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ICU 护士在为 COVID-19 患者提供护理过程中所面临的挑战:一项定性研究。

Challenges experienced by ICU nurses throughout the provision of care for COVID-19 patients: A qualitative study.

机构信息

Patient Safety Research Center, Clinical Research Institute, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

J Nurs Manag. 2021 Jul;29(5):1159-1168. doi: 10.1111/jonm.13254. Epub 2021 Feb 2.

Abstract

AIM

To explore the challenges experienced by ICU nurses throughout the provision of care for COVID-19 patients.

BACKGROUND

The intensive care unit nurses, who are at the frontline of fighting against COVID-19 and defusing this crisis, are faced with various challenges throughout the provision of care for COVID-19 patients.

METHODS

In this qualitative descriptive study, a total of 17 nurses working in intensive care units were selected using purposive sampling. Data were collected using semi-structured face-to-face interviews. After recording and transcribing interviews, the concepts were extracted using the content analysis method.

FINDINGS

The nurses reported the four following challenges throughout the provision of care for COVID-19 patients: 'organization's inefficiency in supporting nurses', 'physical exhaustion', 'living with uncertainty' and 'psychological burden of the disease'.

CONCLUSION

The present study portrayed a clear understanding of the challenges faced by nurses working in intensive care units during the crisis of the COVID-19 pandemic based on their lived experiences.

IMPLICATIONS FOR NURSING MANAGEMENT

A profound understanding of these challenges in the current critical situation can help health care authorities adopt appropriate measures to resolve these challenges, provide health care facilities, support the health workforce, give accurate and evidence-based information and perform psychological interventions on how to handle the current crisis.

摘要

目的

探讨 ICU 护士在为 COVID-19 患者提供护理过程中所面临的挑战。

背景

在抗击 COVID-19 疫情和化解这场危机的过程中,重症监护室护士处于最前线,在为 COVID-19 患者提供护理的过程中,他们面临着各种挑战。

方法

本定性描述性研究采用目的抽样法,共选择了 17 名在重症监护病房工作的护士。使用半结构式面对面访谈收集数据。访谈记录和转录后,使用内容分析法提取概念。

结果

护士在为 COVID-19 患者提供护理过程中报告了以下四项挑战:“组织在支持护士方面效率低下”、“身体疲惫”、“生活在不确定之中”和“疾病带来的心理负担”。

结论

本研究根据护士的亲身经历,清楚地了解了在 COVID-19 大流行危机期间重症监护病房护士所面临的挑战。

护理管理的意义

在当前的危急情况下,深刻理解这些挑战有助于卫生保健当局采取适当措施解决这些挑战,提供医疗设施,支持卫生工作者,提供准确和基于证据的信息,并对如何应对当前危机进行心理干预。

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