AP-HP, Necker-Enfants Malades Hospital, 75015 Paris, France.
AP-HP, University Hospitals Pitié Salpêtrière - Charles Foix, 75013 Paris, France.
Arch Pediatr. 2023 Apr;30(3):179-186. doi: 10.1016/j.arcped.2023.01.004. Epub 2023 Feb 8.
The coronavirus pandemic created an unprecedented deployment of health professionals. The objective of this study was to describe the experiences of pediatric nurses transferred to adult COVID-19 wards during the first wave of the pandemic.
We performed a qualitative study using a phenomenological approach. Nurses were recruited on a voluntary basis. All participants moved from a pediatric ward and were redeployed to an adult COVID-19 ward in another hospital. Interviews were carried out face to face in line with social-distancing guidelines. We used a script of open-end questions. The interviews were recorded and transcribed in full and qualitative data were analyzed using NVivo software.
In total, 23 nurses were interviewed. Our analysis revealed positive and negative experiences given the different types of support the nurses received, individual attitudes that promoted resilience in a crisis situation, ethical conflicts linked to end-of-life care, and their perspectives on the next wave of the pandemic. The main difficulties encountered by the transferred nurses were related to their working conditions and safety, communication about working practices, and end-of-life patient care. In most cases, the individual resilience strategies put in place and the different forms of social support enabled them to cope with stress and maintain their commitment. However, some interviewees would have benefited from improved managerial support. For all participants, their perception of this support and the benefits of their experience influenced their willingness to be transferred to an adult ward again during a future wave of the pandemic.
冠状病毒大流行导致卫生专业人员以前所未有的规模部署。本研究的目的是描述在大流行第一波期间转移到成人 COVID-19 病房的儿科护士的经历。
我们采用现象学方法进行了定性研究。护士是自愿招募的。所有参与者都从儿科病房转移到另一家医院的成人 COVID-19 病房。根据社交距离准则，我们进行了面对面的访谈。我们使用了开放性问题的脚本。访谈被完整地记录和转录，使用 NVivo 软件对定性数据进行分析。
共对 23 名护士进行了访谈。我们的分析揭示了不同类型的支持所带来的积极和消极的体验，个体态度在危机情况下促进了韧性，与临终关怀相关的伦理冲突，以及他们对大流行下一波的看法。转移护士遇到的主要困难与工作条件和安全、关于工作实践的沟通以及临终患者的护理有关。在大多数情况下，采取的个人韧性策略和不同形式的社会支持使他们能够应对压力并保持承诺。然而，一些受访者本可以从更好的管理支持中受益。对于所有参与者而言，他们对这种支持的看法以及他们的经验的好处影响了他们在未来大流行波期间再次转移到成人病房的意愿。
