Queensland Ambulance Service, Australia; School of Nursing and Midwifery, Griffith University, Gold Coast, QLD, Australia.
School of Nursing and Midwifery, Griffith University, Gold Coast, QLD, Australia; Collaborative for the Advancement for Infection Prevention and Control, QLD, Australia; Gold Coast Hospital and Health Service, QLD, Australia; Menzies Health Institute, Queensland, Australia.
Australas Emerg Care. 2023 Mar;26(1):66-74. doi: 10.1016/j.auec.2022.08.001. Epub 2022 Aug 8.
The coronavirus pandemic (COVID-19) has focused attention on healthcare workers' concerns about working during a pandemic, yet research on the effect of the pandemic specifically on paramedics is lacking. This literature review aims to critically examine the current knowledge of paramedics' experience of barriers to, and enablers of, responding to suspected or confirmed COVID-19 cases.
An integrative review was undertaken using articles found by a systematic search of four research databases. Inclusion criteria included paramedics or emergency medical technicians who had experience of barriers or enablers responding to patients during the coronavirus pandemic.
Nine articles met the inclusion and exclusion criteria. Barriers included communication and poor leadership, fear of infection to self and family, frequent changes in guidelines and inconsistencies across agencies, stress/burnout, and concerns with personal protective equipment. Enablers included job security, perceived social support, solidarity with other paramedics, and use of modern technologies for communication.
There are unique experiences of working during the COVID-19 pandemic in the prehospital environment. Particular challenges occurred with leadership, communication within the organisation and between agencies, and working in an unpredictable environment.
冠状病毒大流行（COVID-19）引起了人们对医护人员在大流行期间工作的关注，但缺乏专门针对护理人员的大流行影响的研究。本文献综述旨在批判性地审视当前关于护理人员在应对疑似或确诊 COVID-19 病例时遇到的障碍和促进因素的知识。
采用系统搜索四个研究数据库的方法进行综合回顾。纳入标准包括在冠状病毒大流行期间有应对患者的障碍或促进因素经验的护理人员或急救医疗技术员。
符合纳入和排除标准的文章有 9 篇。障碍包括沟通和领导不力、担心自身和家人感染、指南频繁变化以及各机构之间的不一致、压力/倦怠，以及对个人防护设备的担忧。促进因素包括工作保障、感知到的社会支持、与其他护理人员的团结以及使用现代通信技术。
在 COVID-19 大流行期间，在院前环境中工作存在独特的体验。领导能力、组织内和机构之间的沟通以及在不可预测的环境中工作方面存在特别的挑战。
