Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery, and Palliative Care, King's College London, London, United Kingdom.
School of Nursing and Health, Henan University, Kaifeng, Henan Province, P.R. China.
PLoS One. 2022 Aug 25;17(8):e0273429. doi: 10.1371/journal.pone.0273429. eCollection 2022.
INTRODUCTION: Public health responses were triggered while COVID-19 was spreading. China redeployed healthcare workers to serve the most vulnerable populations and communities in the initial epicentre-Wuhan. However, it is not known how redeployment processes impacted on healthcare workers in a pandemic crisis. AIMS: To explore the experiences and needs of frontline healthcare workers who were redeployed to care for COVID-19 patients in Wuhan, China, and understand the long-term impacts of the redeployment experience on their work and life. METHODS: A qualitative study was conducted with redeployed healthcare workers using semi-structured interviews and thematic analysis. This study is reported in accordance with the consolidated criteria for reporting qualitative research (COREQ) guidelines. FINDINGS: A total of 20 redeployed healthcare workers (13 nurses and seven physicians) participated, and four themes were generated: (1) Initial feelings and emotions of redeployment-Participants experienced worries and concerns, a sense of isolation and loneliness on their arrival to the epicentre. (2) 'It is like a war zone'-Healthcare workers faced a range of risks and challenges of caring for COVID-19 patients in Wuhan in the context of resource strain. (3) Uncertainty and coping strategies in patient care-Despite the hardships experienced, participants continued to deliver high-quality patient care including psychological care and palliative care, good communication and building mutual trusting relationships. (4) Reflection and far-reaching impacts of caring for COVID-19 patients-Participants felt motivated and encouraged as efforts were recognised by the government and wider society. CONCLUSIONS: Redeployed healthcare workers shared their unique needs and experiences of coping with redeployment and challenges they faced in the context of resource strain, which has significant implications for policy and future practice. The reality of a pandemic may reduce healthcare workers' willingness to work due to various reasons including inadequate preparedness of facilities and workplace safety. It is important to support frontline healthcare workers in order to maintain an adequate healthcare workforce in pandemic crises. Continuously evolving pandemic circumstances and uncertainty highlight the importance of an organized national pandemic response plan for subsequent waves of COVID-19 and future pandemics.
简介：在 COVID-19 传播期间，启动了公共卫生应对措施。中国重新部署了医护人员，为最初的疫情中心武汉的最弱势群体和社区提供服务。然而，目前尚不清楚重新部署过程如何在大流行危机中影响医护人员。
目的：探索在中国武汉被重新部署照顾 COVID-19 患者的一线医护人员的经验和需求，并了解重新部署经历对他们工作和生活的长期影响。
方法：采用半结构式访谈和主题分析对重新部署的医护人员进行了定性研究。本研究按照定性研究报告的统一标准（COREQ）指南进行报告。
结果：共有 20 名重新部署的医护人员（13 名护士和 7 名医生）参与，得出了 4 个主题：（1）重新部署的最初感受和情绪-参与者在到达疫情中心时感到担忧和顾虑、孤立和孤独感。（2）“这里就像战区”-医护人员在资源紧张的情况下，面临着照顾 COVID-19 患者的一系列风险和挑战。（3）患者护理中的不确定性和应对策略-尽管经历了困难，参与者仍继续提供高质量的护理，包括心理护理和姑息治疗、良好的沟通和建立互相信任的关系。（4）照顾 COVID-19 患者的反思和深远影响-参与者感到受到鼓舞和鼓励，因为他们的努力得到了政府和更广泛社会的认可。
结论：重新部署的医护人员分享了他们在资源紧张的情况下应对重新部署和面临的挑战的独特需求和经验，这对政策和未来实践具有重要意义。大流行的现实可能会由于设施准备不足和工作场所安全等各种原因降低医护人员的工作意愿。为了在大流行危机中维持足够的医疗保健劳动力，支持一线医护人员至关重要。不断变化的大流行情况和不确定性突显了为后续 COVID-19 浪潮和未来大流行制定有组织的国家大流行应对计划的重要性。
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