Nurses and Their ‘Spirit of the Second Mile’ Service during Covid-19 Pandemic

  • ศรินทร์ทิพย์ ชวพันธุ์
  • พนิดา เซ็นนันท์
  • รัตนาภรณ์ ธนศิริจิรานนท์
Keywords: nurses, the Spirit of the Second Mile based performance, COVID-19 pandemic


This article was written during the time when most countries in the world,including Thailand, were faced with the Covid-19 pandemic. The main purpose of thisarticle is to propose the ‘Spirit of the Second Mile’ principle, which was implemented andproved to be effcient during the Covid-19 pandemic as a concretely valuable nursing care practice.

Covid-19 is a new emerging, dangerously contagious disease. Not only doesCovid-19 spread easily and quickly, it also is a disease for which there is neither a directcure nor a vaccine. As a result, a large number infections and fatalities have resulted,mounting increasing pressure and challenge on nurses, who are part of the healthcarepersonnel.

Despite the apparent risk to their health, nurses were a vital force against thisdisease, performing their duty courageously, like frontline soldiers, to fght this pandemic with the spirit of the second mile. The ‘Spirit of the Second Mile’ is characterised by (i) serving with willingness, self-sacrifce, and accountability; (ii) spontaneous readiness to perform more than the duty requirements and beyond the predetermined standards, to ensure accomplishment of the mission; and (iii) affection and compassion for other peopleas if for those in one’s own family, in an equal, impartial, and boundless, manner, withoutexpecting anything in return.

Serving with the spirit of the second mile could effectively reduce service recipients’physical and mental health damage and loss of lives. Thus, the benefts and value of thespirit of the second mile were concretely and evidently recognised as contributing enormously to the service recipients, healthcare organisations, healthcare profession, and the nurses themselves, who played an integral part in helping Thailand become successful in handling this crisis more effciently than several other countries. Nurses, therefore, became admired as the ‘white gown warriors’ against this unprecedented disease outbreak.


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World Health Organization. 100 Days of dedication [internet]. 2020 Apr 21 [cited 2020 June 3]. Available from:

World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak [internet]. 2020 Mar 18 [cited 2020 June 3]. Available from:

World Health Organization. Emerging respiratory viruses, including COVID-19: methods for detection, prevention, response and control [internet]. 2020 Jan 31 [cited 2020 June 3]. Available from:

World Health Organization. Coronavirus disease 2019 (COVID-19) Situation report-51 [internet].2020 Mar 11 [cited 2020 June 3]. Available from:

Official Statement of the Office of the Prime Minister.RE: Declaration of an emergency situation pursuant

to the emergency decree on public administration in emergency situations B.E. 2548 (2005) [internet]. 2020 Mar 25 [cited 2020 June 5]. Available from: (in Thai)

COVID-19 Information Center [internet]. 2020 [cited 2020 June 5]. Available from: (in Thai)

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience

of caregivers of COVID-19 patients. Am J Infect Control 2020;48:592-98

Thailand Nursing and Midwifery Council. Announcement of the Nursing Council RE: Nursing Standards B.E. 2562 [internet]. 2020 Apr 18 [cited 2020 June 3]. Available from: (in Thai)

Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs 2020;29:2762-64.

Ministry of Public Health. Department of Mental Health. Mental health crisis assessment and treatment

team: MCATT COVID-19 [internet]. 2020 Mar 31 [cited 2020 June 3]. Available from: http://mhso. 360458.pdf. (in Thai)

C.P. Group. Thank you all fighting hearts [internet]. 2020 Apr 18 [cited 2020 June 8]. Available from: (in Thai).

Langarpint P, Sennun P, Tanasirijiranont R, Chawaphanth S. LeSeure P, Rojanasupot P, et al.

The spirit of the second Mile in nursing concept. [Research Report]. Chiang Mai: Payap University; 2016. 169 p. (in Thai)

Langarpint P, Sennun P, LeSeure P, Rojanasupot P, T Sukkheo T, Chawaphanth C, et al. Spirit of the Second Mile Nurse: A positive disruptor in the era of global transformation. Proceeding of the 23rd East Asian forum of nursing scholars (EAFONS) conference, “Advancing nursing scholars in the era of global transformation and disruptive;” 2020 Jan 10-11, Chiang Mai, Thailand

World Health Organization. Naming the coronavirus disease (COVID-19) and the virus that causes it [internet]. 2020 Feb 11 [cited 2020 June 5]. Availablefrom: diseases/novel-coronavirus-2019/technicalguidance/naming-the-coronavirus-disease- (covid-2019)-and-the-virus-that-causes-it

Ministry of Public Health. Department of Disease Control. Informing the communicable disease control

officer According to the communicable disease B.E. 2558 (2015) in the case of Covich-19 [internet].

Mar22[cited2020Aug25].Availablefrom: (in Thai)

Ministry of Public Health. Department of Disease Control. Guidelines for surveillance and investigation of Coronavirus disease 2019:COVID-19[internet]. 2020 May 15 [cited 2020 June 5]. Available from: (in Thai)

Pansawat N. Nurse characteristics of professional nurses’ practices based on the way of bodhisattva’s

perfection practices. Journal of MCU Peace studies 2016;4(2):120-133. (in Thai)

Preechakoon B, Tuvayanon W, Netmuy P, Damrongrak P. Professional nurses’ perceptions

towards images influencing value and trust in nursing profession. Nursing Journal 2015;42(1):122-131. (in Thai)

Kosolchuenvijit J. Caring: Central focus of humanistic care. Journal of Boromarajonani College of Nursing 2013;29(2):134-142. (in Thai)

Jeffery AD,Longo A.Sigma Theta TauInternational, Nienaber A. Staff Educator’s Guide to Professional

Development: Assessing and Enhancing Nurse Competency [Internet]. Indianapolis, IN: Sigma Theta Tau International; 2016 [cited 2020 June 5]. Available from:

Jandai S, Kosaiyawat S, Tongkhambanchong S. A development of measurement models of service mind

in the students of sirindhorn college of public health. Journal of Nursing and Education 2018;11(3):95-111. (in Thai)

Kiljunen O, Kankkunen P, Partanen P, Välimäki T. Family members’ expectations regarding nurses’ competence in care homes: A qualitative interview study. Scand J Caring Sci 2018;32(3):1018-26.

How to Cite
ชวพันธุ์ ศ, เซ็นนันท์ พ, ธนศิริจิรานนท์ร. Nurses and Their ‘Spirit of the Second Mile’ Service during Covid-19 Pandemic. TJNC [nternet]. 2020Dec.23 [cited 2021Dec.6];36(1):5-17. vailable from: