Oxford School of Nursing and Midwifery, Oxford Brookes University, Oxford, UK.
ACORN- A Centre Of Research for Nurses & Midwives, Nightingale Academy, London, UK.
Nurs Crit Care. 2023 Mar;28(2):298-306. doi: 10.1111/nicc.12850. Epub 2022 Oct 7.
Since the start of the global COVID-19 pandemic in 2019, critical care nurses across the world have been working under extreme levels of pressure.
To understand critical care nurses' experiences of and satisfaction with their role in the pandemic response across the United Kingdom (UK).
A cross-sectional electronic survey of critical care nurses (n = 339) registered as members of the British Association of Critical Care Nurses. Anonymous quantitative and open-ended question data were collected in March and April 2021 during the height of the second surge of COVID-19 in the UK via an online questionnaire. Quantitative data were analysed using descriptive statistics and free text responses were collated and analysed thematically.
There was a response rate of 17.5%. Critical care nurses derived great satisfaction from making a difference during this global crisis and greatly valued teamwork and support from senior nurses. However, nurses consistently expressed concern over the quality of safe patient care, which they perceived to be suboptimal due to staff shortages and a dilution of the specialist skill mix. Together with the high volume of patient deaths, critical care nurses reported that these stressors influenced their personalwell-being.
This study provides insights into the key lessons health care leaders must consider when managing the response to the demands and challenges of the ongoing COVID-19 pandemic. COVID-19 is unpredictable in its course, and what future variants might mean in terms of transmissibility, severity and resultant pressures to critical care remains unknown.
Future responses to the challenges that critical care faces must consider nurses' experiences and create an environment that engenders supportive teamwork, facilitates excellent nursing practice and effective safe patient care where critical care nursing may thrive.
自 2019 年全球 COVID-19 大流行以来，世界各地的重症监护护士一直承受着巨大的压力。
了解英国（UK）重症监护护士在大流行应对中的角色体验和满意度。
这是一项横断面电子调查，对象是英国重症监护护士协会注册的重症监护护士（n=339）。在 2021 年 3 月和 4 月，正值 COVID-19 在英国第二次激增期间，通过在线问卷收集匿名定量和开放式问题数据。使用描述性统计方法分析定量数据，并对自由文本回复进行整理和主题分析。
回应率为 17.5%。重症监护护士在这场全球危机中做出了巨大贡献，从中获得了极大的满足感，并非常重视团队合作和资深护士的支持。然而，护士们一直对安全护理患者的质量表示担忧，他们认为由于人员短缺和专业技能组合的稀释，导致护理质量不尽如人意。再加上大量的患者死亡，重症监护护士报告说这些压力源影响了他们的个人幸福感。
这项研究提供了有关医疗保健领导者在管理对持续 COVID-19 大流行的需求和挑战的应对时必须考虑的关键经验教训的见解。COVID-19 的病程不可预测，未来的变异可能意味着传染性、严重程度以及对重症监护的压力会如何变化仍不得而知。
未来应对重症监护所面临的挑战的应对措施必须考虑到护士的经验，并营造一种支持性的团队合作环境，促进卓越的护理实践和有效的安全患者护理，使重症监护护理得以蓬勃发展。
