Heydarikhayat Nastaran, Ghanbarzehi Nezar, Shahkaramzehi Zarkhatoon, Sabagh Kimya, Rohani Camelia
Assistant Professor, Department of Nursing, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran.
Lecturer, Department of Nursing, School of Medicine, Iranshahr University of Medical Sciences, Iranshahr, Iran.
J Res Nurs. 2022 Jun;27(4):313-327. doi: 10.1177/17449871221079175. Epub 2022 Jul 8.
COVID-19 is an infectious disease caused by a novel Coronavirus which transmits from person to person throughout the world. This study aimed to explore the lived experiences of nurses' caring for patients with COVID-2019 in the context of the healthcare system of Iran.
This is a phenomenological study with 13 participant nurses (6 men and 7 women) who were caring for COVID-19 patients in one of the university hospitals in Southeast of Iran. Qualitative data were analysed by the seven steps of Colaizzi's method.
Participants reported around a five-month history of caring for COVID-19 patients. After analysis, 597 codes, 16 categories, four sub-themes, and one theme were extracted. "Caring from self-sacrifice to avoidance" was the main theme of the study with sub-themes of "Anxiety Chain", "Manifestation of Humanitarian Caring", "Ethical Challenges", and "Challenges of Overcoming Crisis".
Nurses explained their caring experiences with patients on a continuum from humanitarian caring and self-sacrifice to caring avoidance. Because of the multi-sources of psychological stress and ethical challenges together with this infection, healthcare managers should plan for holistic regular psychological support services, prevention of job inequalities, and do strategic planning for access to enough resources in the healthcare system.
新型冠状病毒肺炎（COVID-19）是一种由新型冠状病毒引起的传染病，在全球范围内人际传播。本研究旨在探讨在伊朗医疗体系背景下护士护理新型冠状病毒肺炎（COVID-19）患者的生活经历。
这是一项现象学研究，有13名参与研究的护士（6名男性和7名女性），他们在伊朗东南部的一家大学医院护理COVID-19患者。采用科莱齐方法的七个步骤对定性数据进行分析。
参与者报告了大约五个月护理COVID-19患者的经历。经过分析，提取了597个代码、16个类别、四个子主题和一个主题。“从自我牺牲到回避的护理”是该研究的主要主题，子主题包括“焦虑链”、“人道主义护理的表现”、“伦理挑战”和“克服危机的挑战”。
护士们阐述了他们对患者的护理经历，范围从人道主义护理和自我牺牲到护理回避。由于这种感染带来的多种心理压力源和伦理挑战，医疗管理者应规划全面的定期心理支持服务，防止工作不平等，并对医疗体系中获取足够资源进行战略规划。
