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COVID-19 对肿瘤医疗保健提供者的影响:一个专业的韧性。

Impact of COVID-19 on Oncology Healthcare Providers: The Resilience of a Profession.

机构信息

Author Affiliations: College of Nursing, University of South Florida (Drs Marshall and Bugajski); H. Lee Moffitt Cancer Center and Research Institute (Ms Mason); and College of Public Health, University of South Florida (Ms Chavez and Dr Martinez-Tyson), Tampa, Florida.

出版信息

Cancer Nurs. 2022;45(2):E407-E416. doi: 10.1097/NCC.0000000000000954.

Abstract

BACKGROUND

The novel coronavirus (COVID-19) has plagued countries worldwide. This pandemic has greatly affected healthcare delivery and those providing care to vulnerable, immunocompromised patients undergoing cancer treatment, who are at a higher risk for poorer outcomes related to COVID-19.

OBJECTIVE

The aim of this study was to explore the impact of COVID-19 on oncology healthcare professionals (OHCPs).

METHODS

An exploratory study design was employed using semistructured interviews. A thematic analysis was completed using Atlas.ti software.

RESULTS

Of 30 OHCP participants, most were female (90%), registered nurses (70%), and bachelor's prepared (66%). The following themes emerged: (1) pandemic-related restrictions and stress on personal lives impacted the ability of OHCPs to rejuvenate and reenergize for work; (2) fear of exposure and transmission and concern for high-risk status for contracting COVID-19; (3) limited resources and inconsistent communication about organizational policies caused additional stress, affecting OHCP trust and confidence in the system; (4) concern for the mental health of fellow OCHPs; (5) adaptation and resilience were required amidst shifting workloads, workflow, and new restrictions; and (6) importance of self-care to reduce personal/professional stressors.

CONCLUSIONS

Oncology healthcare professionals continue to face challenges of COVID-19 on their personal and professional lives yet have shown resilience during these unprecedented times.

IMPLICATIONS FOR PRACTICE

Oncology healthcare professionals need to advocate for appropriate personal protective equipment and reliable mental health support services through employers. They should be engaged in COVID-19 task forces to ensure their challenges are heard and needs are addressed to provide quality oncology care.

摘要

背景

新型冠状病毒(COVID-19)肆虐全球各国。这场大流行对医疗保健服务产生了重大影响,也对那些为免疫功能低下、正在接受癌症治疗的脆弱患者提供护理的人员产生了影响,这些患者因 COVID-19 而导致较差预后的风险更高。

目的

本研究旨在探讨 COVID-19 对肿瘤医护人员(OHCP)的影响。

方法

采用半结构式访谈进行探索性研究设计。使用 Atlas.ti 软件完成主题分析。

结果

在 30 名 OHCP 参与者中,大多数为女性(90%)、注册护士(70%)和本科(66%)。出现了以下主题:(1)与大流行相关的限制和个人生活压力影响了 OHCP 为工作恢复活力和精力的能力;(2)对暴露和传播的恐惧以及对感染 COVID-19 的高风险状况的担忧;(3)资源有限以及组织政策沟通不一致导致了额外的压力,影响了 OHCP 对系统的信任和信心;(4)对同行 OHCP 心理健康的关注;(5)在工作量、工作流程和新限制不断变化的情况下需要适应和保持韧性;(6)自我保健对于减轻个人/职业压力源的重要性。

结论

肿瘤医护人员在个人和职业生活中继续面临 COVID-19 的挑战,但在这些前所未有的时期表现出了韧性。

实践意义

肿瘤医护人员需要通过雇主倡导获得适当的个人防护设备和可靠的心理健康支持服务。他们应该参与 COVID-19 工作组,以确保他们的挑战得到倾听,并满足他们的需求,以提供优质的肿瘤护理。

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