Tang Charmaine Jinxiu, Lin Yongxing Patrick, Chan Ee-Yuee
Nursing Research Unit, Nursing Service, Tan Tock Seng Hospital, Singapore City, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.
J Clin Nurs. 2021 Aug 31. doi: 10.1111/jocn.16029.
This study aimed to explore the perceived preparedness and psychosocial well-being of general ward nurses prior to their deployment into the outbreak intensive care units (ICUs) during the COVID-19 pandemic.
With the surge in COVID-19 cases requiring ICU care, non-ICU nurses maybe deployed into the ICUs. Having experienced through SARS, hospitals in Singapore instituted upskilling programs to secure general ward nurses' competency in providing critical care nursing. However, no studies have explored the perceptions of general ward nurses on deployment into the ICUs during the COVID-19 pandemic.
Qualitative descriptive study.
The study was conducted at Singapore's epicentre of COVID-19 management. Five focus groups were conducted following purposive sampling of 30 general ward nurses identified for outbreak ICU deployment. Focus groups were audio-recorded, transcribed verbatim and data thematically analysed. This study was conducted and reported in accordance with the COREQ checklist.
Three salient themes arose, exemplifying the transition from clinical experts in the general wards to practising novices in the outbreak ICUs. Firstly, 'Into the deep end of the pool' described general ward nurses' feelings of anxiety and stress associated with higher exposure risk and expanded responsibilities to nurse critically ill patients. Secondly, 'Preparing for "war"' illustrated deployed nurses' need for clear communication and essential critical care nursing training. Lastly, 'Call of duty' affirmed the nurses' personal and professional commitment to embrace this transition into the ICUs, and their desire for greater psychosocial support.
The study findings highlight that though general ward nurses perceived their impending ICU deployment positively, they require ongoing support to facilitate a smoother transition.
Findings provided an evidence base to improve the preparedness of general ward nurses deployed into the ICUs during the COVID-19 pandemic within key areas of training, information dissemination and psychosocial resilience.
本研究旨在探讨普通病房护士在被部署到新冠疫情期间的爆发性重症监护病房（ICU）之前的自我准备情况和心理社会幸福感。
随着需要重症监护的新冠病例激增，非重症监护病房护士可能会被部署到重症监护病房。新加坡的医院在经历了非典疫情后，制定了技能提升计划，以确保普通病房护士具备提供重症护理的能力。然而，尚无研究探讨普通病房护士在新冠疫情期间对被部署到重症监护病房的看法。
定性描述性研究。
该研究在新加坡新冠疫情管理的中心地带进行。在对30名被确定将被部署到爆发性重症监护病房的普通病房护士进行目的抽样后，开展了5次焦点小组讨论。焦点小组讨论进行了录音，逐字转录，并对数据进行了主题分析。本研究是按照COREQ清单进行并报告的。
出现了三个突出主题，体现了从普通病房的临床专家到爆发性重症监护病房的新手实践者的转变。首先，“跳入深水区”描述了普通病房护士因更高的暴露风险和护理重症患者的责任增加而产生的焦虑和压力感。其次，“为‘战争’做准备”说明了被部署护士对清晰沟通和基本重症护理培训的需求。最后，“使命召唤”肯定了护士个人和职业上接受向重症监护病房转变的承诺，以及他们对更多心理社会支持的渴望。
研究结果表明，尽管普通病房护士对即将被部署到重症监护病房持积极态度，但他们需要持续的支持，以实现更顺利的过渡。
研究结果为在培训、信息传播和心理社会适应力等关键领域提高新冠疫情期间被部署到重症监护病房的普通病房护士的准备情况提供了证据基础。
