Zamanzadeh Vahid, Valizadeh Leila, Khajehgoodari Mohammad, Bagheriyeh Farzaneh
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pediatric Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Nurs. 2021 Oct 14;20:198. doi: 10.1186/s12912-021-00722-z. eCollection 2021.
Nurses are at the forefront of patient care during infectious disease pandemics and they play a key role in treating and preventing the upward trend of the disease. Hence, it is crucial to consider their experiences in designing action plans to combat coronavirus disease 2019 (COVID-19). Since there is not enough data in this regard, the current study aimed to investigate the nurses' experiences in caring for patients with COVID-19 in Iran.
In this descriptive qualitative study, a total of 20 nurses were selected by purposive sampling. Semi-structured interviews were conducted and analyzed using qualitative content analysis to collect data.
Data analysis revealed four main themes, including 'duality in the form of care,' 'confusion and ambiguity in care planning', 'workload', and 'social isolation in spite of positive image.'
Our findings indicated that the nurses experienced a range of paradoxes during the COVID-19 pandemic; these paradoxes included distraction from providing care due to focus on marginal factors in spite of empathy and cooperation in nurses, the presence of volunteer support staff despite the lack of equipment, lack of scientific information and the unreliability of online information, overload in the hospital due to insufficient facilities and equipment, and the physical avoidance of people in the community in spite of social support for nurses in the media. The results of this study can lead to a clear understanding for managers and healthcare policymakers in the country and aid them in taking optimal measures to support nurses and improve the quality of nursing care against COVID-19.
在传染病大流行期间，护士处于患者护理的前沿，他们在治疗和预防疾病上升趋势方面发挥着关键作用。因此，在制定抗击2019冠状病毒病（COVID-19）的行动计划时考虑他们的经验至关重要。由于这方面的数据不足，本研究旨在调查伊朗护士在护理COVID-19患者方面的经验。
在这项描述性定性研究中，通过目的抽样共选取了20名护士。进行了半结构化访谈，并采用定性内容分析法进行分析以收集数据。
数据分析揭示了四个主要主题，包括“护理形式的双重性”、“护理计划中的困惑与模糊性”、“工作量”以及“尽管形象积极但仍存在社会隔离”。
我们的研究结果表明，护士在COVID-19大流行期间经历了一系列矛盾；这些矛盾包括尽管护士有同理心和合作，但因关注边缘因素而分散了护理注意力，尽管缺乏设备但有志愿者支持人员，缺乏科学信息以及在线信息不可靠，由于设施和设备不足导致医院超负荷，以及尽管媒体对护士有社会支持，但社区中的人们仍在身体上回避他们。本研究结果可为该国的管理人员和医疗政策制定者提供清晰的认识，并帮助他们采取最佳措施支持护士并提高抗击COVID-19的护理质量。
