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临床学者在 COVID-19 大流行期间的经历:在临床一线工作时面临的挑战和机遇的定性研究。

Clinical academics' experiences during the COVID-19 pandemic: a qualitative study of challenges and opportunities when working at the clinical frontline.

机构信息

NIHR Applied Research Collaboration for East Midlands (ARC EM), School of Medicine, University of Nottingham Faculty of Medicine and Health Sciences, Nottingham, UK

NIHR Applied Research Collaboration for East Midlands (ARC EM), School of Medicine, University of Nottingham, Nottingham, UK.

出版信息

BMJ Lead. 2023 Dec 20;7(4):266-272. doi: 10.1136/leader-2020-000414.

Abstract

OBJECTIVES

This study explored the experiences of clinical academics during the COVID-19 pandemic. The aim was to identify challenges and benefits associated with returning to, or increasing hours at, the clinical frontline.

DESIGN

Qualitative data were gathered from a combination of written responses to questions posed in an email and 10 semi-structured interviews between May and September 2020.

SETTING

Two higher education institutions and three NHS Trusts in the East Midlands of England.

PARTICIPANTS

Written responses were received from 34 clinical academics including doctors, nurses, midwives and allied health professionals. A further 10 participants were interviewed either by telephone or online, via Microsoft Teams.

RESULTS

Participants described challenges experienced in returning full-time to the clinical frontline. These included having to refresh or learn new skills and the pressure of managing the competing priorities of NHS and higher education institutions. Benefits of being on the frontline included having the confidence and flexibility to deal with an evolving situation. Also, the ability to quickly assess and communicate the latest research and guidance to colleagues and patients. In addition, participants reported identifying areas for research during this time.

CONCLUSION

Clinical academics can contribute their knowledge and skills to frontline patient care in times of pandemic. It is therefore important to ease that process in preparation for potential future pandemics.

摘要

目的

本研究探讨了临床学者在 COVID-19 大流行期间的经历。目的是确定与返回或增加临床一线工作时间相关的挑战和益处。

设计

2020 年 5 月至 9 月期间,通过电子邮件中提出的问题的书面答复和 10 次半结构化访谈相结合,收集了定性数据。

地点

英格兰东米德兰兹的两所高等教育机构和三家 NHS 信托。

参与者

34 名临床学者(包括医生、护士、助产士和专职医疗人员)提交了书面答复。另外 10 名参与者通过电话或在线(通过 Microsoft Teams)进行了访谈。

结果

参与者描述了全职返回临床前线所面临的挑战。这些挑战包括必须更新或学习新技能以及管理 NHS 和高等教育机构竞争优先事项的压力。在前线的好处包括有信心和灵活性来应对不断变化的情况。此外,能够快速评估和向同事和患者传达最新的研究和指导。此外,参与者报告在这段时间内确定了研究领域。

结论

临床学者可以在大流行期间为前线的患者护理贡献他们的知识和技能。因此,为潜在的未来大流行做好准备,简化这一过程非常重要。

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