Marquette University College of Nursing, PO Box 1881, Milwaukee, WI 53201.
College of Nursing, University of Wisconsin-Milwaukee, Cunningham Hall, Office 657, 1921 East Hartford Avenue, P.O. Box 413, Milwaukee, WI.
Intensive Crit Care Nurs. 2023 Jun;76:103388. doi: 10.1016/j.iccn.2023.103388. Epub 2023 Jan 16.
To describe the impact of the COVID-19 pandemic on intensive care nurses personal and professional well-being.
RESEARCH METHODOLOGY/DESIGN: A descriptive, qualitative design was used. Two nurse researchers conducted one-on-one interviews via Zoom or TEAMS using a semi-structured interview guide.
Thirteen nurses who were working in an intensive care unit in the United States participated in the study. A convenience sample of nurses who completed a survey in the larger parent study provided an email and were contacted by the research team to participate in interviews to discuss their experiences.
An inductive approach to content analysis was used to develop categories.
Five major categories emerged from the interviews: (1) We are not heroes, (2) inadequate support, (3) helplessness, (4) exhaustion, and (5) Nurses the second victim.
The COVID-19 pandemic has taken a physical and mental health toll on intensive care nurses. The impact of the pandemic on personal and professional well-being has serious implications for retaining and expanding the nursing workforce.
This work highlights the importance for bedside nurses to advocate for systemic change to improve the work environment. It is imperative for nurses to have effective training including evidence-based practice and clinical skills. There needs to be systems in place to monitor and support nurses' mental health and encourage bedside nurses to use self-care methods and practices to prevent anxiety, depression, post-traumatic stress disorder and burnout.
描述 COVID-19 大流行对重症监护护士个人和职业健康的影响。
研究方法/设计：采用描述性、定性设计。两名护士研究人员通过 Zoom 或 TEAMS 使用半结构化访谈指南进行一对一访谈。
13 名在美国重症监护病房工作的护士参加了这项研究。一项较大的母体研究中的护士完成了一项调查，研究小组通过便利抽样提供电子邮件，并联系他们参加访谈，以讨论他们的经验。
采用归纳法对内容进行分析以形成类别。
访谈中出现了五个主要类别：（1）我们不是英雄，（2）支持不足，（3）无助，（4）疲惫，（5）护士是第二个受害者。
COVID-19 大流行对重症监护护士的身心健康造成了影响。大流行对个人和职业健康的影响对保留和扩大护理人员队伍具有严重影响。
这项工作强调了对床边护士倡导系统变革以改善工作环境的重要性。护士必须接受有效的培训，包括循证实践和临床技能。需要建立系统来监测和支持护士的心理健康，并鼓励床边护士使用自我保健方法和实践来预防焦虑、抑郁、创伤后应激障碍和倦怠。
