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护士和医生照顾 COVID-19 患者的体验:高病例国家的探索性现象学研究结果。

The Experiences of Nurses and Physicians Caring for COVID-19 Patients: Findings from an Exploratory Phenomenological Study in a High Case-Load Country.

机构信息

Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.

Faculty of Nursing, Philadelphia University, Amman 19392, Jordan.

出版信息

Int J Environ Res Public Health. 2021 Aug 26;18(17):9002. doi: 10.3390/ijerph18179002.

Abstract

Various changes have affected health services delivery in response to the repercussions of the COVID-19 pandemic, and this may exhibit unprecedented effects on healthcare workers (HCWs). This study aimed to explore the lived experience of physicians and nurses caring for patients with COVID-19 in Jordan. An interpretative phenomenology approach was used, and sampling was purposively performed. Data were collected through semi-structured interviews using an online meeting platform (Zoom). Interviews were audio-recorded, transcribed verbatim, and analyzed. The data were obtained from 26 physicians and nurses caring for patients with COVID-19. The mean age of the participants was 29.41 years (SD = 2.72). Six main themes and 17 subthemes were identified: (i) emotional reactions; (ii) preparation; (iii) source of support; (iv) extreme workload; (v) occupational challenges, and (vi) work-related concerns. The results showed that nurses and physicians caring for COVID-19 patients in Jordan were experiencing mental and emotional distress and were practicing under inadequate work conditions. This distress could be multifactorial with personal, organizational, or cultural origins. Our findings may guide policymakers to consider the potential factors that significantly affect working environment in healthcare settings, the physical and mental wellbeing of HCWs, and the required professional training that can help in enhancing resilience and coping strategies amidst crises.

摘要

各种变化影响了医疗服务的提供,以应对 COVID-19 大流行的影响,这可能对医护人员(HCWs)产生前所未有的影响。本研究旨在探讨在约旦照顾 COVID-19 患者的医生和护士的生活体验。采用解释现象学方法,有目的地进行抽样。通过使用在线会议平台(Zoom)的半结构化访谈收集数据。访谈进行了录音、逐字转录和分析。数据来自 26 名照顾 COVID-19 患者的医生和护士。参与者的平均年龄为 29.41 岁(SD = 2.72)。确定了六个主要主题和 17 个子主题:(i)情绪反应;(ii)准备;(iii)支持来源;(iv)极端工作量;(v)职业挑战和(vi)与工作相关的担忧。结果表明,在约旦照顾 COVID-19 患者的护士和医生正在经历精神和情绪困扰,并且在工作条件不足的情况下工作。这种困扰可能是多因素的,具有个人、组织或文化根源。我们的研究结果可能指导政策制定者考虑对医疗保健环境中的工作环境、医护人员的身心健康以及所需的专业培训产生重大影响的潜在因素,这些培训有助于在危机中增强适应力和应对策略。

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