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护士照顾新冠肺炎患者的经历:一项定性研究。

Nurses' Experiences of Caring for Patients with COVID-19: A Qualitative Study.

作者信息

Almomani Maysa H, Khater Wejdan A, Akhu-Zaheya Laila M, Alloubani Aladeen, AlAshram Safa A, Azab Mohammed, Al-Malkawi Adeeb K

机构信息

Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

Nursing Research Unit, King Hussein Cancer Center, Amman, Jordan.

出版信息

Sage Open. 2022 Dec 24;12(4):21582440221144982. doi: 10.1177/21582440221144982. eCollection 2022 Oct-Dec.

DOI:10.1177/21582440221144982
PMID:36588664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9791001/
Abstract

The purpose of this study was to explore nurses' experiences, abilities, and willingness to care for patients with Coronavirus Disease 2019 (COVID-19). A descriptive qualitative study was conducted among 12 nurses working with patients with COVID-19. Purposive sampling was used to recruit participants from two national hospitals in Jordan. Semi-structured interviews (45-90 minutes each) with open-ended questions were held via Zoom to collect data. Four major themes emerged from the data analysis. The first theme, uncertainty, consisted of two subthemes: new experience and lack of training. The second theme was related to social stigma by society and other staff members. The third theme of front-line fighters consisted of two subthemes: empowering the main health caregiver and community acknowledgment. The fourth theme was related to challenges and consisted of two subthemes: physical and psychological challenges. At the beginning of the outbreak of COVID-19, the nurses had experienced a lack of certainty, physical and psychological challenges, and social stigmatization, which had negatively affected their willingness and ability to fight the outbreak. However, the nurses reported growing professionally and psychologically with time and becoming more knowledgeable, skillful, powerful, and confident care providers during the pandemic. Being able to fulfill their responsibilities and being acknowledged by others gave the nurses a sense of achievement. Early education and training about COVID-19, clear infection control protocols and guidelines, psychological counseling, and adequate social support are essential steps for enhancing nurses' mental well-being and willingness and ability to fight COVID-19.

摘要

本研究的目的是探索护士护理2019冠状病毒病(COVID-19)患者的经历、能力和意愿。对12名护理COVID-19患者的护士进行了一项描述性定性研究。采用目的抽样法从约旦的两家国立医院招募参与者。通过Zoom进行了半结构化访谈(每次45-90分钟),访谈采用开放式问题以收集数据。数据分析得出了四个主要主题。第一个主题是不确定性,包括两个子主题:新体验和缺乏培训。第二个主题与社会及其他工作人员的社会污名化有关。第三个主题“一线战士”包括两个子主题:增强主要医护人员的能力和社区认可。第四个主题与挑战有关,包括两个子主题:身体和心理挑战。在COVID-19疫情爆发初期,护士们经历了缺乏确定性、身体和心理挑战以及社会污名化,这些对他们抗击疫情的意愿和能力产生了负面影响。然而,护士们报告称,随着时间的推移,他们在专业和心理方面都有所成长,在疫情期间成为了更有知识、更有技能、更有力量和更自信的护理提供者。能够履行职责并得到他人认可给护士们带来了成就感。关于COVID-19的早期教育和培训、明确的感染控制规程和指南、心理咨询以及充分的社会支持是增强护士心理健康以及抗击COVID-19的意愿和能力的关键步骤。

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本文引用的文献

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Int J Environ Res Public Health. 2021 Dec 9;18(24):12975. doi: 10.3390/ijerph182412975.
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Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics: a systematic review and qualitative meta-synthesis.一线医护人员在 COVID-19 疫情及以往大流行期间的经历及其对支持的看法:系统评价和定性荟萃分析。
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Nurses' perspectives of taking care of patients with Coronavirus disease 2019: A phenomenological study.护士对照顾 2019 年冠状病毒病患者的看法:一项现象学研究。
PLoS One. 2021 Sep 3;16(9):e0257064. doi: 10.1371/journal.pone.0257064. eCollection 2021.
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Nurses' experiences of caring for people with COVID-19 in Hong Kong: a qualitative enquiry.护士在香港照顾 COVID-19 患者的体验:一项定性研究
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Int J Nurs Stud Adv. 2021 Nov;3:100037. doi: 10.1016/j.ijnsa.2021.100037. Epub 2021 Jul 17.
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