“我不想去上班”:对 COVID-19 一线和非一线医护人员经历的混合方法分析。

"I Don't Want to Go to Work": A Mixed-Methods Analysis of Healthcare Worker Experiences from the Front- and Side-Lines of COVID-19.

机构信息

Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA.

Department of Biomedical Sciences, University of South Carolina School of Medicine Greenville, Greenville, SC 29605, USA.

出版信息

Int J Environ Res Public Health. 2023 May 25;20(11):5953. doi: 10.3390/ijerph20115953.

Abstract

During the COVID-19 pandemic, healthcare workers (HCW) were categorized as "essential" and "non-essential", creating a division where some were "locked-in" a system with little ability to prepare for or control the oncoming crisis. Others were "locked-out" regardless of whether their skills might be useful. The purpose of this study was to systematically gather data over the course of the COVID-19 pandemic from HCW through an interprofessional lens to examine experiences of locked-out HCW. This convergent parallel mixed-methods study captured perspectives representing nearly two dozen professions through a survey, administered via social media, and video blogs. Analysis included logistic regression models of differences in outcome measures by professional category and Rapid Identification of Themes from Audio recordings (RITA) of video blogs. We collected 1299 baseline responses from 15 April 2020 to 16 March 2021. Of those responses, 12.1% reported no signs of burnout, while 21.9% reported four or more signs. Qualitative analysis identified four themes: (1) professional identity, (2) intrinsic stressors, (3) extrinsic factors, and (4) coping strategies. There are some differences in the experiences of locked-in and locked-out HCW. This did not always lead to differing reports of moral distress and burnout, and both groups struggled to cope with the realities of the pandemic.

摘要

在 COVID-19 大流行期间,医护人员(HCW)被分为“必要”和“非必要”两类,这造成了一种分化,一些人“被困”在一个几乎没有能力为即将到来的危机做准备或加以控制的系统中。另一些人则“被排除在外”,而不论他们的技能是否可能有用。本研究的目的是通过跨专业视角系统地从 COVID-19 大流行期间的 HCW 收集数据,以检查被排除在外的 HCW 的经历。这项汇聚性平行混合方法研究通过社交媒体和视频博客收集了近二十种职业的观点,通过调查来代表这些观点。分析包括按专业类别对结果衡量指标的差异进行逻辑回归模型分析,以及对视频博客的音频记录进行快速识别主题(RITA)分析。我们从 2020 年 4 月 15 日至 2021 年 3 月 16 日共收集了 1299 份基线回复。其中,12.1%的人报告没有倦怠迹象,而 21.9%的人报告有四个或更多的倦怠迹象。定性分析确定了四个主题:(1)专业身份,(2)内在压力源,(3)外在因素,和(4)应对策略。被“困”和“被排除在外”的 HCW 的经历存在一些差异。这并不总是导致道德困境和倦怠的报告有所不同,而且这两个群体都在努力应对大流行的现实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b5a/10252235/924e662ac809/ijerph-20-05953-g001.jpg

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