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护士直面冠状病毒:迄今应对挑战与总结的经验教训。

Nurses confronting the coronavirus: Challenges met and lessons learned to date.

机构信息

University of Pennsylvania School of Nursing and Perelman School of Medicine; New Courtland Center for Transitions and Health.

Johns Hopkins University School of Nursing and Berman Insitute of Bioethics.

出版信息

Nurs Outlook. 2020 Nov-Dec;68(6):838-844. doi: 10.1016/j.outlook.2020.08.018. Epub 2020 Sep 1.

Abstract

Registered nurses are an essential workforce group across the globe. They use their expertise and skill sets every day in clinical practice to protect, promote, and advocate on behalf of patients and families under their care. In this article we discuss the physical, emotional, and moral stresses that nurses are experiencing in their day-to-day practice settings created by the novel coronavirus. We consider the demands placed on nurses by unexpected patient surges within hospital environments and inadequate personal protective equipment and other critical resources, challenging nurses' ability to meet their professional and ethical obligations. We also share our thoughts on supporting nurses and others now, and ideas for needed healing for both individuals and organizations as we move forward. Finally, we argue for the need for substantive reform of institutional processes and systems that can deliver quality care in the future when faced with another devastating humanitarian and public health crises.

摘要

注册护士是全球范围内不可或缺的劳动力群体。他们每天在临床实践中运用专业知识和技能,代表其护理的患者和家属进行保护、促进和倡导。在本文中,我们讨论了护士在日常实践环境中因新型冠状病毒而面临的身体、情绪和道德压力。我们考虑了医院环境中意外的患者激增以及个人防护设备和其他关键资源不足对护士的要求,这挑战了护士履行其专业和道德义务的能力。我们还分享了我们对支持护士和其他人的想法,以及在我们向前迈进时为个人和组织提供所需治疗的想法。最后,我们认为需要对机构流程和系统进行实质性改革,以便在未来再次面临灾难性的人道主义和公共卫生危机时提供优质护理。

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