Department of Psychology, Swansea University, Swansea, UK
Division of Population Medicine, Marie Curie Research Centre, Cardiff University, Cardiff, UK.
BMJ Open. 2020 Dec 16;10(12):e043949. doi: 10.1136/bmjopen-2020-043949.
To gain insight into the experiences and concerns of front-line National Health Service (NHS) workers while caring for patients with COVID-19.
Qualitative analysis of data collected through an anonymous website (www.covidconfidential) provided a repository of uncensored COVID-19 experiences of front-line NHS workers, accessed via a link advertised on the Twitter feed of two high profile medical tweeters and their retweets.
Community of NHS workers who accessed this social media.
54 healthcare workers, including doctors, nurses and physiotherapists, accessed the website and left a 'story'.
Stories ranged from 1 word to 10 min in length. Thematic analysis identified common themes, with a central aspect being the experience and psychological consequence of trauma. Specific themes were: (1) the shock of the virus, (2) staff sacrifice and dedication, (3) collateral damage ranging from personal health concerns to the long-term impact on, and care of, discharged patients and (4) a hierarchy of power and inequality within the healthcare system.
COVID-19 confidential gave an outlet for unprompted and uncensored stories of healthcare workers in the context of COVID-19. In addition to personal experiences of trauma, there were perceptions that many operational difficulties stemmed from inequalities of power between management and front-line workers. Learning from these experiences will reduce staff distress and improve patient care in the face of further waves of the pandemic.
深入了解一线国民保健服务（NHS）工作人员在照顾 COVID-19 患者时的经验和关注点。
通过一个匿名网站（www.covidconfidential）收集的数据进行定性分析，为一线 NHS 工作人员提供了未经审查的 COVID-19 经验库，该网站通过在两名知名医疗推特博主的推特饲料上发布链接进行访问，并通过他们的转发进行访问。
NHS 工作人员社区，他们访问了这个社交媒体。
54 名医疗工作者，包括医生、护士和物理治疗师，访问了该网站并留下了“故事”。
故事的长度从 1 个字到 10 分钟不等。主题分析确定了共同的主题，其中一个核心方面是创伤的经历和心理后果。具体主题包括：（1）病毒的冲击，（2）员工的牺牲和奉献，（3）从个人健康问题到 discharged 患者的长期影响和护理在内的附带损害，以及（4）医疗系统内的权力和不平等的层次结构。
COVID-19 机密为 COVID-19 背景下的医疗工作者提供了一个未经提示和未经审查的故事的出口。除了个人创伤经历外，人们还认为，许多运营困难源于管理层和一线工作人员之间权力不平等。从这些经验中学习将减少员工的痛苦，并在面对大流行的进一步浪潮时改善患者护理。
