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重症监护健康专业人员在 COVID-19 大流行期间自我报告的幸福感需求:对调查回复的主题分析。

Critical care health professionals' self-reported needs for wellbeing during the COVID-19 pandemic: A thematic analysis of survey responses.

机构信息

Malcolm Fisher Department of Intensive Care, Royal North Shore Hospital, Pacific Highway, St Leonards NSW 2065 Australia.

School of Medicine, Brisbane, The University of Queensland, 20 Weightman Street, Herston QLD 4006 Australia; Queensland Children's Hospital, 501 Stanley Street, South Brisbane, QLD 4101 Australia.

出版信息

Aust Crit Care. 2022 Jan;35(1):40-45. doi: 10.1016/j.aucc.2021.08.007. Epub 2021 Sep 1.

Abstract

BACKGROUND

Critical care healthcare professionals are a key part of any pandemic response and are at an increased risk for physical and psychological harm, yet their self-reported suggestions to ameliorate the negative effects of pandemics on their wellbeing have rarely been sought.

OBJECTIVES

The objective of this study was to explore and interpret themes of critical care healthcare professionals' responses to the question 'What do you think could assist your wellbeing during the COVID-19 crisis?'

METHODS

A descriptive study using an online survey, performed in April 2020, investigating pandemic preparedness and psychological burden during the early stages of the COVID-19 pandemic among critical care professionals was carried out. Informal snowball sampling was used. Thematic analysis of qualitative data from an open-ended survey item was informed by Braun and Clark.

FINDINGS

Eighty percent (2387/3770) of respondents completed the open-ended survey. Three themes were generated from the synthesis: adequate resourcing for the role; consistent, clear information, and prioritised communications; and the need for genuine kindness and provision of support for healthcare professional wellbeing.

CONCLUSIONS

There is merit for considering the perceptions, concerns, and suggestions of critical care clinicians during a pandemic. Suggestions included simple measures to maintain physical and mental health, clear messaging, consistent information, trust in health and political leaders, supportive working environments, specific training, and allowances for personal circumstances. This information is important for health and political leaders and policy makers to implement strategies to reduce the burden associated with delivering care in the context of a pandemic.

摘要

背景

重症监护医护人员是任何大流行病应对的关键组成部分,他们面临着身体和心理伤害的风险增加,但他们对改善大流行病对其幸福感的负面影响的自我报告建议很少被寻求。

目的

本研究的目的是探讨和解释重症监护医护人员对“在 COVID-19 危机期间,您认为什么可以帮助您的幸福感?”这一问题的反应主题。

方法

这是一项描述性研究,使用在线调查,于 2020 年 4 月进行,调查 COVID-19 大流行期间重症监护专业人员的大流行病准备情况和心理负担。采用非正式的滚雪球抽样。对开放式调查项目的定性数据进行主题分析,灵感来自 Braun 和 Clark。

结果

80%(3770 名中的 2387 名)的受访者完成了开放式调查。从综合分析中产生了三个主题:角色的充足资源;一致、明确的信息和优先沟通;以及对医护人员幸福感的真正关怀和支持的需要。

结论

在大流行期间考虑重症监护临床医生的看法、关切和建议是有价值的。建议包括保持身心健康的简单措施、明确的信息、一致的信息、对卫生和政治领导人的信任、支持性的工作环境、具体培训以及对个人情况的津贴。这些信息对卫生和政治领导人以及政策制定者实施战略以减轻在大流行背景下提供护理的负担非常重要。

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