Lopes Ribeiro Olga Maria Pimenta, Trindade Letícia de Lima, Pinto Novo André Filipe Morais, da Rocha Carla Gomes, Sousa Clemente Neves, Cabral Teles Paulo João Figueiredo, Reis Ana Catarina Rodrigues da Silva, Perondi Alessandro Rodrigues, Andrigue Karen Cristina Kades, Pereira Soraia Cristina de Abreu, Leite Paula Cristina da Silva, Ventura-Silva João Miguel Almeida
Nursing School of Porto, Center for Health Technology and Services Research, 4200-072 Porto, Portugal.
Nursing Departament, Santa Catarina State University, Chapecó-Santa Catarina 89802-111, Brazil.
Healthcare (Basel). 2022 Feb 9;10(2):326. doi: 10.3390/healthcare10020326.
The COVID-19 pandemic has imposed challenges to health systems and institutions, which had to quickly create conditions to meet the growing health needs of the population. Thus, this study aimed to assess the impact of COVID-19 on professional nursing practice environments and to identify the variables that affected their quality. Quantitative, observational study, conducted in 16 Portuguese hospitals, with 1575 nurses. Data were collected using a questionnaire and participants responded to two different moments in time: the pre-pandemic period and after the fourth critical period of COVID-19. The pandemic had a positive impact on the Structure and Outcome components, and a negative trend in the Process component. The variables associated with the qualification of the components and their dimensions were predominantly: work context, the exercise of functions in areas of assistance to COVID-19 patients, length of professional experience and length of experience in the service. The investment in professional practice environments impacted the improvement of organizational factors, supporting the development of nurses' work towards the quality of care. However, it is necessary to invest in nurses' participation, involvement and professional qualifications, which are aspects strongly dependent on the institutions' management strategies.
新冠疫情给卫生系统和机构带来了挑战，这些系统和机构不得不迅速创造条件以满足民众日益增长的健康需求。因此，本研究旨在评估新冠疫情对专业护理实践环境的影响，并确定影响其质量的变量。这是一项在16家葡萄牙医院对1575名护士开展的定量观察性研究。通过问卷调查收集数据，参与者在两个不同时间点做出回应：疫情前时期以及新冠疫情第四个关键时期之后。疫情对结构和结果部分产生了积极影响，而在过程部分呈现出消极趋势。与各部分及其维度的质量相关的变量主要有：工作环境、在新冠患者护理区域履行职责情况、专业经验时长以及在该机构的工作经验时长。对专业实践环境的投入影响了组织因素的改善，有助于护士朝着提高护理质量的方向开展工作。然而，有必要在护士的参与度、投入度和专业资质方面进行投入，这些方面很大程度上取决于机构的管理策略。
