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巴基斯坦拉合尔市 COVID-19 疫情期间女性医护人员面临的社会心理、情绪和职业挑战:一项定性研究。

Psychosocial, emotional and professional challenges faced by female healthcare professionals during the COVID-19 outbreak in Lahore, Pakistan: a qualitative study.

机构信息

Department of Public Health, Institute of Social and Cultural Studies, University of the Punjab, Lahore, Pakistan.

Department of Architecture, University College of Arts & Design, University of the Punjab, Lahore, Pakistan.

出版信息

BMC Womens Health. 2021 May 12;21(1):197. doi: 10.1186/s12905-021-01344-y.

Abstract

BACKGROUND

The novel coronavirus disease (COVID-19) is spreading rapidly, increasing the stress and challenges for healthcare professionals around the world. This study aims to discover the psychosocial, emotional and professional challenges faced by female healthcare professionals (HCPs) treating COVID-19 patients in Pakistan.

METHODS

Using an empirical phenomenological methodology, semi-structured telephone-based qualitative interviews were conducted with 22 female HCPs who were providing their expertise for COVID-19 patients in tertiary-level hospitals in Lahore, Pakistan. Purposive sampling was used for recruitment. The interviews were conducted between 20 July and 20 August 2020. The interviews were analysed using thematic analysis.

RESULTS

This study explored the psychosocial, emotional and professional challenges faced by female HCPs serving COVID-19 patients. Five themes were observed in the interviews: apprehension while treating COVID-19 patients; feelings towards COVID-19 patients; challenges as female HCPs and coping strategies; confidence in government, administration and self-reflection; and finally, future concerns and recommendations. Many of these themes have also been linked with cultural issues, making the results specific to Pakistan.

CONCLUSIONS

During the COVID-19 pandemic, female frontline HCPs have faced immense psychosocial pressure, ranging from unsupportive family norms to an unwelcoming working environment and insensitive hospital administrations. Moreover, rumours among the general public, lack of proper training, missing incentives and improper system surveillance have increased the anxiety and stress among HCPs. Hence, legislators are advised to take appropriate actions countrywide in order to alleviate the still ongoing challenges and support female HCPs in their working environment.

摘要

背景

新型冠状病毒病(COVID-19)正在迅速传播,增加了全球医疗保健专业人员的压力和挑战。本研究旨在发现在巴基斯坦治疗 COVID-19 患者的女性医疗保健专业人员(HCPs)面临的心理社会、情感和专业挑战。

方法

使用经验现象学方法,对在巴基斯坦拉合尔的三级医院为 COVID-19 患者提供专业知识的 22 名女性 HCP 进行了基于电话的半结构化定性访谈。采用目的抽样法招募。访谈于 2020 年 7 月 20 日至 8 月 20 日进行。使用主题分析对访谈进行分析。

结果

本研究探讨了为 COVID-19 患者服务的女性 HCPs 面临的心理社会、情感和专业挑战。访谈中观察到五个主题:治疗 COVID-19 患者时的担忧;对 COVID-19 患者的感受;作为女性 HCPs 的挑战和应对策略;对政府、管理部门和自我反思的信心;以及对未来的担忧和建议。其中许多主题也与文化问题有关,使结果具有巴基斯坦特色。

结论

在 COVID-19 大流行期间,一线女性 HCPs 面临着巨大的心理社会压力,从不受支持的家庭规范到不友好的工作环境和不敏感的医院管理。此外,公众中的谣言、缺乏适当的培训、激励措施的缺失以及不当的系统监测增加了 HCPs 的焦虑和压力。因此,建议立法者在全国范围内采取适当行动,以减轻仍在继续的挑战,并在工作环境中支持女性 HCPs。

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