Department of Anaesthesiology and Intensive Care Medicine, Centre for Anaesthesiological Research, Zealand University Hospital, Koege, Denmark; Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
Department of Anaesthesiology and Intensive Care Medicine, Centre for Anaesthesiological Research, Zealand University Hospital, Koege, Denmark.
Intensive Crit Care Nurs. 2022 Feb;68:103130. doi: 10.1016/j.iccn.2021.103130. Epub 2021 Aug 11.
The COVID-19 pandemic called for rapidly considerable changes in the healthcare system. Healthcare professionals from different departments within the hospital settings were enrolled in the emergency preparedness. This study, therefore, aimed to explore the healthcare professionals' experiences attending the ICU-preparedness and caring for patients with COVID-19 during the initial stage of the pandemic.
A descriptive explorative qualitative study was conducted by interviewing healthcare professionals during spring 2020, exploring their experiences as part of the ICU-preparedness team and caring for patients with COVID-19 in the ICU. Healthcare professionals from different departments were recruited by purposive sampling. The interviews were transcribed verbatim and analysed using content analysis.
Sixteen nurses and four physicians from a university hospital in Denmark participated. The analysis revealed three main themes and eight sub-themes. The main themes were (1) Professionalism in work-life (adaption, the patient's welfare, insecurity, and security), (2) Community Spirit (responsibility and contribution), and (3) Institutional organisation (the role of management, loss of freedom, and information).
Despite work specialities and professions, the participants reported a uniformity of similar experiences of uncertainties, but also a sense of community arose during the first phase of COVID-19.
To ensure resilience and mental health, and well-being for the healthcare professionals, comprehensive support should be provided. Guidelines for interventions and training are necessary to promote preparedness and reduce psychological stress.
COVID-19 大流行要求医疗系统迅速做出重大改变。来自医院内不同科室的医疗保健专业人员都被招募参与应急准备。因此，本研究旨在探讨在 COVID-19 大流行初期，参与 ICU 准备和护理 COVID-19 患者的医疗保健专业人员的经验。
本研究采用描述性探索性定性研究方法，于 2020 年春季对医疗保健专业人员进行访谈，探讨他们作为 ICU 准备小组的一部分的经验以及在 ICU 中护理 COVID-19 患者的经验。通过目的性抽样招募来自不同科室的医疗保健专业人员。访谈逐字记录，并使用内容分析法进行分析。
丹麦一所大学医院的 16 名护士和 4 名医生参与了研究。分析揭示了三个主题和八个子主题。三个主要主题为：（1）工作生活中的职业精神（适应、患者福利、不安和安全）；（2）社区精神（责任和贡献）；（3）机构组织（管理层的作用、自由丧失和信息）。
尽管工作专业和职业不同，但参与者报告了类似的不确定性经历的一致性，但在 COVID-19 的第一阶段，也产生了一种社区感。
为确保医疗保健专业人员的适应力和心理健康与幸福感，应提供全面的支持。需要制定干预和培训指南，以促进准备工作并减轻心理压力。
