Ambrosi Elisa, Canzan Federica, Di Giulio Paola, Mortari Luigina, Palese Alvisa, Tognoni Gianni, Saiani Luisa
Assist Inferm Ric. 2020 Apr-Jun;39(2):66-108. doi: 10.1702/3409.33934.
. The covid-19 emergency in the words of the nurses . This special issue of AIR is dedicated to the direct professional experiences and personal testimonies of a sample of the nursing personnel during the most dramatic phase of the covid-19 pandemia in the most severely affected regions of Northern Italy (Lombardy, Piedmont, Veneto, Friuli, Trentino, Emilia Romagna Regions). The decision to adopt a research strategy aimed to give visibility and voice to colleagues representing some of the key hospitals of the regions obliged to a radical reorganisation of their structures and organisation of care, was adopted to catch from inside the crisis scenarios the expected mix of intense emotions (from anxiety, to fatigue, to personal and professional uncertainty, to the burden of impotence), and of needed technical creativity and efficiency which were requested to face a totally unexpected situation where guidelines could hardly be of help. The interview/diaries/focus groups were carefully planned not so much in terms of the contents, but with attention to the acceptance of the interviewed to enter in a free dialogue, with no Q&A, to be recorded, and to last for the time felt to be by both sides appropriate. The texts which are reported in this dossier are fragments of the recordings (overall more then 30 hours), without adjustments. It has been agreed that while all the names of the participants are provided as 'authors', the individual contributions are anonymous (not out of privacy consideration!) as they are part of a collective narrative, which reflects the great variability of the languages and of the perceived-expressed experiences and memories. The material has been organised in sections which are conceived as 'verbal snapshots' taken from the networks of care settings, but at the same time of the places and houses where the colleagues were literally full-time living, to assure unaccountable overtime working hours, and the requested 'safety distances' and lockdowns. The titles of the 8 sections coincide somehow with the principal components of the chain of activities and challenges which had to be faced: The changes in everyday's care, How to be prepared to the emergency, The teamwork, The loneliness and the isolation of the patients, The loneliness of the nurses, The difficult choices, The organization of the work and of the wards, change after covid-19. The core of the dossier is framed by boxes which provide also a minimum background of the administrative and epidemiological data on the pandemia in the regions of interest (it is interesting to remind that the central-southern areas of Italy have been far less affected), and a brief concluding reflection on reflection on the post-pandemia from the nursing point of view.
护士眼中的新冠疫情紧急情况。《AIR》的这一特刊致力于呈现意大利北部受影响最严重地区（伦巴第、皮埃蒙特、威尼托、弗留利、特伦蒂诺、艾米利亚 - 罗马涅地区）在新冠疫情最严峻阶段护理人员的直接专业经历和个人证词。决定采用一种研究策略，旨在让代表该地区一些关键医院的同事发声，这些医院被迫对其结构和护理组织进行彻底重组，以便从危机场景中捕捉到预期的复杂情绪（从焦虑到疲惫，从个人和职业的不确定性到无力感的负担），以及面对完全意想不到的情况时所需的技术创造力和效率，在这种情况下指南几乎无法提供帮助。访谈/日记/焦点小组的安排并非主要着眼于内容，而是注重被访谈者是否愿意进行自由对话，无需问答环节，可进行记录，且时长由双方共同确定。本卷宗所呈现的文本是录音片段（总计超过30小时），未作调整。已达成共识，虽然所有参与者的名字都作为“作者”列出，但个人贡献是匿名的（并非出于隐私考虑！），因为它们是集体叙述的一部分，反映了语言的巨大差异以及所感知和表达的经历与记忆。材料按章节组织，这些章节被视为从护理环境网络中截取的“文字快照”，但同时也是同事们实际上全天候生活的场所和住所，以确保有不计其数的加班时间，以及所需的“安全距离”和封锁措施。8个章节的标题在某种程度上与必须面对的活动和挑战链条的主要组成部分相契合：日常护理的变化、如何为紧急情况做准备、团队合作、患者的孤独与隔离、护士的孤独、艰难抉择、工作与病房的组织、新冠疫情后的变化。卷宗的核心由一些方框框定，这些方框还提供了有关感兴趣地区疫情的行政和流行病学数据的最低背景信息（值得一提的是，意大利中南部地区受影响要小得多），以及从护理角度对疫情后情况的简要总结反思。
