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从 COVID-19 大流行中吸取的经验教训和建议:对阿联酋重症监护病房护士经理进行半结构化访谈的内容分析。

Lessons learned and recommendations from the COVID-19 pandemic: Content analysis of semi-structured interviews with intensive care unit nurse managers in the United Arab Emirates.

机构信息

Department of Nursing, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.

Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

出版信息

J Nurs Manag. 2022 Oct;30(7):2479-2487. doi: 10.1111/jonm.13677. Epub 2022 May 24.

Abstract

AIM

This study aims to explore how nursing services were managed and provided in intensive care units during the COVID-19 pandemic and clarify the management lessons learned.

BACKGROUND

The surge in the number of patients with COVID-19 worldwide and the unpredictability of new variants mean the voices of nurse managers who participated in fighting the pandemic in intensive care units must be considered. Health care systems need specific plans to face similar future crises.

METHOD

This is a descriptive, qualitative, narrative study using indirect content analysis.

RESULTS

We analysed 37 intensive care unit nurse managers' reflections on lessons learned from the COVID-19 pandemic. Four themes were extracted: restructuring organisations' resources, issues with family-centred care, education and training and policy reforms.

CONCLUSIONS

Promising strategies for Emirati intensive care units in planning for responses to future crises include maximizing organisation resources, boosting family-centred care, providing in-service training for nurses and policy reform.

IMPLICATIONS FOR NURSING MANAGEMENT

Our findings will support health care leaders, educators, policymakers and researchers to improve the management of similar pandemic situations. This study presents fundamental data concerning the subjective experiences of intensive care unit nurse managers. These experiences may inform development of multi-dimensional strategies including: ensuring the adequacy of projected supplies, space and nursing workforce; establishing communication protocols; and reforming existing policies.

摘要

目的

本研究旨在探讨在 COVID-19 大流行期间重症监护病房如何管理和提供护理服务,并阐明从中吸取的管理经验教训。

背景

全球 COVID-19 患者数量的激增以及新变异株的不可预测性意味着,必须考虑参与重症监护室抗疫的护士长的意见。医疗保健系统需要具体的计划来应对类似的未来危机。

方法

这是一项使用间接内容分析的描述性、定性、叙事研究。

结果

我们分析了 37 名重症监护室护士长对 COVID-19 大流行经验教训的反思。提取出四个主题:重新组织组织资源、以家庭为中心的护理问题、教育和培训以及政策改革。

结论

为阿联酋重症监护室规划应对未来危机的有希望的策略包括最大化组织资源、加强以家庭为中心的护理、为护士提供在职培训和政策改革。

对护理管理的影响

我们的研究结果将支持医疗保健领导者、教育工作者、政策制定者和研究人员改进类似大流行情况的管理。本研究提供了有关重症监护室护士长主观经验的基本数据。这些经验可能为制定多维战略提供信息,包括:确保预测供应品、空间和护理劳动力的充足性;建立沟通协议;并改革现有政策。

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