Tort-Nasarre Glòria, Alvarez Bruna, Galbany-Estragués Paola, Subías-Miquel Martí, Vázquez-Segura Eva, Marre Diana, Romeu-Labayen Maria
Health Education Research Group (GREpS), Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
Calaf Primary Care Center, SAP Anoia-Gerència Territorial Catalunya Central, Institut Català de la Salut, Calaf, Spain.
J Nurs Manag. 2021 Oct;29(7):1983-1991. doi: 10.1111/jonm.13362. Epub 2021 Jun 1.
To identify the organisational changes faced by front-line nurses working with COVID-19 patients during the first wave and describe how they responded to these changes.
The COVID-19 pandemic has altered the provision of care and the management of health care around the world. Evolving information about SARS-CoV-2 meant that health care facilities had to be reorganised continually, causing stress and anxiety for nurses.
Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL). The research took place in hospital and community health settings of the Spanish national health system with a purposive sampling of 23 front-line nurses. Semi-structured interviews were conducted between May and June 2020. The duration was 30-45 min per interview. We used the Dedoose® data analysis software to perform a thematic analysis.
Nurses responded to organisational changes using the following strategies: improvisation, adaptation and learning.
Our rapid approach allowed us to record how nurses responded to changing organisation, information that is easily lost in a disaster such as the COVID-19.
Knowing about their strategies can help planning for future health disasters, including subsequent waves of the COVID-19.
确定在第一波疫情期间照顾新冠肺炎患者的一线护士所面临的组织变革，并描述他们如何应对这些变革。
新冠肺炎疫情改变了全球的医疗服务提供和医疗保健管理。关于严重急性呼吸综合征冠状病毒2（SARS-CoV-2）不断变化的信息意味着医疗机构必须不断进行重组，给护士带来压力和焦虑。
基于快速研究评估与评价（RREAL）的定性研究。该研究在西班牙国家卫生系统的医院和社区卫生机构中进行，对23名一线护士进行了目的抽样。2020年5月至6月进行了半结构化访谈。每次访谈持续30 - 45分钟。我们使用Dedoose®数据分析软件进行主题分析。
护士通过以下策略应对组织变革：即兴发挥、适应和学习。
我们的快速方法使我们能够记录护士如何应对不断变化的组织，这些信息在诸如新冠肺炎这样的灾难中很容易丢失。
了解他们的策略有助于为未来的卫生灾难制定计划，包括新冠肺炎的后续疫情。
