Chen Feifei, Zang Yuli, Liu Yuan, Wang Xiaomin, Lin Xingfeng
Nursing Department, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan City, China.
The Nether School of Nursing, The Chinese University of Hong Kong, Hong Kong, China.
J Clin Nurs. 2021 Jul;30(13-14):2001-2014. doi: 10.1111/jocn.15753. Epub 2021 Mar 24.
We explored dispatched nurses' experiences of wearing full gear personal protective equipment to care for patients with coronavirus disease-2019 (COVID-19) in Wuhan, China.
Full gear personal protective equipment is the primary and foremost measure to prevent the contact and transmission of severe acute respiratory syndrome-coronavirus 2 (SARS-CoV2); however, working in full gear personal protective equipment may hinder nursing care activities and thus negatively affect patients' and nurses' health.
This descriptive qualitative inquiry followed the COREQ guidelines.
Individual semi-structured telephone interviews were conducted in a purposive sample of 15 frontline nurses who were dispatched to the outbreak epicentre from March to April 2020. Verbatim transcripts were content analysed.
Four themes emerged from the data: inadequate preparedness for working with full gear personal protective equipment, full gear personal protective equipment stimulated stress responses, coping strategies and professional growth. Participants learned a great deal from problem-focussed and emotion-focussed strategies to tackle challenges related to the prolonged wearing of full gear personal protective equipment for quality nursing care and reduced risk of exposure. They became more vigilant to the adherence to evolving protocols and appropriate training concerning full gear personal protective equipment use.
Frontline nurses confronted various but diminishing challenges related to the use of full gear personal protective equipment when caring for patients with COVID-19 across the approximate 40-day period. Consistent use of coverall personal protective equipment to protect from SARS-CoV-2 in high exposure settings would be feasible if nurses were better prepared; therefore, scenario-based skill training concerning the prolonged use of full gear personal protective equipment should be offered regularly and intensively.
This study informs future decisions concerning improved full gear personal protective equipment-related psychomotor training and promoting ways for nurses to cope with the stress that comes from working in highly contiguous environments.
我们探讨了在中国武汉，被派遣的护士穿戴全套个人防护装备护理新型冠状病毒肺炎（COVID - 19）患者的经历。
全套个人防护装备是预防严重急性呼吸综合征冠状病毒2（SARS-CoV2）接触和传播的首要措施；然而，穿着全套个人防护装备工作可能会阻碍护理活动，从而对患者和护士的健康产生负面影响。
本描述性定性研究遵循COREQ指南。
对2020年3月至4月被派往疫情中心的15名一线护士进行了有目的抽样的个人半结构式电话访谈。对逐字记录进行了内容分析。
数据中出现了四个主题：对使用全套个人防护装备工作准备不足、全套个人防护装备引发应激反应、应对策略和专业成长。参与者从以问题为中心和以情绪为中心的策略中学到了很多，以应对与长时间穿着全套个人防护装备进行优质护理和降低暴露风险相关的挑战。他们对遵守不断变化的规程以及关于全套个人防护装备使用的适当培训变得更加警惕。
在大约40天的时间里，一线护士在护理COVID - 19患者时面临着与使用全套个人防护装备相关的各种但逐渐减少的挑战。如果护士准备得更好，在高暴露环境中持续使用连体式个人防护装备来预防SARS-CoV-2是可行的；因此，应定期且密集地提供关于长时间使用全套个人防护装备的情景式技能培训。
本研究为未来关于改进与全套个人防护装备相关的心理运动训练以及促进护士应对在高度连续环境中工作所产生压力的方法的决策提供了信息。
