviewofepidemiologyandrecommendations. Arch Acad Emerg Med.2021;9(1\: e7. https://doi. org/10.22037/aaem. v9i1.1004(Note: publishedonline2020, oftencitedas2021\
  51. 44. Shen Y, Cui Y, Li N, Tian C, Chen M, Zhang YW, etal. Emergency Responsesto Covid-19 Outbreak: Experiencesand Lessonsfroma General Hospitalin Nanjing, China. Cardiovasc Intervent Radiol.2020;43(6\:810-9. https://doi. org/10.1007/s00270-020-02474-w
  52. 45. Shittu H, Opara IS, Elumilade RA, Liadi KO, Adeniji IO. Hydrogenasasecondaryenergycarrier: Modelingitsintegrationinnationalgrids. IREJournals.2019;3(1\:628-43.
  53. 46. Stawicki SP, Jeanmonod R, Miller AC, Paladino L, Gaieski DF, Yaffee AQ, etal. The20192020novel International Journalof Multidisciplinary Researchand Growth Evaluationwww. allmultidisciplinaryjournal. com895coronavirus(severeacuterespiratorysyndromecoronavirus2\pandemic: Ajoint American Collegeof Academic International Medicine-World Academic Councilofemergencymedicinemultidisciplinary COVID-19workinggroupconsensuspaper. JGlob Infect Dis.2020;12(2\:47-93. https://doi. org/10.4103/jgid. jgid_86_
  54. 2047. Stokes DC. Seniormedicalstudentsinthe COVID-19response: anopportunitytobeproactive. Acad Emerg Med.2020;27(4\:343-5. https://doi. org/10.1111/acem.
  55. 1397248. Stucky CH, De Jong MJ, Lowe AW, Mathews B. COVID-19: initialperioperativeandperianesthesianursingresponseinamilitarymedicalcenter. JPerianesth Nurs.2020;35(4\:353-6. https://doi. org/10.1016/j. jopan.2020.04.
  56. 1049. Tan R, Yu T, Luo K, Teng F, Liu Y, Luo J, etal. Experiencesofclinicalfirst-linenursestreatingpatientswith COVID-19: Aqualitativestudy. JNurs Manag.2020;28(6\:1381-90. https://doi. org/10.1111/jonm.
  57. 1309550. Uppal A, Silvestri DM, Siegler M, Natsui S, Boudourakis L, Salway RJ, etal. Critical Care And Emergency Department Response At The Epicenter Of The COVID-healthsystemresponseto COVID-19includedincreasingthenumberofintensivecareunits, transferringpatientsbetweenhospitals, andsupplementingcriticalcarestaff. Health Aff(Millwood\.2020;39(8\:1443-9. https://doi. org/10.1377/hlthaff.2020.
  58. 90151. Wallace DW, Burleson SL, Heimann MA, Crosby JC, Swanson J, Gibson CB, etal. Anadaptedemergencydepartmenttriagealgorithmforthe COVID-19pandemic. JACEPOpen.2020;1(6\:1374-9. https://doi. org/10.1002/emp2.
  59. 1221052. Walton H, Navaratnam AV, Ormond M, Gandhi V, Mann C. Emergencymedicineresponsetothe COVID-19pandemicin England: aphenomenologicalstudy. Emerg Med J.2020;37(12\:768-72. https://doi. org/10.1136/emermed-2020-
  60. 21022053. Wong AH, Pacella-La Barbara ML, Ray JM, Ranney ML, Chang BP. Healingthehealer: protecting COVID-
  61. 19. Ann Emerg Med.2020;76(4\:379-84. https://doi. org/10.1016/j. annemergmed.2020.06.
  62. 4154. Yaffee AQ, Peacock E, Seitz R, Hughes G, Haun P, Ross M, etal. Preparedness, adaptation, andinnovation: anapproachtothe COVID-19pandemicatadecentralized, quaternarycaredepartmentofemergencymedicine. West JEmerg Med.2020;21(6\:63. https://doi. org/10.5811/westjem.2020.8.
  63. 4862455. Zhang Y, Wang C, Pan W, Zheng J, Gao J, Huang X, etal. Stress, burnout, andcopingstrategiesoffrontlinenursesduringthe COVID-19epidemicin Wuhanand Shanghai, China. Front Psychiatry.2020;11:565520. https://doi. org/10.3389/fpsyt.2020.565520

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Journal: International Journal of Multidisciplinary Research and Growth Evaluation (IJMRGE)

Publisher: Anfo Publication House

ISSN: 2582-7138 (Online)

Frequency: Bimonthly

Language: English

Open Access: Yes - This article is distributed under the terms of the Creative Commons Attribution 4.0 International License

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