Bauer Silvia, Eglseer Doris, Hödl Manuela
Medizinische Universität Graz, Institut für Pflegewissenschaft, Universitätsplatz 4, 8010 Graz, Deutschland.
Procare. 2020;25(8):48-53. doi: 10.1007/s00735-020-1247-8. Epub 2020 Oct 23.
Nursing quality is one of today's priorities in health care. The COVID-19 pandemic had posed particular challenges for nursing practice. There is currently only limited information available about nursing care in health care institutions during the COVID-19 pandemic.
Therefore the aim of this study was to describe the quality of nursing care during the COVID-19 pandemic with respect to the available structural circumstances (structure), the applied interventions (process) and the perceived stress of nursing staff (outcome).
A cross-sectional study using an electronic questionnaire was carried out in different health care institutions. The questionnaire includes general questions as well as questions on structure, process and outcome indicators.
2605 nurses participated in this online survey. The study showed that nurses were often provided with guidelines and trainings on protective measures. About two thirds of the nurses reported a sufficient availability of face masks, yet half of the participants wore them longer than eight hours. The study also showed that nurses often applied personal (e.g. use of face masks) and general protective measures (e.g. hand sanitation). Around two thirds of the nurses experienced moderate to high levels of stress.
Health care institutions need to be equipped with sufficient and adequate protective materials in order to be prepared for a second wave of the COVID-19 pandemic or other pandemics. Nurses who are working in times posing extraordinary challenges and stress need to be provided with psychosocial support programmes. These measures are indespensable for ensuring high quality nursing care even under extraordinary circumstances.
护理质量是当今医疗保健的重点之一。新冠疫情给护理实践带来了特殊挑战。目前关于新冠疫情期间医疗机构护理情况的信息有限。
因此,本研究的目的是描述新冠疫情期间护理质量,涉及可用的结构环境(结构)、所采用的干预措施(过程)以及护理人员感受到的压力(结果)。
在不同医疗机构开展了一项使用电子问卷的横断面研究。问卷包括一般问题以及关于结构、过程和结果指标的问题。
2605名护士参与了此次在线调查。研究表明,护士经常获得关于防护措施的指南和培训。约三分之二的护士报告口罩供应充足,但一半的参与者佩戴口罩时间超过8小时。研究还表明,护士经常采取个人防护措施(如佩戴口罩)和一般防护措施(如手部卫生)。约三分之二的护士经历了中度至高度压力。
医疗机构需要配备充足且合适的防护物资,以便为新冠疫情的第二波或其他疫情做好准备。在面临巨大挑战和压力时期工作的护士需要获得心理社会支持项目。即使在特殊情况下,这些措施对于确保高质量护理也是必不可少的。