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COVID-19 对护士饮酒行为的影响:一项定性探索。

The impact of COVID-19 on nurse alcohol consumption: A qualitative exploration.

机构信息

Deakin University, Institute for Health Transformation, School of Nursing & Midwifery, Geelong, Australia.

出版信息

J Clin Nurs. 2024 Jan;33(1):368-380. doi: 10.1111/jocn.16467. Epub 2022 Jul 24.

Abstract

AIMS AND OBJECTIVES

To explore the long-term impact of the COVID-19 pandemic on nurse alcohol consumption.

BACKGROUND

The COVID-19 pandemic has caused immense disruption to healthcare services worldwide, and nurses have not been immune, experiencing burnout, declining mental health and ultimately, attrition from the profession. Increases in alcohol consumption have been reported across subsections of society, including those with pre-existing mental ill health and experiencing high stress, and exploring this phenomenon in nurses is essential for workforce well-being and sustainability.

DESIGN

Qualitative descriptive study design.

METHODS

Secondary analysis of individual, semi-structured interviews with nurses (N = 42) from diverse settings across Australia, including community, primary and hospital settings, conducted in July and August 2021. Data were analysed using structural coding and reported in accordance with the CORE-Q guidelines.

FINDINGS

Two key themes were found after analysis of the data: (1) factors influencing alcohol consumption (subthemes: workplace factors and external factors), and (2) the pandemic's influence on alcohol consumption (subthemes: increased consumption, moderation of consumption and alcohol as a reward).

CONCLUSIONS

Several participants described increased alcohol consumption because of the COVID-19 pandemic, particularly due to the stress of working in an environment where resources were scarce. Workplace factors such as overtime, missed breaks and heightened workload were all described as driving stress, and in turn increased alcohol consumption.

RELEVANCE TO CLINICAL PRACTICE

Increased alcohol consumption has been associated with burnout, absenteeism and intention to leave. The nursing profession is currently undergoing significant continuing stress providing care and management to patients with the SARS-CoV-2 virus, and increased alcohol consumption is a significant threat to personal and workforce well-being, workforce sustainability and quality nursing care.

摘要

目的和目标

探讨 COVID-19 大流行对护士饮酒的长期影响。

背景

COVID-19 大流行对全球医疗服务造成了巨大破坏,护士也未能幸免,经历了倦怠、心理健康下降,最终从该职业中流失。包括那些有预先存在的心理健康问题和经历高压力的人群在内,社会各阶层的饮酒量都有所增加,因此,探索护士群体中的这种现象对于劳动力的健康和可持续性至关重要。

设计

定性描述性研究设计。

方法

对来自澳大利亚不同环境(包括社区、初级和医院环境)的护士(N=42)进行的个人、半结构化访谈的二次分析,于 2021 年 7 月和 8 月进行。使用结构编码对数据进行分析,并按照 CORE-Q 指南进行报告。

结果

分析数据后发现了两个主要主题:(1)影响饮酒的因素(子主题:工作场所因素和外部因素),(2)大流行对饮酒的影响(子主题:饮酒增加、饮酒适度和酒精作为奖励)。

结论

一些参与者描述了 COVID-19 大流行期间饮酒量增加的情况,尤其是由于在资源匮乏的环境中工作的压力。工作场所因素,如加班、错过休息和工作负荷增加,都被描述为导致压力的因素,并进而导致饮酒量增加。

与临床实践的相关性

饮酒增加与倦怠、旷工和离职意愿有关。护理行业目前正承受着巨大的持续压力,为患有 SARS-CoV-2 病毒的患者提供护理和管理,而饮酒量增加是对个人和劳动力健康、劳动力可持续性以及优质护理的重大威胁。

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