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《新冠疫情期间护士体验中的不确定性作用:一项现象学研究》。

The Role of Uncertainty in the Experiences of Nurses During the Covid-19 Pandemic: A Phenomenological Study.

机构信息

Centre for Health Research, Improvement and Scholarship, Saskatchewan Polytechnic, Regina, Canada.

Centre for Health Research, Improvement and Scholarship, Saskatchewan Polytechnic, Saskatoon, Canada.

出版信息

Can J Nurs Res. 2021 Jun;53(2):124-133. doi: 10.1177/0844562121992202. Epub 2021 Feb 4.

Abstract

BACKGROUND

The novel coronavirus (Covid-19) has spread quickly to all corners of the globe and caused high rates of morbidity and mortality. Nurses have been at the centre of this experience managing the outbreak through direct bedside care, managing hospital units, providing Covid-19 testing, and contact tracing.

PURPOSE

The aim of this article is to examine the role that nurses played in the early stages of the Covid-19 pandemic through the voices of the participants.

METHODS

Using a phenomenological methodology thirty-one interviews were completed via phone and thematic analysis was completed.

RESULTS

The major themes that emerged from this phenomenological study were: emotional challenges, uncertainty, and protective factors. Emotional challenges included, stress, anxiety, exhaustion, frustration, guilt, and loneliness. These challenges were magnified by uncertainty through leadership and communication challenges, needs of the pandemic versus needs of the patient, and Covid-19 and best practice. In this study, emotional challenges were mitigated by the protective factors of: education, ability to contribute, team cohesiveness, and community support.

CONCLUSIONS

Nurses are challenged during this time but by limiting uncertainty and providing protective factors, nurses can be less affected by emotional challenges and able to provide nursing care and manage the outbreak effectively.

摘要

背景

新型冠状病毒(Covid-19)迅速传播到全球各个角落,导致高发病率和死亡率。护士一直处于这一经历的中心,通过直接床边护理、管理医院病房、提供 Covid-19 检测和接触者追踪来管理疫情。

目的

本文旨在通过参与者的声音,探讨护士在 Covid-19 大流行早期所扮演的角色。

方法

采用现象学方法,通过电话完成了 31 次访谈,并进行了主题分析。

结果

这项现象学研究中出现的主要主题是:情绪挑战、不确定性和保护因素。情绪挑战包括压力、焦虑、疲惫、沮丧、内疚和孤独。这些挑战因领导力和沟通挑战、大流行的需求与患者的需求、Covid-19 和最佳实践之间的不确定性而加剧。在这项研究中,通过教育、贡献能力、团队凝聚力和社区支持等保护因素,可以减轻情绪挑战。

结论

护士在这段时间面临挑战,但通过限制不确定性和提供保护因素,护士可以减少情绪挑战的影响,能够有效地提供护理和管理疫情。

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