“这一切都很糟糕”:探索美国护士照顾 COVID-19 患者的体验。
"All of this was awful:" Exploring the experience of nurses caring for patients with COVID-19 in the United States.
机构信息
Community Nursing, College of Nursing and Health Sciences, University of Massachusetts Dartmouth, Dartmouth, Massachusetts, USA.
Department of Psychology, University of Massachusetts, Dartmouth, Massachusetts, USA.
出版信息
Nurs Forum. 2021 Oct;56(4):869-877. doi: 10.1111/nuf.12633. Epub 2021 Jul 22.
INTRODUCTION
Little research documents the experience of nurses caring for patients with COVID-19 in the United States. This article explores the experience of nurses providing direct care to COVID-19 patients to understand the working conditions and emotional impact of working in this pandemic on nurses.
METHODS
Data were gathered through an online survey distributed via snowball sampling in July 2020. The survey included an open-ended question asking nurses to describe a personal experience providing care to a COVID-19 patient. Researchers analyzed 118 responses using content analysis.
RESULTS
The experience of nurses providing care to patients with COVID-19 was summarized into six themes: (1) feeling overwhelmed with the quantity of work (33.1%), (2) patient death (30.5%), (3) helplessness (23.7%), (4) absence of patient family presence and need for additional support (22.9%), (5) personal protective equipment (PPE) concerns regarding safety and how PPE can impair the nursing role (20.3%), and (6) lack of preparedness for the pandemic (16.9%).
CONCLUSIONS
These findings suggest working directly with COVID-19 patients is a significant psychological strain on nurses. Adequate personal and institutional support for nurses is needed to prevent and treat mental distress from working under these conditions.
简介
鲜有研究记录美国护士照顾 COVID-19 患者的经验。本文探讨了护士直接照顾 COVID-19 患者的经历,以了解在这场大流行中护理工作的工作条件和对护士的情绪影响。
方法
数据通过 2020 年 7 月通过滚雪球抽样进行在线调查收集。该调查包括一个开放式问题,要求护士描述他们照顾 COVID-19 患者的个人经历。研究人员使用内容分析法对 118 份回复进行了分析。
结果
护士照顾 COVID-19 患者的经历总结为六个主题:(1)工作量过大(33.1%);(2)患者死亡(30.5%);(3)无助(23.7%);(4)患者家属不在场且需要额外支持(22.9%);(5)个人防护设备(PPE)的安全性和 PPE 如何影响护理角色的担忧(20.3%);(6)对大流行准备不足(16.9%)。
结论
这些发现表明,直接与 COVID-19 患者接触对护士造成了严重的心理压力。需要为护士提供足够的个人和机构支持,以预防和治疗在这些条件下工作引起的精神困扰。