Department of ICU, Chung-Ang Medical Center, Seoul, Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.
J Clin Nurs. 2023 Jun;32(11-12):2922-2932. doi: 10.1111/jocn.16686. Epub 2023 Mar 13.
To investigate how personal protective equipment with an attached powered air-purifying respirator worn by intensive care unit nurses caring for COVID-19 patients in Korea impacts nursing-skill performance and psychosocial stress.
A cross-sectional descriptive study was designed using purposive sampling.
Online data collection was conducted from 3 March 2021-20 March 2021on 181 nurses who had worked for more than 1 month in COVID-19 critical care settings wearing personal protective equipment with a powered air-purifying respirator. A structured questionnaire was used to gather data on sociodemographic characteristics, attitude toward personal protective equipment, nursing-skill performance wearing personal protective equipment and psychosocial stress.
Data was sourced from structured questionnaire responses.
Nursing skill performance decreased to 63.4%, compared with normal performance. Subjects' perceptions and attitudes related to PPE scored 3.56 out of 5; 44.7% of subjects reported severe psychosocial stress, which was significantly affected by attitude toward personal protective equipment usage, nursing performance, experience caring for COVID-19 patients and length of personal protective equipment usage per shift.
Greater negative attitude toward usage of personal protective equipment with a powered air-purifying respirator, results in lower nursing-skill performance and higher the psychosocial stress of nurses responding to COVID-19 outbreaks.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: High negative attitude toward PPE and low nursing-skill performance due to PPE with an attached PAPR results in significant and debilitating psychosocial stress in ICU nurses responding to COVID-19 outbreaks. To respond effectively to future infectious disease outbreaks and improve nursing performance, minimising the inconvenience and restrictions experienced by nurses wearing personal protective equipment is critical.
We adhered to relevant EQUATOR guidelines to report.
No patient or public contribution.
调查韩国 COVID-19 患者护理中，重症监护病房护士佩戴带动力空气净化呼吸器的个人防护设备对护理技能表现和心理社会压力的影响。
采用目的抽样设计了一项横断面描述性研究。
于 2021 年 3 月 3 日至 2021 年 3 月 20 日，通过在线方式对在 COVID-19 重症监护环境中佩戴带动力空气净化呼吸器的个人防护设备工作时间超过 1 个月的 181 名护士进行了数据收集。使用结构化问卷收集人口统计学特征、对个人防护设备的态度、佩戴个人防护设备的护理技能表现和心理社会压力的数据。
数据来源于结构化问卷的回复。
与正常表现相比，护理技能表现下降至 63.4%。受试者对个人防护设备的感知和态度评分为 3.56 分（满分 5 分）；44.7%的受试者报告严重的心理社会压力，这与对个人防护设备使用的态度、护理表现、照顾 COVID-19 患者的经验以及每次轮班使用个人防护设备的时间长短显著相关。
对带动力空气净化呼吸器的个人防护设备的使用持有更大的负面态度，会导致护理技能表现下降和应对 COVID-19 疫情的护士心理社会压力增加。
对专业人员和/或患者护理的影响：对个人防护设备的高度负面态度以及由于带动力空气净化呼吸器（PAPR）导致的护理技能表现下降，会导致应对 COVID-19 疫情的重症监护病房护士产生显著且衰弱的心理社会压力。为了有效应对未来的传染病疫情并提高护理表现，减轻佩戴个人防护设备的护士所经历的不便和限制至关重要。
我们遵循了相关的 EQUATOR 指南进行报告。
无患者或公众贡献。
