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COVID-19 大流行在儿科护士眼中:一项定性研究。

The COVid-19 pandemic through the eyes of pediatric nurses: A qualitative study.

机构信息

Levine Children's Hospital at Atrium Health, USA.

University of North Carolina Charlotte School of Nursing, USA.

出版信息

J Pediatr Nurs. 2023 Jan-Feb;68:52-59. doi: 10.1016/j.pedn.2022.09.015. Epub 2022 Nov 7.

Abstract

PURPOSE

This study explored pediatric nurses' lived experiences during the first calendar year (2020) of the COVid-19 pandemic.

DESIGN AND METHODS

An electronic survey used an exploratory-descriptive qualitative approach to gather data from 231 pediatric nurses working in a variety of settings across the United States. The survey consisted of seven open-ended questions to capture participants' experiences in the workplace. Thematic analysis was conducted to identify themes and associated subthemes.

RESULTS

Seven themes emerged: Unique Aspects of COVid-19 in the Pediatric Population; Visitor Restrictions and Isolation Increased Stress; Navigating Changing Knowledge and Misinformation; Personal Protective Equipment Challenges; Living in Fear; Pride in the Profession; and Profession at Risk.

CONCLUSIONS

Pediatric nurses working in the initial year of the COVid-19 pandemic faced numerous challenges consistent with those shared by the profession at large in addition to some unique to their patient population. Of greatest concern is the dismay many participants conveyed in their perception of administrative and public support and in their flagging commitment to the profession.

PRACTICE IMPLICATIONS

This study highlights the need for nurse self-care, cultural reform in healthcare settings to engage front line providers in decision making, and proactive strategies to recruit and retain professional nurses.

摘要

目的

本研究探讨了儿科护士在 COVID-19 大流行的第一个日历年(2020 年)期间的亲身经历。

设计和方法

一项电子调查采用探索性描述性定性方法,从美国各地各种环境中工作的 231 名儿科护士那里收集数据。该调查由七个开放式问题组成,以捕捉参与者在工作场所的经历。采用主题分析来确定主题和相关的子主题。

结果

出现了七个主题:儿科人群中 COVID-19 的独特方面;访客限制和隔离增加了压力;应对不断变化的知识和错误信息;个人防护设备的挑战;生活在恐惧中;对专业的自豪;以及职业风险。

结论

在 COVID-19 大流行的最初一年工作的儿科护士面临着许多挑战,这些挑战与整个专业领域所面临的挑战一致,除了一些与他们的患者群体特有的挑战之外。最令人担忧的是,许多参与者对行政和公众支持的看法以及他们对职业的承诺减弱,表示出沮丧。

实践意义

本研究强调了护士自我保健、医疗保健环境中的文化改革以让一线提供者参与决策以及积极主动的招聘和留住专业护士的策略的必要性。

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