Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
Pediatric Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Pediatric Nursing Speciality, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Bahrain.
Nurse Educ Pract. 2020 Nov;49:102915. doi: 10.1016/j.nepr.2020.102915. Epub 2020 Nov 10.
COVID-19 pandemic brings with it a new reality and changes in the context of traditional nursing clinical training. Intern-nursing students face challenges in providing care for suspected and confirmed patients with COVID-19. This cross-sectional descriptive study aimed to explore the mental strain and changes in the psychological health hub among the intern-nursing students during COVID-19 pandemic. A sample of 150 intern-nursing students from 13 pediatric and medical-surgical units at Alexandria University Hospitals completed the Middle East Respiratory Syndrome COVID-19 Staff Questionnaire and rated their psychological distress on the General Health Questionnaire. Study results revealed that the most stressful factors were related to possibility of getting COVID-19 infection (2.89 ± 0.39) and transmitting it to their families (2.72 ± 0.62). Moreover, the availability of cure or vaccine for the disease was the most important motivational factor to participate in future outbreaks (2.64 ± 0.77). Regarding intern-nursing students' psychological health hub, 77.3% of them felt under strain, worthless and depressed (64.7%, 62.7%) since the influx of COVID-19 pandemic. Binary logistic regression indicated that students' age (23-24), clinical experience (8 months) and clinical placement in adults' units served as risk factor for developing psychological distress while, male gender and training in pediatric units were protective factors. Designating an emergency psychiatric unit for ongoing monitoring and providing psychological first aids to the vulnerable health care providers is recommended.
新型冠状病毒肺炎大流行带来了新的现实，并改变了传统护理临床培训的环境。实习护士学生在为疑似和确诊的新型冠状病毒肺炎患者提供护理方面面临挑战。这项横断面描述性研究旨在探讨实习护士学生在新型冠状病毒肺炎大流行期间的心理压力和心理健康中心的变化。亚历山大大学医院 13 个儿科和普通外科病房的 150 名实习护士学生完成了中东呼吸综合征新型冠状病毒肺炎工作人员问卷，并在一般健康问卷上对他们的心理困扰进行了评分。研究结果表明，最具压力的因素与感染新型冠状病毒肺炎的可能性（2.89±0.39）和将其传播给家人的可能性（2.72±0.62）有关。此外，治疗或疫苗的可用性是参与未来疫情的最重要激励因素（2.64±0.77）。关于实习护士学生的心理健康中心，自新型冠状病毒肺炎大流行以来，77.3%的学生感到紧张、有价值和沮丧（64.7%、62.7%）。二元逻辑回归表明，学生的年龄（23-24 岁）、临床经验（8 个月）和成人病房的临床安置是出现心理困扰的危险因素，而男性性别和儿科病房的培训则是保护因素。建议为脆弱的卫生保健提供者指定一个紧急精神病学单位，以进行持续监测并提供心理急救。
