武汉一线护士的经历：COVID-19 大流行期间护士网络日记的定性分析。
The experiences of frontline nurses in Wuhan: A qualitative analysis of nurse online diaries during the COVID-19 pandemic.
机构信息
School of International Education, Shandong University of Finance and Economics, Jinan, P.R. China.
School of Foreign Languages and Literature, Shandong University, Jinan, P.R. China.
出版信息
J Clin Nurs. 2022 Sep;31(17-18):2465-2475. doi: 10.1111/jocn.16056. Epub 2021 Sep 27.
AIMS AND OBJECTIVE
To explore the experiences of frontline nurses through analyzing nurse online diaries during the pandemic.
BACKGROUND
Over 42,600 healthcare professionals took care of patients with COVID-19 in Wuhan in the initial months between 23 January 2020 and 8 April 2020. Many used to write online diaries on Sina Microblog and still wrote about their experiences in the front line on this site. However, there has been little research on frontline nurses' experiences in the initial months of the pandemic through analyzing their narratives.
DESIGN
A qualitative descriptive design.
METHODS
A qualitative content analysis was used to analyze online diaries written by frontline nurses in Wuhan. A total of 205 entries in online diaries were collected from 12 frontline nurses, as accessible to those who subscribed to Sina Microblog social media site, between 23 January 2020 and 8 April 2020. NVivo12 was used to help analyze the data, and COREQ reporting guidelines were also used in this study.
RESULTS
Two themes were identified: constructing a better self and constructing a strong support network. A better self was constructed in describing positive emotions, commitment to care, pride and achievements, and whole-person growth. A strong support network was constructed through social support via different sources and gaining self-support via narrating their personal experiences in diaries.
CONCLUSIONS
Frontline nurses demonstrated personal growth, psychological well-being, and professionalism in the process of constructing a better self and a strong support network.
RELEVANCE TO CLINICAL PRACTICE
The findings indicate that frontline nurses can use narratives as debriefing opportunities and a way of gaining self-support. We suggest that online communities of professional support be used as an essential platform for sharing narratives and gaining a more comprehensive understanding of frontline nurses in the COVID-19 pandemic and other global public health events.
目的与目标
通过分析疫情期间护士的在线日记，探讨一线护士的经验。
背景
在 2020 年 1 月 23 日至 4 月 8 日的最初几个月里，超过 42600 名医护人员照顾了武汉的 COVID-19 患者。许多人曾经在新浪微博上写在线日记，并且仍然在这个网站上写下他们在前线的经历。然而，通过分析他们的叙述，对疫情初期一线护士的经验进行的研究甚少。
设计
定性描述性设计。
方法
采用定性内容分析法对武汉一线护士的在线日记进行分析。共收集了 12 名一线护士在新浪微博上发表的 205 篇在线日记，这些日记可在 2020 年 1 月 23 日至 4 月 8 日期间订阅该社交媒体网站的人查阅。使用 NVivo12 帮助分析数据，并在本研究中也使用了 COREQ 报告指南。
结果
确定了两个主题：构建更好的自我和构建强大的支持网络。通过描述积极的情绪、对护理的承诺、自豪感和成就感以及全人成长来构建更好的自我。通过来自不同来源的社会支持以及通过叙述个人经历在日记中获得自我支持来构建强大的支持网络。
结论
一线护士在构建更好的自我和强大的支持网络的过程中表现出个人成长、心理幸福感和专业性。
临床相关性
研究结果表明，一线护士可以将叙述作为汇报和获得自我支持的机会。我们建议将专业支持的在线社区用作分享叙述和更全面地了解 COVID-19 大流行和其他全球公共卫生事件中一线护士的重要平台。
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