J Emerg Nurs. 2022 Sep;48(5):538-546. doi: 10.1016/j.jen.2022.06.003. Epub 2022 Jun 27.
Emergency nurses face significant risk for stress-related complications while working during the COVID-19 pandemic. However, there is limited empirical evidence on the effectiveness and accessibility of support strategies for nurses in this novel situation. Expert consensus may help fill this knowledge gap. Therefore, the study objective was to gain expert consensus from emergency nurses on the most effective and accessible strategies during the COVID-19 pandemic.
This 2-round Delphi study recruited an online expert panel from emergency nurses practicing during the COVID-19 pandemic within a single Mountain West health system spanning 9 urban and rural emergency departments. Over 10 weeks in the summer of 2021, participants completed 2 sequential surveys to rate and rank employee-led and employer-led support strategies collated from a literature review.
Of 327 recruitment emails sent, 28 nurses joined the expert panel. Emergency nurses reached a consensus on preference for employee-led self-care activities, including enhancing social well-being and strengthening emotional well-being. None of the employer-led strategies reached group consensus regarding high effectiveness, accessibility, and the likelihood of participation. Additionally, emergency nurses favored in-person support strategies over other delivery methods.
Numerous studies have explored the impact of the COVID-19 pandemic on health care workers. Although experts and researchers seek to determine the best support strategies, this study highlights how emergency nurses wish to be supported. Employers can tailor support strategies for maximum effect by understanding health care worker perceptions and preferences.
在 COVID-19 大流行期间工作时，急诊护士面临与压力相关的并发症的重大风险。然而，关于在这种新情况下为护士提供支持策略的有效性和可及性的经验证据有限。专家共识可能有助于填补这一知识空白。因此，本研究的目的是从急诊护士那里获得专家共识，了解在 COVID-19 大流行期间最有效和最容易获得的策略。
这项两轮德尔菲研究从在 2021 年夏季的 10 周内，在单个山区西部卫生系统内工作的 COVID-19 大流行期间的急诊护士中招募了一个在线专家小组。参与者完成了 2 项顺序调查，对从文献综述中整理出的员工主导和雇主主导的支持策略进行评分和排名。
在发出的 327 封招聘电子邮件中，有 28 名护士加入了专家小组。急诊护士就员工主导的自我保健活动的偏好达成共识，包括增强社会福利和加强情绪健康。没有任何雇主主导的策略在高有效性、可及性和参与可能性方面达成了小组共识。此外，急诊护士更喜欢面对面的支持策略而不是其他交付方式。
许多研究都探讨了 COVID-19 大流行对医护人员的影响。尽管专家和研究人员试图确定最佳的支持策略，但本研究强调了急诊护士希望得到什么样的支持。雇主可以通过了解医护人员的看法和偏好，为支持策略量身定制，以达到最佳效果。
