Mohammadi Fateme, Farjam Mojtaba, Gholampour Yousef, Tehranineshat Banafsheh, Oshvandi Khodayar, Bijani Mostafa
Chronic Diseases (Home Care) Research Center and Autism Spectrum Disorders Research Center, School of Nursing and Midwifery, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
Noncommunicable Diseases Research Center (NCDRC), Fasa University of Medical Sciences, Fasa, Iran.
Risk Manag Healthc Policy. 2020 Jul 14;13:785-794. doi: 10.2147/RMHP.S261410. eCollection 2020.
Medical personnel act as the protectors of people's health by preventing, controlling, and treating emerging diseases, including the coronavirus infection. COVID-19 is a highly infectious and contagious disease which has presented the Iranian healthcare system with a variety of clinical challenges. There is a lack of research on clinical challenges in health crises especially those caused by emerging diseases, hence a need for more exploration of these clinical challenges and dilemmas. The present study aims to determine the different aspects of health professionals' perception of the psychological safety of patients infected with the coronavirus (COVID-19).
The present study is a qualitative work which uses conventional content analysis. The participants were 17 health professionals who were responsible for COVID-19 patients and met the inclusion criteria. They were selected via purposeful sampling. The study lasted from February to March 2020. Data were collected through semi-structured, individual interviews which were conducted via video call. The collection of data was kept up to the point of saturation. The collected data were analyzed using the conventional content analysis method.
Three themes such as "respect for dignity", "comprehensive support" and "peaceful environment" with 11 categories were extracted from the findings of the study.
According to the results of the present study, patients infected with the coronavirus should be given care in a peaceful environment where they receive comprehensive support and have their dignity respected. Such conditions can guarantee the psychological safety of these patients and produce positive behavioral results on their part. Thus, it is essential that the cultural, professional, and organizational prerequisites of protecting all the dimensions of the psychological safety of these patients be provided.
医务人员通过预防、控制和治疗包括冠状病毒感染在内的新发疾病，充当着人们健康的守护者。新冠病毒病（COVID-19）是一种具有高度传染性的疾病，给伊朗医疗系统带来了各种临床挑战。目前缺乏针对健康危机尤其是由新发疾病引发的健康危机中的临床挑战的研究，因此需要对这些临床挑战和困境进行更多探索。本研究旨在确定卫生专业人员对感染冠状病毒（COVID-19）患者心理安全认知的不同方面。
本研究是一项采用常规内容分析法的定性研究。参与者为17名负责COVID-19患者且符合纳入标准的卫生专业人员。他们通过目的抽样法选取。研究从2020年2月持续至3月。数据通过视频通话进行的半结构化个人访谈收集。数据收集持续到饱和点。收集到的数据采用常规内容分析法进行分析。
从研究结果中提取出了三个主题，即“尊重尊严”“全面支持”和“安宁环境”，共11个类别。
根据本研究结果，感染冠状病毒的患者应在一个能得到全面支持且尊严受到尊重的安宁环境中接受护理。这样的条件能够保证这些患者的心理安全，并促使他们产生积极的行为结果。因此，提供保护这些患者心理安全所有维度的文化、专业和组织前提条件至关重要。
