英国 COVID-19 期间的肾脏护理：医疗保健专业人员对护理质量和员工福祉影响的看法。
Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being.
机构信息
Leicester Kidney Lifestyle Team, Department of Health Sciences, University Hospitals of Leicester NHS Trust, University of Leicester, Leicester LE17RH, UK.
Department of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester LE17RH, UK.
出版信息
Int J Environ Res Public Health. 2021 Dec 24;19(1):188. doi: 10.3390/ijerph19010188.
In light of the rapid changes in healthcare delivery due to COVID-19, this study explored kidney healthcare professionals' (HCPs) perspectives on the impact of these changes on care quality and staff well-being. Fifty-nine HCPs from eight NHS Trusts across England completed an online survey and eight took part in complementary semi-structured interviews between August 2020 and January 2021. Free-text survey responses and interviews were analysed using inductive thematic analysis. Themes described the rapid adaptations, concerns about care quality, benefits from innovations, high work pressure, anxiety and mental exhaustion in staff and the team as a well-being resource. Long-term retention and integration of changes and innovations can improve healthcare access and efficiency, but specification of conditions for its use is warranted. The impact of prolonged stress on renal HCPs also needs to be accounted for in quality planning. Results are further interpreted into a theoretical socio-technical framework.
鉴于 COVID-19 导致医疗保健服务的快速变化，本研究探讨了肾脏保健专业人员（HCPs）对这些变化对护理质量和员工福祉的影响的看法。来自英格兰八个 NHS 信托基金的 59 名 HCPs 完成了在线调查，其中 8 人在 2020 年 8 月至 2021 年 1 月期间参加了补充半结构式访谈。使用归纳主题分析对自由文本调查回复和访谈进行了分析。主题描述了快速的适应、对护理质量的担忧、创新的好处、工作压力大、员工和团队的焦虑和精疲力竭以及团队作为福祉资源。长期保留和整合变化和创新可以提高医疗保健的可及性和效率，但有必要规定其使用的条件。还需要在质量规划中考虑长期压力对肾脏 HCPs 的影响。结果进一步解释为理论社会技术框架。
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