新冠疫情期间基层医疗护士的心理健康:一项定性研究。

The psychological well-being of primary healthcare nurses during COVID-19: A qualitative study.

机构信息

School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia.

Department of General Practice, School of Public Health and Preventative Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, VIC, Australia.

出版信息

J Adv Nurs. 2021 Sep;77(9):3820-3828. doi: 10.1111/jan.14937. Epub 2021 Jun 18.

Abstract

AIM

To explore primary healthcare nurses' psychological well-being related to the COVID-19 pandemic.

DESIGN

Qualitative descriptive study.

METHODS

Semi-structured interviews were conducted with 25 participants between June and August 2020 who indicated their willingness to participate in an interview following a national survey. Interviews were audio-recorded and transcribed verbatim by professional transcribers. Data were analysed using thematic analysis.

RESULTS

The importance of professional and public support and acknowledgement of the nurses' role during the pandemic positively influenced feelings of being valued. The psychological impact of negative experiences increased anxiety and stress levels. Participants reported a range of self-care strategies, including increased vigilance with infection control at home and work and attention to physical exercise and diet. Most participants remained positive about their roles and career decisions, although some indicated that the negative psychological impacts prompted re-evaluation of their career.

CONCLUSIONS

Primary healthcare nurses have been exposed to a range of personal and professional stressors during the pandemic that have impacted their psychological well-being. Awareness of stressors and an understanding of what has helped and what has impacted well-being are important in guiding future workplace support systems. Further work to explore the long-term impact of these stressors and the effectiveness of coping strategies employed by primary healthcare nurses is warranted.

IMPACT

Managers and professional organisations need to consider the personal and professional stressors that have impacted on primary healthcare nurses' psychological well-being to promote health and well-being among nurses following COVID-19.

摘要

目的

探讨与 COVID-19 大流行相关的初级保健护士的心理健康状况。

设计

定性描述性研究。

方法

在全国调查后,对 25 名表示愿意接受访谈的参与者进行了半结构式访谈。访谈通过专业转录员进行音频记录和逐字转录。使用主题分析对数据进行分析。

结果

专业和公众支持以及对护士在大流行期间角色的认可的重要性积极影响了被重视的感觉。负面经历的心理影响增加了焦虑和压力水平。参与者报告了一系列自我保健策略,包括在家中和工作中加强感染控制的警惕性以及注意体育锻炼和饮食。大多数参与者对自己的角色和职业决定保持积极态度,尽管有些参与者表示负面的心理影响促使他们重新评估自己的职业。

结论

初级保健护士在大流行期间面临着一系列个人和职业压力源,这些压力源对他们的心理健康产生了影响。了解压力源以及了解哪些因素有助于和影响幸福感对于指导未来的工作场所支持系统非常重要。需要进一步研究这些压力源的长期影响以及初级保健护士采用的应对策略的有效性。

影响

管理人员和专业组织需要考虑影响初级保健护士心理健康的个人和职业压力源,以促进 COVID-19 后护士的健康和幸福感。

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