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工作场所因素对护理工作环境的影响:一项新冠疫情前后的研究

The Influence of Workplace Factors on the Nursing Work Environment: A Study Before and After COVID-19.

作者信息

Al Baker Ahmad S

机构信息

Department of Nursing, Sultan bin Abdulaziz Humanitarian City, Riyadh, SAU.

出版信息

Cureus. 2022 Jul 3;14(7):e26541. doi: 10.7759/cureus.26541. eCollection 2022 Jul.

Abstract

INTRODUCTION

The coronavirus disease 2019 (COVID-19) pandemic has impacted the world and healthcare settings, particularly regarding onerous job responsibilities and changes in work culture for nurses. Nurses, known to provide skilled, compassionate, and humanitarian care to patients and families, require continual assistance and organization. Nurses must work in a good environment that encourages them to achieve their highest levels of performance and productivity to offer high-quality and safe care. Commitment to a nursing career necessitates professional dedication especially during times of crisis, as is in the case of the COVID-19 pandemic.

OBJECTIVES

The study looked at the elements that influenced nursing work culture at Sultan bin Abdul Aziz Humanitarian City (SBAHC) Riyadh, Saudi Arabia during the COVID-19 epidemic. Leadership, satisfaction, teamwork, nurse behaviour in practice, and professional commitment were among these elements. The factors are interrelated together and help in shaping the nursing work culture considering the COVID-19 scenario.

METHODS

A hospital-based cross-sectional study was conducted from January 2020 to December 2020, covering a period before the outbreak of COVID-19 and a period after. The study, conducted at SBAHC, Riyadh, Saudi Arabia, followed a quantitative, positivist approach undertaken in two phases utilizing an analytical survey design before and after the COVID-19 pandemic. An initial electronic survey was distributed to 439 nurses at SBAHC nursing units. Three hundred twenty-two nurses participated in the first survey and the second survey responses after COVID-19 were 205 nurses.

RESULTS

There was a significant difference between the two groups in their responses (p<0.05). In all five scales used, the score of mean declined in the 'after' group, clearly showing the effect of all the five elements that influence nursing work culture due to the COVID-19 pandemic. Conclusion The study concluded that the workplace factors influencing the nursing work environment were greatly affected due to the COVID-19 outbreak in Saudi Arabia. The findings of this study should be considered by nurse managers and leaders when drafting the policies and programs to reduce the negative impact of COVID-19 on nurse retention. It should also provide baseline information that will allow health authorities to prioritize training programs that will support nurses during difficult times.

摘要

引言

2019年冠状病毒病(COVID-19)大流行对全球和医疗环境产生了影响,尤其是护士的工作职责繁重以及工作文化发生了变化。护士以向患者及其家属提供专业、富有同情心和人道主义的护理而闻名,他们需要持续的协助和组织。护士必须在一个良好的环境中工作,这种环境鼓励他们发挥出最高水平的表现和生产力,以提供高质量和安全的护理。对护理事业的承诺需要专业奉献精神,尤其是在危机时期,就像COVID-19大流行期间那样。

目的

该研究考察了在COVID-19疫情期间,沙特阿拉伯利雅得苏丹·本·阿卜杜勒·阿齐兹人道主义城(SBAHC)影响护理工作文化的因素。这些因素包括领导力、满意度、团队合作、护士在实践中的行为以及专业承诺。考虑到COVID-19的情况,这些因素相互关联,有助于塑造护理工作文化。

方法

2020年1月至2020年12月进行了一项基于医院的横断面研究,涵盖了COVID-19爆发前和爆发后的时期。该研究在沙特阿拉伯利雅得的SBAHC进行,采用定量、实证主义方法,分两个阶段进行,在COVID-19大流行之前和之后采用分析性调查设计。最初向SBAHC护理单元的439名护士发放了电子调查问卷。322名护士参与了第一次调查,COVID-19之后第二次调查的回复者为205名护士。

结果

两组的回复存在显著差异(p<0.05)。在所使用的所有五个量表中,“之后”组的平均分下降,清楚地显示了由于COVID-19大流行影响护理工作文化的所有五个因素的作用。结论:该研究得出结论,由于沙特阿拉伯爆发COVID-19,影响护理工作环境的工作场所因素受到了极大影响。护士管理者和领导者在起草政策和计划以减少COVID-19对护士留用的负面影响时,应考虑本研究的结果。它还应提供基线信息,使卫生当局能够优先开展在困难时期支持护士的培训项目。

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Who speaks for nursing? COVID-19 highlighting gaps in leadership.谁为护理发声?新冠疫情凸显领导力差距。
J Clin Nurs. 2020 Aug;29(15-16):2751-2752. doi: 10.1111/jocn.15305. Epub 2020 May 27.

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