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对工作的坚忍和利他主义取向:一项关于医护人员等待 COVID-19 检测结果的经验的定性研究。

A stoic and altruistic orientation towards their work: a qualitative study of healthcare professionals' experiences of awaiting a COVID-19 test result.

机构信息

Clinical nurse specialist at the Department of Cardiothoracic Surgery, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

出版信息

BMC Health Serv Res. 2020 Nov 11;20(1):1031. doi: 10.1186/s12913-020-05904-0.

Abstract

BACKGROUND

Extensive measures to reduce person-to-person transmission of COVID-19 are required to control the current outbreak. Special attention is directed at healthcare professionals as reducing the risk of infection in healthcare is essential. The purpose of this study was to explore healthcare professionals' experiences of awaiting a test result for a potential COVID-19 infection.

METHODS

Qualitative interviews with 15 healthcare professionals were performed, underpinned by a phenomenological hermeneutical analytical framework.

RESULTS

The participating healthcare professionals' experiences of awaiting a COVID-19 test result were found to be associated with a stoic and altruistic orientation towards their work. These healthcare professionals presented a strong professional identity overriding most concerns about their own health. The result of the coronavirus test was a decisive parameter for whether healthcare professionals could return to work. The healthcare professionals were aware that their family and friends were having a hard time knowing that the COVID-19 infection risk was part of their jobs. This concern did not, however, cause the healthcare professionals to falter in their belief that they were doing the right thing by focusing on their core area. The threat to own health ran through the minds of the healthcare professionals occasionally, which makes access to testing particularly important.

CONCLUSION

The participating healthcare professionals had a strong professional identity. However, a discrepancy between an altruistic role as a healthcare professional and the expectations that come from the community was illuminated. A mental health coronavirus hotline for healthcare professionals is suggested.

摘要

背景

为控制当前疫情,需要采取广泛措施减少 COVID-19 的人际传播。特别关注医疗保健专业人员,因为降低医疗保健感染风险至关重要。本研究旨在探讨医疗保健专业人员等待 COVID-19 感染潜在检测结果的体验。

方法

对 15 名医疗保健专业人员进行了定性访谈,以现象学诠释学分析框架为基础。

结果

研究发现,参与的医疗保健专业人员在等待 COVID-19 检测结果时,表现出一种坚忍和利他主义的工作态度。这些医疗保健专业人员表现出强烈的职业认同感,压倒了对自身健康的大多数担忧。冠状病毒检测结果是医疗保健专业人员能否重返工作岗位的决定性参数。医疗保健专业人员意识到,他们的家人和朋友很难知道感染 COVID-19 的风险是他们工作的一部分。然而,这种担忧并没有使医疗保健专业人员在专注于核心领域时动摇信念,认为自己做的是正确的事情。偶尔,对自身健康的威胁会在医疗保健专业人员的脑海中浮现,这使得接受检测变得尤为重要。

结论

参与的医疗保健专业人员具有强烈的职业认同感。然而,利他主义的医疗保健专业人员角色与社区期望之间的差异被凸显出来。建议为医疗保健专业人员设立心理健康冠状病毒热线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af2b/7656735/62ef5a3f2773/12913_2020_5904_Fig1_HTML.jpg

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