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一项针对 COVID-19 大流行第一波期间照顾危重症患者的医护人员的看法和经验的定性研究: PsyCOVID-ICU 子研究。

A qualitative study of the perceptions and experiences of healthcare providers caring for critically ill patients during the first wave of the COVID-19 pandemic: A PsyCOVID-ICU substudy.

机构信息

Department of Cardiology, University Hospital, Besançon, and EA3920, University of Burgundy-Franche-Comté, Besançon, France.

EURL SLc, Chamesey, France.

出版信息

PLoS One. 2022 Sep 9;17(9):e0274326. doi: 10.1371/journal.pone.0274326. eCollection 2022.

Abstract

BACKGROUND

Intensive care unit (ICU) staff have faced unprecedented levels of stress, in the context of profound upheaval of their working environment due to the COVID-19 pandemic. We explored the perceptions of frontline ICU staff about the first wave of the COVID-19 pandemic, and how this experience impacted their personal and professional lives.

METHODS

In a qualitative study as part of the PsyCOVID-ICU project, we conducted semi-structured interviews with a random sample of nurses and nurses' aides from 5 centres participating in the main PsyCOVID study. Interviews were recorded and fully transcribed, and analysed by thematic analysis.

RESULTS

A total of 18 interviews were performed from 13 August to 6 October 2020; 13 were nurses, and 5 were nurses' aides. Thematic analysis revealed three major themes, namely: (1) Managing the home life; (2) Conditions in the workplace; and (3) the meaning of their profession.

CONCLUSION

In this qualitative study investigating the experiences and perceptions of healthcare workers caring for critically ill patients during the first COVID-19 wave in France, the participants reported that the crisis had profound repercussions on both their personal and professional lives. The main factors affecting the participants were a fear of contamination, and the re-organisation of working conditions, against a background of a media "infodemic".

摘要

背景

在 COVID-19 大流行期间,重症监护病房(ICU)的工作人员面临着前所未有的压力,其工作环境发生了深刻的变化。我们探讨了一线 ICU 工作人员对 COVID-19 大流行第一波的看法,以及这一经历如何影响他们的个人和职业生活。

方法

在 PsyCOVID-ICU 项目的一项定性研究中,我们对参与 PsyCOVID 主要研究的 5 个中心的随机样本护士和护士助理进行了半结构式访谈。访谈进行了录音和完整转录,并进行了主题分析。

结果

2020 年 8 月 13 日至 10 月 6 日期间共进行了 18 次访谈;其中 13 次为护士,5 次为护士助理。主题分析揭示了三个主要主题,即:(1)管理家庭生活;(2)工作场所的条件;(3)他们职业的意义。

结论

在这项针对法国 COVID-19 大流行第一波期间照顾重症患者的医护人员的经历和看法的定性研究中,参与者报告说,这场危机对他们的个人和职业生活都产生了深远的影响。影响参与者的主要因素是对感染的恐惧,以及在媒体“信息疫情”的背景下,工作条件的重新组织。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f39/9462768/9c277b61af8f/pone.0274326.g001.jpg

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