School of Nursing, National Yang-Ming University, Taipei, Taiwan.
J Clin Nurs. 2009 Dec;18(24):3391-400. doi: 10.1111/j.1365-2702.2008.02521.x. Epub 2009 Jan 8.
This study explored Taiwan's nurse leaders' reflections and experiences of the difficulties they encountered and survival strategies they employed fighting the severe acute respiratory syndrome epidemic and the background context framing these phenomena.
On several continents in 2002-2003, the highly infectious severe acute respiratory syndrome overwhelmed health care systems and health professionals who had to provide care in situations involving high personal risk and stress, some becoming infected and dying. Nurse leaders in Taiwan had to develop new strategies and support systems for nursing care.
A two-step within-method qualitative triangulation research design.
Focus group in-depth interviews held with 70 nurse leaders from four Northern Taiwan hospitals involved in the severe acute respiratory syndrome epidemic. Participants then completed an open ended questionnaire. Content analysis was undertaken with data and stages and themes generated. Data were then analysed using Hobfall's concepts of conservation of resources to further discuss participants' reactions and actions in the severe acute respiratory syndrome crisis.
Participants worked under incredible stress to lead the profession through a period of crisis. Five stages arose in the participants' involvement against severe acute respiratory syndrome over 12 weeks: facing shock and chaos; searching for reliable sources to clarify myths; developing and adjusting nursing care; supporting nurses and their clients; and rewarding nurses.
Nurse leaders become important executors of intervention in this health disaster, requiring emotional intelligence to manage their internal conflicts and interpersonal relationships effectively. They developed sociopolitical and analytical abilities and crucial requirements for planning and implementing strategies in areas where none previously existed. Building support systems was an important resource for managing conflicts between familial and professional roles. Relevance to clinical practice. Findings will assist nurse leaders to prepare themselves and the profession to better deal with disaster management in similar infectious outbreaks in the future.
本研究旨在探讨台湾地区护理领导者在应对严重急性呼吸系统综合征疫情时所面临的困难及其应对策略，以及这些现象背后的背景环境。
在 2002 年至 2003 年，传染性极强的严重急性呼吸系统综合征在多个大洲的卫生系统和卫生专业人员中迅速蔓延，这些卫生专业人员不得不冒着极高的个人风险和压力提供护理，一些人因此感染并死亡。台湾的护理领导者必须为护理工作制定新的策略和支持系统。
两步内方法定性三角研究设计。
对来自台湾北部四家参与严重急性呼吸系统综合征疫情的医院的 70 名护理领导者进行焦点小组深入访谈。参与者随后完成了一份开放式问卷。采用内容分析法对数据进行分析，并生成了阶段和主题。然后，使用 Hobfall 的资源保护概念进一步讨论参与者在严重急性呼吸系统综合征危机中的反应和行动。
参与者在领导职业度过危机的过程中承受了巨大的压力。在 12 周的时间里，参与者在参与严重急性呼吸系统综合征的过程中经历了五个阶段：面对震惊和混乱；寻找可靠的信息来源以澄清谣言；开发和调整护理；支持护士及其客户；奖励护士。
在这场卫生灾难中，护理领导者成为干预的重要执行者，需要情商来有效地管理他们的内部冲突和人际关系。他们发展了社会政治和分析能力，以及在以前不存在的领域规划和实施策略的关键要求。建立支持系统是管理家庭和职业角色之间冲突的重要资源。对临床实践的相关性。研究结果将有助于护理领导者为自己和专业人员做好准备，以便在未来类似的传染病爆发中更好地应对灾害管理。
