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土耳其重症监护护士照顾 COVID-19 患者的经验和看法:一项定性研究。

Experiences and perceptions of Turkish intensive care nurses providing care to Covid-19 patients: A qualitative study.

机构信息

School of Nursing and Midwifery, National University of Ireland Galway, Galway City, Ireland.

School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.

出版信息

Int Nurs Rev. 2022 Sep;69(3):305-317. doi: 10.1111/inr.12740. Epub 2021 Dec 28.

Abstract

AIM

To describe the experiences of intensive care nurses who provided care to Covid-19 patients and their perceptions towards the disease and their work conditions during the pandemic.

INTRODUCTION

Identification of experiences and perceptions of intensive care nurses towards disease, care and their workplace conditions when providing care to Covid-19 patients will inform decision-makers about improvements that can be implemented.

BACKGROUND

The Covid-19 pandemic has led to increased strain and workplace-related health risks to intensive care nurses, but it has also provided a unique experience and opportunities for learning and development.

METHODS

A descriptive qualitative study was conducted with 10 intensive care unit nurses working in seven hospitals in Istanbul, Turkey. Snowball sampling method was used, and the data were collected by semistructured online interviews. A thematic analysis was performed. The Consolidated Criteria for Reporting Qualitative Research were followed.

FINDINGS

Five major themes were identified: 'death and fear of death', 'impact on family and social lives', 'nursing care of Covid-19 patients', 'changing perceptions of their own profession: empowerment and dissatisfaction', and 'experiences and perceptions of personal protective equipment and other control measures'.

DISCUSSION

Intensive care nurses experience an increased risk of infection and psychological burden, and they lack a sense of professional satisfaction. Improvements to working conditions are needed to support nurses caring for patients during the pandemic.

CONCLUSION

The pandemic increased the workload and responsibilities of intensive care nurses and led to increases in their work-related health risks and challenges with care. However, it also increased nurses' awareness about the importance of their professional roles.

IMPLICATIONS FOR NURSING PRACTICE AND POLICIES

There is a need to improve working conditions and develop nursing standards for the care of Covid-19 patients in intensive care units.

摘要

目的

描述为 COVID-19 患者提供护理的重症监护护士的经验,以及他们在大流行期间对疾病、护理和工作条件的看法。

介绍

识别重症监护护士对疾病、护理和为 COVID-19 患者提供护理时的工作场所条件的经验和看法,将为决策者提供有关可以实施的改进措施的信息。

背景

COVID-19 大流行导致重症监护护士的工作压力和与工作相关的健康风险增加,但也为学习和发展提供了独特的机会。

方法

在土耳其伊斯坦布尔的七家医院进行了一项描述性定性研究,共纳入 10 名重症监护病房护士。使用滚雪球抽样法,通过半结构式在线访谈收集数据。进行了主题分析。遵循了定性研究报告的综合标准。

结果

确定了五个主要主题:“死亡和对死亡的恐惧”、“对家庭和社会生活的影响”、“COVID-19 患者的护理”、“对自身职业的看法变化:赋权和不满”以及“个人防护设备和其他控制措施的经验和看法”。

讨论

重症监护护士面临感染风险增加和心理负担增加的问题,并且缺乏职业满意度。需要改善工作条件,以支持护士在大流行期间照顾患者。

结论

大流行增加了重症监护护士的工作量和责任,导致他们的工作相关健康风险增加,并在护理方面面临挑战。然而,它也提高了护士对其专业角色重要性的认识。

对护理实践和政策的影响

需要改善重症监护病房 COVID-19 患者护理的工作条件和制定护理标准。

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