Koontalay Apinya, Suksatan Wanich, Prabsangob Kantapong, Sadang Jonaid M
Faculty of Health, Deakin University, Melbourne, VIC, Australia.
Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.
J Multidiscip Healthc. 2021 Oct 27;14:3015-3025. doi: 10.2147/JMDH.S330041. eCollection 2021.
The global healthcare system is continuing to confront major challenges during the current COVID-19 pandemic, with the second wave the deadliest one to date. This study aimed to identify and explore the challenges and burdens of frontline healthcare workers during the current pandemic, and to help prepare workforce support plans for them now and in the future.
A qualitative systematic review method involving thematic synthesis without meta-analysis was used to analyze relevant studies from five databases from November 2020 to February 2021: MEDLINE via PubMed, CINAHL Complete, Embase through Ovid, Scopus, and Web of Science. The quality of the studies was evaluated using the Critical Appraisal Skills Program Qualitative Research Checklist appraisal tools. This systematic review was conducted in accordance with the PRISMA statement. The informants are healthcare workers working at the frontlines and providing care to COVID-19 patients.
Ten studies revealed the burden of healthcare providers during the COVID-19 pandemic, with having the related challenges experienced by 498 participants (doctors, nurses, pediatric nurses, paramedical staff, support staff, and physiotherapists). Our findings fell into four main themes as follows: inadequate preparedness; emotional challenges; insufficient equipment and information; and work burnout.
The study results demonstrate that the COVID-19 pandemic has had an impact on all aspects of life, especially for healthcare providers, who work on the frontlines. The pandemic has affected the frontline workers' physical and psychological health, causing them to experience emotional distress such as fear, anxiety, depression, and stress. In addition, the pandemic can increase posttraumatic stress disorder, leading to burnout and discontinuity of healthcare workloads to ensure the patients' safety and the high quality of care provided to the patients.
在当前的新冠疫情大流行期间，全球医疗系统持续面临重大挑战，第二波疫情是迄今为止最致命的一波。本研究旨在识别和探讨当前疫情期间一线医护人员面临的挑战和负担，并帮助制定现在及未来对他们的劳动力支持计划。
采用定性系统综述方法，通过主题综合分析（不进行荟萃分析），分析2020年11月至2021年2月期间来自五个数据库的相关研究：通过PubMed检索的MEDLINE、CINAHL Complete、通过Ovid检索的Embase、Scopus和Web of Science。使用批判性评估技能计划定性研究清单评估工具对研究质量进行评估。本系统综述按照PRISMA声明进行。研究对象为在一线为新冠患者提供护理的医护人员。
十项研究揭示了新冠疫情大流行期间医护人员的负担，498名参与者（医生、护士、儿科护士、辅助医疗人员、支持人员和物理治疗师）经历了相关挑战。我们的研究结果主要分为四个主题：准备不足；情感挑战；设备和信息不足；以及工作倦怠。
研究结果表明，新冠疫情大流行对生活的各个方面都产生了影响，尤其是对在一线工作的医护人员。疫情影响了一线工作人员的身心健康，使他们经历恐惧、焦虑、抑郁和压力等情绪困扰。此外，疫情会增加创伤后应激障碍，导致倦怠和医疗工作负荷的中断，以确保患者安全和为患者提供高质量的护理。
