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[人力资源的价值:新冠疫情期间重症护理护士的经历]

[The value of human resources: experience of critical care nurses during the COVID-19 epidemic].

作者信息

González-Gil M T, Oter-Quintana C, Martínez-Marcos M, Alcolea-Cosín M T, Navarta-Sánchez M V, Robledo-Martín J, Palmar-Santos A, Pedraz-Marcos A, González-Blázquez C, Parro-Moreno A I, Otero-García L

机构信息

Departamento de Enfermería, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España.

出版信息

Enferm Intensiva. 2022 Apr-Jun;33(2):77-88. doi: 10.1016/j.enfi.2021.09.005. Epub 2021 Dec 2.

Abstract

UNLABELLED

The COVID-19 pandemic has caused an unprecedented health crisis. Pressure on the National Health System has created unique demand particularly in certain services and care units like the critical care units.

OBJECTIVE

To learn about the experience of nurses in caring for people with coronavirus in critical care units.

METHOD

A qualitative phenomenological study that constitutes the second phase of a mixed methodology project. We conducted interviews with 17 nurses caring for patients affected by COVID-19 in critical care units. The interviews were audio-recorded, transcribed, and analysed using thematic discourse analysis.

RESULTS

This article shows the findings around the theme "the value of human resources" which is nuanced through sub-themes "it's not the beds, it's the expert staff", "shouldering the patient's burden", and suffering because "they have not cared well".

DISCUSSION

Expert nurses have emerged as leading professionals in the care of the critical patient during the COVID-19 pandemic. This leadership is executed from a profile framed in an inclusive philosophy where wisdom, agility and intuition are the key elements underpinning problem identification and solving in a creative way, while adapting to the needs of the patient and healthcare team as they emerge.

CONCLUSIONS

Expert nurses have played an advanced role in the management of care and human resources by exercising effective leadership in the clinical setting. Care has been hampered due to the crisis, which causes nurses moral distress because they have been unable to meet standards of quality and excellence in care.

摘要

未标注

新冠疫情引发了一场前所未有的健康危机。国家卫生系统面临的压力产生了独特的需求,尤其是在某些服务部门和护理单元,如重症监护病房。

目的

了解护士在重症监护病房护理新冠患者的经验。

方法

一项定性现象学研究,是一个混合方法项目的第二阶段。我们对17名在重症监护病房护理新冠患者的护士进行了访谈。访谈进行了录音、转录,并使用主题话语分析进行了分析。

结果

本文展示了围绕“人力资源的价值”这一主题的研究结果,该主题通过“重要的不是床位,而是专业人员”“承担患者的负担”以及因“护理不佳”而痛苦等子主题得到了细致入微的体现。

讨论

在新冠疫情期间,专家护士已成为重症患者护理方面的主要专业人员。这种领导力是从一种以包容理念为框架的形象中展现出来的,在这种理念中,智慧、敏捷和直觉是以创造性方式识别和解决问题的关键要素,同时还要适应患者和医疗团队不断出现的需求。

结论

专家护士通过在临床环境中发挥有效的领导作用,在护理管理和人力资源管理方面发挥了重要作用。危机导致护理工作受到阻碍,这使护士产生道德困扰,因为他们无法达到优质护理的标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2693/8637435/a1046532ee7b/gr1_lrg.jpg

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