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在 COVID-19 大流行中,护士主导的研究有什么作用?

What place does nurse-led research have in the COVID-19 pandemic?

机构信息

School of Health Sciences, City, University of London, London, UK.

NIHR Senior Nurse Research Leader, Imperial College Healthcare NHS Trust, London, UK.

出版信息

Int Nurs Rev. 2021 Jun;68(2):214-218. doi: 10.1111/inr.12660. Epub 2021 Feb 10.

Abstract

AIM

Reflect upon the visibility of nursing-led research during the COVID-19 pandemic.

BACKGROUND

The emerging SARS-CoV-2 infection has galvanized collaborative and multidisciplinary efforts in clinical and research practice worldwide. The scarce evidence-base to manage patients with COVID-19 has included limited nurse-led research.

INTRODUCTION

Clinical research nurses have greatly contributed to the delivery of COVID-19 research, yet the number of COVID-19 nursing-led research papers appears to be limited, with even fewer nurse-led research projects funded.

METHODS

Authors' views and PubMed search on 'COVID-19 and nursing'.

FINDINGS

There is a dearth of nursing-led research. Most papers describe the nursing contribution to COVID-19 care, changes in nursing working arrangements and emotional burden. There are opportunities to explore the consequences to vulnerable population groups of public health measures implemented to stop the progress of the COVID-19 pandemic.

DISCUSSION

Workforce gaps, limited integration in research structures and clinical redeployment may have hampered nurse-led research. COVID-19 may exacerbate staffing deficits by disrupting the education pipeline, obstructing the transition from clinical to academic practice, particularly in areas where clinical academic roles are yet to emerge.

CONCLUSION

The absence of nurse-led research in COVID-19 can be explained by chronic, underlying factors and the features of the pandemic response. Emerging models of care, effective staffing and inequalities related to COVID-19 appear obvious research areas. Nursing leadership needs to strengthen its political voice and lobbying skills to secure nurse-led research funding.

IMPLICATIONS FOR NURSING POLICY

Embracing international nursing research, strengthening collaborations and lobbying policymakers for investment in nurse-sensitive research would enhance the response to COVID-19.

摘要

目的

反思在 COVID-19 大流行期间护理主导研究的可见性。

背景

新出现的严重急性呼吸系统综合征冠状病毒 2 型感染激发了全球临床和研究实践中的协作和多学科努力。管理 COVID-19 患者的证据基础有限,其中包括有限的护理主导研究。

引言

临床研究护士为 COVID-19 研究的开展做出了巨大贡献,但 COVID-19 护理主导研究论文的数量似乎有限,获得资助的护理主导研究项目更是少之又少。

方法

作者观点和 PubMed 上关于“COVID-19 和护理”的搜索。

结果

护理主导研究严重不足。大多数论文描述了护理在 COVID-19 护理中的贡献、护理工作安排的变化和情绪负担。有机会探讨为阻止 COVID-19 大流行而实施的公共卫生措施对弱势群体的影响。

讨论

劳动力短缺、研究结构中有限的整合以及临床重新部署可能阻碍了护理主导的研究。COVID-19 可能会通过扰乱教育渠道、阻碍从临床到学术实践的过渡,特别是在尚未出现临床学术角色的地区,从而加剧人员配备不足的问题。

结论

COVID-19 中缺乏护理主导的研究可以用长期存在的潜在因素和大流行应对的特征来解释。新兴的护理模式、有效的人员配置以及与 COVID-19 相关的不平等现象似乎是明显的研究领域。护理领导层需要加强其政治声音和游说技巧,以确保护理主导的研究资金。

对护理政策的影响

接受国际护理研究、加强合作以及向决策者游说投资于对护士敏感的研究将增强对 COVID-19 的应对能力。

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