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护士领导者在领导时运用同理心和谨慎的策略和资源,以便了解并解决在 COVID-19 时代执业的护士的焦虑来源。

Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practising in the era of COVID-19.

机构信息

Rosemary Bryant AO Research Centre, UniSA Clinical & Health Sciences, University of South Australia, Adelaide, SA, Australia.

Anglia Ruskin University, Cambridge, UK.

出版信息

J Clin Nurs. 2021 Jan;30(1-2):298-305. doi: 10.1111/jocn.15520. Epub 2020 Oct 15.

DOI:10.1111/jocn.15520
PMID:33006794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7537231/
Abstract

AIMS

Identify strategies and resources for nurse leaders to use to lead with empathy and prudence to improve quality of care and to ease the psychological toll on nurses caring for patients with COVID-19.

BACKGROUND

In a 2020 report, clinicians caring for patients during the COVID-19 pandemic said their healthcare leaders needed to: 'hear me, protect me, prepare me, support me, and care for me'. These words provide an action plan for nurse leaders to communicate, educate and support nurses to practice competently and safely (physically and mentally) in the context of COVID-19.

DESIGN

Discursive paper.

METHOD

Identification and inclusion of relevant international evidence with clinical discussion.

FINDINGS

Nurse leaders can mobilise system and individual level strategies and resources to support nurses to manage pandemic-related issues including: anxiety due to the risk of infection, supporting anxious children, mitigating moral injury; providing safe and quality nursing care for patients with COVID-19 and end-of-life care as needed; supporting relatives who cannot be present with a dying relative and care for grieving relatives and colleagues. We categorise a selection of evidence-based, online sources providing current COVID-19 information, practice updates and resources to develop personalised self-care plans to ease anxiety and support renewal and resilience.

CONCLUSIONS

Nurse leaders must ensure adequate PPE supply, upskill nurses to provide safe, quality care for patients with COVID-19 and promote restorative self-care plans.

RELEVANCE TO CLINICAL PRACTICE

The strategic actions nurse leaders take today can positively impact nurses' well-being and ability to provide safe and quality care for patients in the context of COVID-19.

摘要

目的

确定护士领导者可以采用的策略和资源,以同理心和谨慎领导,提高护理质量,并减轻照顾 COVID-19 患者的护士的心理压力。

背景

在 2020 年的一份报告中,照顾 COVID-19 患者的临床医生表示,他们的医疗保健领导者需要:“倾听我、保护我、准备我、支持我和关心我”。这些话为护士领导者提供了一个行动计划,用于沟通、教育和支持护士在 COVID-19 背景下胜任和安全(身体和心理)地工作。

设计

论述性论文。

方法

确定并纳入具有临床讨论的相关国际证据。

结果

护士领导者可以调动系统和个人层面的策略和资源,以支持护士管理与大流行相关的问题,包括:感染风险引起的焦虑、支持焦虑的孩子、减轻道德伤害;为 COVID-19 患者提供安全和高质量的护理以及按需提供临终关怀;支持无法与临终亲属在一起的亲属以及照顾悲痛的亲属和同事。我们对一些基于证据的在线资源进行了分类,这些资源提供了有关 COVID-19 的当前信息、实践更新和资源,以制定个性化的自我保健计划,以减轻焦虑并支持恢复和适应力。

结论

护士领导者必须确保提供足够的个人防护设备,提高护士为 COVID-19 患者提供安全、高质量护理的技能,并促进恢复性自我保健计划。

临床相关性

护士领导者今天采取的战略行动可以积极影响护士的福祉和为 COVID-19 患者提供安全、高质量护理的能力。

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