West China School of Nursing, Sichuan University/Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing/West China Hospital, Sichuan University, Nursing Key Laboratory of Sichuan Province, Chengdu, China.
J Clin Nurs. 2023 Aug;32(15-16):5258-5273. doi: 10.1111/jocn.16613. Epub 2023 Jan 14.
This qualitative review summarises and synthesises the available evidence on subjective experiences of clinical nurses who cared for patients with COVID-19.
Nurses are first responders and play a vital role in emerging infectious disease epidemics such as the COVID-19 pandemic. In this context, they also face many difficulties and challenges related, for example to the imbalance between extensive demands and low control over work tasks.
A systematic review of qualitative studies and meta-synthesis focused on the experiences of clinical nurses caring for patients with COVID-19 during the pandemic was carried out.
A total of 279 findings were extracted, aggregated into 21 categories and combined into seven synthesised findings, namely (1) professional nursing practice during the pandemic, (2) support systems, (3) somatic sensations and psychological experiences, (4) difficulties and challenges, (5) coping strategies and behaviour, (6) impact on life, profession and values, and (7) needs and expectations for the future.
Nurses encountered considerable difficulties and challenges in caring for patients with COVID-19. Nurses caring for patients with COVID-19 need more support from organisations, families and society. It is essential to explore positive coping strategies suitable for working in different cultural backgrounds. Policymakers and decision-makers should pay attention to the experiences and voices of nurses.
It is critical for nurse managers to consider how to enhance the support system and help nurses develop adaptive coping strategies in response to COVID-19. Nurses' experiences and voices are valuable in improving health emergency response systems.
There was no patient or public contribution.
本定性综述总结并综合了有关照顾 COVID-19 患者的临床护士主观体验的现有证据。
护士是首批应对者，在新冠疫情等新发传染病疫情中发挥着至关重要的作用。在这种情况下，他们还面临着许多困难和挑战，例如工作任务的需求广泛与控制度低之间的不平衡。
对专注于疫情期间临床护士照顾 COVID-19 患者体验的定性研究进行了系统综述和元综合。
共提取了 279 项发现，汇总为 21 个类别，并综合为 7 个综合发现，分别是：（1）大流行期间的专业护理实践，（2）支持系统，（3）躯体感觉和心理体验，（4）困难和挑战，（5）应对策略和行为，（6）对生活、职业和价值观的影响，（7）对未来的需求和期望。
护士在照顾 COVID-19 患者时遇到了相当大的困难和挑战。照顾 COVID-19 患者的护士需要得到组织、家庭和社会更多的支持。探索适合不同文化背景的积极应对策略至关重要。政策制定者和决策者应关注护士的体验和声音。
护士管理人员必须考虑如何增强支持系统，并帮助护士制定适应 COVID-19 的应对策略。护士的体验和声音对改善卫生应急响应系统具有重要价值。
患者或公众没有做出贡献。
