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COVID-19 大流行期间约旦一线医护人员的生活体验:一项定性研究。

Lived experience of Jordanian front-line healthcare workers amid the COVID-19 pandemic: a qualitative study.

机构信息

Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan

Department of Allied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

BMJ Open. 2022 Aug 1;12(8):e057739. doi: 10.1136/bmjopen-2021-057739.

Abstract

OBJECTIVES

This study aimed to explore the lived experience of Jordanian front-line healthcare workers (FHCWs), including their experienced challenges and adaptations amid the COVID-19 pandemic.

DESIGN

A phenomenological qualitative design was used to highlight the experiences of a sample Jordanian FHCWs during the COVID-19 pandemic. Qualitative interviews were conducted using a semistructured guide with open-ended questions, audiotaped and then transcribed verbatim. Thematic analysis of the transcribed narratives was conducted using an open coding line by line to develop themes and related subthemes.

SETTING

Mobile COVID-19 testing and contact tracing units during an active surge of cases in Jordan between May and September 2020.

PARTICIPANTS

Participants were recruited using purposive sampling method and consisted of 15 FHCWs (2 physicians, 10 nurses, 2 paramedics and 1 laboratory technician) who have worked in testing and contact tracing teams in the community and have dealt with suspected or confirmed cases of COVID-19 infection.

RESULTS

Participant narratives were classified into two main overarching themes; challenges and adaptation themes. The challenges theme was exhibited as follows: (1) an excruciating encounter with an invisible enemy, (2) distorted knowledge about COVID-19 and (3) organisational and administrative challenges. The adaptation theme was exhibited as follows: (1) seeking relevant knowledge about the disease and (2) seeking more connectedness.

CONCLUSIONS

The COVID-19 pandemic exerted many challenges for FHCWs at multiple levels; intrapersonal and interpersonal, organisational and societal levels. Nevertheless, a number of adaptation strategies within these levels have been reported. This study helps to provide the base on which healthcare officials and public health personnel can formulate preparedness plans that tackle challenges faced by front-line workers, which ultimately enhance the resilience of healthcare systems to withstand future pandemics.

摘要

目的

本研究旨在探讨约旦一线医护人员(FHCWs)的生活体验,包括他们在 COVID-19 大流行期间所面临的挑战和适应。

设计

采用现象学定性设计,突出了约旦一线 FHCWs 在 COVID-19 大流行期间的经历。使用半结构式指南进行定性访谈,采用开放式问题,录音并逐字转录。对转录叙述进行主题分析,采用开放编码逐行进行,以开发主题和相关子主题。

地点

2020 年 5 月至 9 月期间约旦活跃病例激增期间的移动 COVID-19 检测和接触者追踪单位。

参与者

采用目的抽样法招募参与者,由 15 名 FHCWs 组成(2 名医生、10 名护士、2 名护理人员和 1 名实验室技术员),他们在社区的检测和接触者追踪团队中工作,处理过疑似或确诊的 COVID-19 感染病例。

结果

参与者的叙述分为两个主要的总体主题;挑战和适应主题。挑战主题表现为:(1)与无形敌人的残酷遭遇,(2)对 COVID-19 的扭曲知识,(3)组织和行政挑战。适应主题表现为:(1)寻求有关疾病的相关知识,(2)寻求更多的联系。

结论

COVID-19 大流行给 FHCWs 带来了多方面的挑战;个人和人际关系、组织和社会层面。然而,在这些层面上已经报告了一些适应策略。本研究有助于为卫生官员和公共卫生人员提供基础,制定应对一线工作人员面临的挑战的准备计划,最终增强医疗系统抵御未来大流行的弹性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/9344597/1b2f275a976b/bmjopen-2021-057739f01.jpg

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