Department of Health Sciences, Faculty of Nursing and Podiatry, Research Group GRINCAR, Ferrol Industrial Campus, University of A Coruña, Ferrol, Spain.
University Hospital Complex of Ferrol, Galician Health Service (SERGAS), Ferrol, Spain.
Nurs Inq. 2022 Oct;29(4):e12492. doi: 10.1111/nin.12492. Epub 2022 Apr 5.
Nursing staff plays a key role in the public health response to the COVID-19 pandemic, being in the front line of care. This study sought to synthesise the qualitative literature on care experiences of frontline nurses during the COVID-19 pandemic. A search was conducted on five databases in January 2021. Fifteen qualitative studies met the inclusion criteria and were included in the research, being submitted to interpretive meta-synthesis according to the eMERGe guide. The final synthesis included a line of argument that shows the experiences of frontline nurses during the COVID-19 pandemic, divided into three major themes: 'Instability on the edge of a cliff: unpredictable and unknown context,' 'The price of walking the tightrope: the uncertainty surrounding care,' and 'Finding the balance to reach the other side: dealing with the emotional demands of care.' Although essential in the health response to the COVID-19 pandemic, nurses experienced an emotional impact arising from the hampered care provision. Our results point to need for strengthening the training of nurses and future nurses, creating and promoting measures that contribute to their psycho-emotional well-being, ensuring a safe environment for their clinical practice, and promoting their participation in decision-making processes.
护理人员在应对 COVID-19 大流行的公共卫生工作中发挥着关键作用，处于护理工作的最前线。本研究旨在综合 COVID-19 大流行期间一线护士护理经验的定性文献。2021 年 1 月在五个数据库中进行了检索。15 项定性研究符合纳入标准，并根据 eMERGe 指南进行了解释性元综合分析。最终的综合分析提出了一个论点，展示了 COVID-19 大流行期间一线护士的经验，分为三个主要主题：“悬崖边缘的不稳定：不可预测和未知的背景”、“走钢丝的代价：围绕护理的不确定性”和“找到平衡到达彼岸：应对护理的情绪需求”。尽管在应对 COVID-19 大流行中至关重要，但护士们的护理工作受到阻碍，导致他们产生了情绪影响。我们的研究结果表明，需要加强对护士和未来护士的培训，制定和推广有助于他们心理-情绪健康的措施，确保他们的临床实践环境安全，并促进他们参与决策过程。
