Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.
Intensive Care Clinical Unit, University Hospital Virgen Macarena, Seville, Spain.
Nurs Crit Care. 2021 Sep;26(5):397-406. doi: 10.1111/nicc.12589. Epub 2021 Jan 5.
Because of the COVID-19 pandemic, health care systems worldwide are working under challenging conditions. Patients, who are seriously ill, require intensive care admission. In fighting COVID-19, nurses are frontline health care workers and, as such, have a great responsibility providing needed specialized patient care in intensive care units (ICU). However, working conditions and emotional factors have an impact on the quality of the care provided.
The purpose of the present study was to explore and describe the experiences and perceptions of nurses working in an ICU during the COVID-19 global pandemic.
Qualitative research was undertaken, using an empirical approach and inductive content analysis techniques.
The selected population consisted of ICU nurses from a tertiary teaching hospital in Spain. Data were obtained via semi-structured videocall interviews from Apr 12th to Apr 30th, 2020. Subsequently, transcribed verbatims were analysed using the template analysis model of Brooks.
A total of 17 nurses comprised the final sample after data saturation. Four main themes emerged from the analysis and 13 subthemes: "providing nursing care," "psychosocial aspects and emotional lability," "resources management and safety" and "professional relationships and fellowship."
Providing health care by intensive care nursing professionals, during the COVID-19 pandemic, has shown both strong and weak points in the health care system. Nursing care has been influenced by fear and isolation, making it hard to maintain the humanization of the health care.
Implications for practice include optimizing resource management (human and material), providing psychological support, and adequate training for ICU nurses, as well as high-quality protocols for future emergency situations.
由于 COVID-19 大流行，全球各地的医疗保健系统都在艰难的条件下运作。病情严重的患者需要入住重症监护病房。在抗击 COVID-19 方面，护士是一线医护人员，因此在重症监护病房（ICU）中承担着提供专业护理的重要责任。然而，工作条件和情绪因素会影响提供的护理质量。
本研究旨在探讨和描述在 COVID-19 全球大流行期间在 ICU 工作的护士的经验和看法。
采用实证方法和归纳内容分析技术进行定性研究。
选择的研究人群包括来自西班牙一所三级教学医院的 ICU 护士。数据是在 2020 年 4 月 12 日至 4 月 30 日期间通过半结构式视频电话采访获得的。随后，使用 Brooks 的模板分析模型对转录的逐字记录进行分析。
数据饱和后，共有 17 名护士进入最终样本。分析得出四个主要主题和 13 个次主题：“提供护理”、“心理社会方面和情绪不稳定”、“资源管理和安全”和“专业关系和友谊”。
在 COVID-19 大流行期间，重症监护护理专业人员提供的医疗保健服务显示出医疗保健系统的优势和劣势。护理受到恐惧和孤立的影响，难以保持医疗保健的人性化。
对实践的启示包括优化资源管理（人力和物力）、为 ICU 护士提供心理支持和适当培训，以及为未来的紧急情况制定高质量的方案。
