Piotrowski Caroline, Graham Ashley, Gold Anna, Wray Jo, Bannister Louise, Wichart Jenny, Kosmach-Park Beverly, Shellmer Dianna, Mayersohn Gillian, Patterson Catherine
Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Rehabilitation Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Pediatr Transplant. 2023 Jun;27(4):e14491. doi: 10.1111/petr.14491. Epub 2023 Feb 23.
Allied health and nursing professionals (AHNP) are integral members of transplant teams. During the COVID-19 pandemic, they were required to adapt to changes in their clinical practices. The goal of the present study was to describe AHNP perceptions concerning the impact of the pandemic on their roles, practice, and resource allocation.
An online survey was distributed globally via email by the International Pediatric Transplant Association to AHNP at transplant centers from September to December 2020. Responses to open-ended questions were collected using an electronic database. Using a thematic analysis approach, coding was conducted by three independent coders who identified patterns in responses, and discrepancies were resolved through discussion.
The majority of respondents (n = 119) were from North America (78%), with many other countries represented (e.g., the United Kingdom, Europe, Australia, New Zealand, South Africa, and Central and South America). Four main categories of impacts were identified: (1) workflow changes, (2) the quality of the work environment, (3) patient care, and (4) resources.
Participants indicated that the pandemic heightened existing barriers and resource challenges frequently experienced by AHNP; however, the value of team connections and opportunities afforded by technology were also highlighted. Virtual care was seen as increasing healthcare access but concerns about the quality and consistency of care were also expressed. A notable gap in participant responses was identified; the vast majority did not identify any personal challenges connected with the pandemic (e.g., caring for children while working remotely, personal stress) which likely further impacted their experiences.
专职医疗和护理专业人员（AHNP）是移植团队不可或缺的成员。在新冠疫情期间，他们需要适应临床实践的变化。本研究的目的是描述AHNP对疫情对其角色、实践和资源分配影响的看法。
2020年9月至12月，国际儿科移植协会通过电子邮件向全球各移植中心的AHNP发放了一份在线调查问卷。使用电子数据库收集对开放式问题的回答。采用主题分析方法，由三名独立编码员进行编码，他们确定回答中的模式，并通过讨论解决分歧。
大多数受访者（n = 119）来自北美（78%），也有许多其他国家的代表（如英国、欧洲、澳大利亚、新西兰、南非以及中南美洲）。确定了四大类影响：（1）工作流程变化，（2）工作环境质量，（3）患者护理，以及（4）资源。
参与者表示，疫情加剧了AHNP经常面临的现有障碍和资源挑战；然而，也强调了团队联系的价值和技术带来的机会。虚拟护理被视为增加了医疗服务的可及性，但也有人对护理质量和一致性表示担忧。在参与者的回答中发现了一个明显的差距；绝大多数人没有指出与疫情相关的任何个人挑战（例如，远程工作时照顾孩子、个人压力），而这些可能进一步影响了他们的经历。
