Hewlett Bonnie L, Hewlett Barry S
Oregon State University, USA.
J Transcult Nurs. 2005 Oct;16(4):289-97. doi: 10.1177/1043659605278935.
Few studies have focused on describing the experiences of health care workers during rapid killing epidemics. In this article, the views and experiences of nurses during three outbreaks of Ebola hemorrhagic fever (EHF) in Central Africa are examined. These three outbreaks occurred in Kikwit, Democratic Republic of Congo (DRC, 1995); Gulu, Uganda (2000-2001); and Republic of Congo (ROC, 2003). Open-ended and semistructured interviews with individuals and small groups were conducted during the outbreaks in Uganda and ROC; data from DRC are extracted from published sources. Three key themes emerged from the interviews: (a) lack of protective gear, basic equipment, and other resources necessary to provide care, especially during the early phases of the outbreaks; (b) stigmatization by family, coworkers, and community; and (c) exceptional commitment to the nursing profession in a context where the lives of the health care workers were in jeopardy.
很少有研究关注描述医护人员在快速致死性疫情期间的经历。在本文中,我们考察了中非地区三次埃博拉出血热(EHF)疫情期间护士的观点和经历。这三次疫情分别发生在刚果民主共和国基奎特(1995年)、乌干达古卢(2000 - 2001年)以及刚果共和国(2003年)。在乌干达和刚果共和国的疫情期间,我们对个人和小群体进行了开放式和半结构化访谈;刚果民主共和国的数据则从已发表的资料中提取。访谈中出现了三个关键主题:(a)缺乏提供护理所需的防护装备、基本设备及其他资源,尤其是在疫情初期;(b)受到家人、同事和社区的污名化;(c)在医护人员生命受到威胁的情况下,对护理职业的非凡奉献。