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新冠疫情期间担任护士时的难以忍受的痛苦:一项质性描述性研究。

Unbearable suffering while working as a nurse during the COVID-19 pandemic: A qualitative descriptive study.

作者信息

Littzen-Brown Chloé, Dolan Hanne, Norton Angie, Bethel Claire, May Jennifer, Rainbow Jessica

机构信息

The University of Portland, School of Nursing and Health Innovations, Portland, Oregon, United States of America.

Arizona State University, Edson College of Nursing and Health Innovation, Tempe, Arizona, United States of America.

出版信息

Int J Nurs Stud Adv. 2023 Dec;5:100127. doi: 10.1016/j.ijnsa.2023.100127. Epub 2023 Apr 12.

Abstract

BACKGROUND

The COVID-19 pandemic resulted in negative consequences for nurse well-being, patient care delivery and outcomes, and organizational outcomes.

OBJECTIVE

The purpose of this study was to explore the experiences of nurses working during the COVID-19 Pandemic in the United States.

DESIGN

This study used a qualitative descriptive design.

SETTINGS

The setting for this study was a national sample of nurses working during the COVID-19 pandemic in the United States over a period of 18 months.

PARTICIPANTS

Convenience and snowball sampling were used to recruit 81 nurses via social media and both national and state listservs.

METHODS

Using a single question prompt voicemail and emails were used for nurses to share their experiences anonymously working as a nurse during the COVID-19 pandemic. Voicemails were transcribed and each transcript was analyzed using content analysis with both deductive and inductive coding.

RESULTS

The overarching theme identified was Unbearable Suffering. Three additional themes were identified: 1) Facilitators to Nursing Practice During the COVID-19 Pandemic, 2) Barriers to Nursing Practice During the COVID-19 pandemic, with the sub-themes of Barriers Within the Work Environment, Suboptimal Care Delivery, and Negative Consequences for the Nurses; and lastly, 3) the Transitionary Nature of the Pandemic..

CONCLUSIONS

The primary finding of this study was that nurses experienced and witnessed unbearable suffering while working during the COVID-19 pandemic that was transitionary in nature. Future research should consider the long-term impacts of this unbearable suffering on nurses. Intervention research should be considered to support nurses who have worked during the COVID-19 pandemic, and mitigate the potential long-term effects.

TWEETABLE ABSTRACT

A study on nurses experiences during the pandemic reveals their unbearable suffering. Read here about the reasons nurses are leaving.

摘要

背景

2019年冠状病毒病(COVID-19)大流行对护士的福祉、患者护理的提供与结果以及组织成果产生了负面影响。

目的

本研究的目的是探索在美国COVID-19大流行期间工作的护士的经历。

设计

本研究采用定性描述性设计。

背景

本研究的背景是从美国在COVID-19大流行期间工作的护士中抽取的一个全国性样本,研究持续了18个月。

参与者

采用便利抽样和滚雪球抽样的方法,通过社交媒体以及国家和州的邮件列表招募了81名护士。

方法

使用单个问题提示语音邮件和电子邮件,让护士们匿名分享他们在COVID-19大流行期间担任护士的经历。对语音邮件进行转录,并使用内容分析法对每份转录本进行分析,采用演绎编码和归纳编码。

结果

确定的首要主题是“难以承受的痛苦”。还确定了另外三个主题:1)COVID-19大流行期间护理实践的促进因素;2)COVID-19大流行期间护理实践的障碍,其子主题包括工作环境中的障碍、护理提供不充分以及对护士的负面后果;最后,3)大流行的过渡性质。

结论

本研究的主要发现是,护士们在COVID-19大流行期间工作时经历并目睹了难以承受的痛苦,而这种痛苦本质上是过渡性的。未来的研究应考虑这种难以承受的痛苦对护士的长期影响。应考虑进行干预研究,以支持在COVID-19大流行期间工作的护士,并减轻潜在的长期影响。

可发推文摘要

一项关于护士在大流行期间经历的研究揭示了他们难以承受的痛苦。在此阅读护士离职的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97d5/11080519/5cadfbcdf3bd/gr1.jpg

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