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“这不仅仅是忙碌,这是可怕的”:COVID-19 大流行期间一线护士的压力、社会支持和应对经验。

"This Isn't Just Busy, This is Scary": Stress, Social Support, and Coping Experiences of Frontline Nurses During the COVID-19 Pandemic.

机构信息

School of Communication, Chapman University.

出版信息

Health Commun. 2023 Oct;38(10):2047-2057. doi: 10.1080/10410236.2022.2051270. Epub 2022 Mar 16.

Abstract

Despite having previous experience and extensive trauma training, the COVID-19 pandemic presented unprecedented challenges for nurses working in hospital settings. During the pandemic, nurses struggle to care for patients and protect themselves from infection, while navigating ongoing organizational changes. Guided by prior literature on social support and coping, this study explores nurses' experiences of coping with stress while treating COVID-19 patients during the pandemic. In-depth semi-structured interviews were conducted with 14 active staff nurses working in hospitals and one licensed practical nurse (LPN) at a rehabilitation center who treated COVID-19 patients during the pandemic. An inductive thematic analysis was employed to analyze those data, and three overarching themes emerged: (1) nurses' unique experiences in the [COVID-19] trenches, (2) nobody else understands, and (3) coping with stress together. Practically, this study is heuristic and generates an increased understanding of professional communication during times of healthcare crises, illuminating the need to enhance communication skills for both staff nurses and management. This study also extends our understanding of communal coping in the context of healthcare organizations.

摘要

尽管有先前的经验和广泛的创伤培训,COVID-19 大流行对在医院环境中工作的护士来说是前所未有的挑战。在大流行期间,护士努力照顾患者并保护自己免受感染,同时应对持续的组织变革。本研究以先前关于社会支持和应对的文献为指导,探讨了护士在大流行期间治疗 COVID-19 患者时应对压力的经验。对在医院工作的 14 名在职护士和一名在康复中心治疗 COVID-19 患者的持照实习护士进行了深入的半结构化访谈。采用归纳主题分析对这些数据进行了分析,得出了三个总体主题:(1)护士在[COVID-19]战壕中的独特经历,(2)没有人理解,以及(3)共同应对压力。实际上,这项研究具有启发性,增加了对医疗保健危机时期专业沟通的理解,强调了需要提高护士和管理人员的沟通技巧。这项研究还扩展了我们对医疗保健组织中共同应对的理解。

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