新冠疫情对新斯科舍省初级保健医生和护士的影响：一项定性探索性研究。
The impact of the COVID-19 pandemic on primary care physicians and nurses in Nova Scotia: a qualitative exploratory study.
机构信息
Research, Innovation & Discovery (Embrett), Nova Scotia Health Authority, Queensland, NS; Schools of Health Administration (Packer, Fitzgerald, Jaswal, Lehman), Occupational Therapy (Packer, Jaswal, Lehman) and Social Work (Brown), and Department of Family Medicine (Burge, Marshall), Dalhousie University; Nova Scotia Health Authority (Christian, Sampalli); College of Pharmacy (Isenor), Faculty of Health, and Department of Community Health and Epidemiology (Isenor), Faculty of Medicine, Dalhousie University; Canadian Center for Vaccinology (Isenor); Faculty of Health (Martin-Misener, Zed), Dalhousie University; Faculty of Health Administration (Parsons Leigh), School of Health Administration, Dalhousie University, Halifax, NS
Research, Innovation & Discovery (Embrett), Nova Scotia Health Authority, Queensland, NS; Schools of Health Administration (Packer, Fitzgerald, Jaswal, Lehman), Occupational Therapy (Packer, Jaswal, Lehman) and Social Work (Brown), and Department of Family Medicine (Burge, Marshall), Dalhousie University; Nova Scotia Health Authority (Christian, Sampalli); College of Pharmacy (Isenor), Faculty of Health, and Department of Community Health and Epidemiology (Isenor), Faculty of Medicine, Dalhousie University; Canadian Center for Vaccinology (Isenor); Faculty of Health (Martin-Misener, Zed), Dalhousie University; Faculty of Health Administration (Parsons Leigh), School of Health Administration, Dalhousie University, Halifax, NS.
出版信息
CMAJ Open. 2023 Mar 21;11(2):E274-E281. doi: 10.9778/cmajo.20210315. Print 2023 Mar-Apr.
BACKGROUND
The COVID-19 pandemic has brought immense disruption worldwide, dramatically altering the ways we live, work and learn on a day-to-day basis; however, few studies have investigated this from the perspective of primary care providers. In this study, we sought to explore the experiences of primary care providers in the province of Nova Scotia, with the intention of understanding the impact of the COVID-19 pandemic on primary care providers' ability to provide care, their information pathways, and the personal and professional impact of the pandemic.
METHODS
We conducted an exploratory qualitative research study involving semistructured interviews conducted via Zoom videoconferencing or telephone with primary care providers (physicians, nurse practitioners and family practice nurses) who self-identified as working in primary health care in Nova Scotia from June 2020 to April 2021. We performed a thematic analysis involving coding and classifying data according to themes. Emergent themes were then interpreted by seeking commonalties, divergence, relationships and overarching patterns in the data.
RESULTS
Twenty-four primary care providers were interviewed. Subsequent analysis identified 4 interrelated themes within the data: disruption to work-life balance, disruptions to "non-COVID-19" patient care, impact of provincial and centralized policies, and filtering and processing an influx of information.
INTERPRETATION
Our findings showed that managing a crisis of this magnitude requires coordination and new ways of working, balancing professional and personal life, and adapting to already implemented changes (i.e., virtual care). A specific primary care pandemic response plan is essential to mitigate the impact of future health care crises.
背景
COVID-19 大流行在全球范围内造成了巨大的破坏，极大地改变了我们日常生活、工作和学习的方式；然而，很少有研究从初级保健提供者的角度来研究这一问题。在这项研究中，我们试图探索新斯科舍省初级保健提供者的经验，旨在了解 COVID-19 大流行对初级保健提供者提供护理的能力、他们的信息途径以及大流行对个人和职业的影响。
方法
我们进行了一项探索性的定性研究，涉及 2020 年 6 月至 2021 年 4 月期间自我认同在新斯科舍省从事初级保健工作的初级保健提供者（医生、护士从业者和家庭实践护士）通过 Zoom 视频会议或电话进行的半结构化访谈。我们进行了主题分析，包括根据主题对数据进行编码和分类。然后，通过寻找数据中的共性、差异、关系和总体模式来解释出现的主题。
结果
对 24 名初级保健提供者进行了访谈。随后的分析确定了数据中的 4 个相互关联的主题：工作与生活平衡的破坏、“非 COVID-19”患者护理的中断、省级和集中政策的影响以及大量信息的过滤和处理。
解释
我们的研究结果表明，管理如此规模的危机需要协调和新的工作方式，平衡专业和个人生活，并适应已经实施的变革（即虚拟护理）。制定专门的初级保健大流行应对计划对于减轻未来医疗保健危机的影响至关重要。
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