Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
J Adv Nurs. 2023 Oct;79(10):3866-3875. doi: 10.1111/jan.15730. Epub 2023 Jun 12.
AIMS: To explore how nursing home staff perceived their work environment during the COVID-19 pandemic and how this impacted their well-being. DESIGN: A qualitative interview study. METHODS: Interviews were held with twenty-two registered nurses and assistant nurses from five nursing homes in the Netherlands between April 2021 and July 2021. The interviews were analysed using qualitative content analysis. The Standards for Reporting Qualitative Research (SRQR) were followed. RESULTS: Five themes emerged from the interviews and indicated that working during the COVID-19 pandemic impacted perceived well-being of nursing home staff. Three themes concerned experiences at work: eroding care, additional roles and workplace support. Specifically, the increased workload with additional tasks, the constant stream of new guidelines and constrictive personal protective equipment caused discomfort and anxiety. Two other themes concerned experiences outside of work: work-life interference and social interactions and status. The nurses reported that when they returned home after work, they were tired and worried about spreading the virus while facing limited social interactions and support. CONCLUSION: The social distancing measures due to the COVID-19 pandemic negatively impacted nursing home staff well-being by increasing demands in the absence of adequate resources. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The well-being needs of nurses should receive continued attention to ensure the sustainability of healthcare during future crises. PATIENT OR PUBLIC CONTRIBUTION: The nursing home managers participated in recommending the topics to be covered during interviews. IMPACT: What problem did the study address? The pressure of stressful working conditions on the well-being of nurses during the pandemic. What were the main findings? Nurses created strategies to cope with declining well-being. However, the available resources did not alleviate the increased demands caused by the pandemic. Where and on whom will the research have an impact? This study is important for healthcare organizations to understand how the COVID-19 pandemic affected nurses so that they may better prepare for future crises.
目的：探讨养老院工作人员在 COVID-19 大流行期间如何看待他们的工作环境，以及这如何影响他们的幸福感。
设计：定性访谈研究。
方法：2021 年 4 月至 7 月，在荷兰的 5 家养老院，对 22 名注册护士和助理护士进行了访谈。使用定性内容分析对访谈进行分析。报告定性研究的标准 (SRQR) 得到了遵循。
结果：访谈中出现了五个主题，表明在 COVID-19 大流行期间工作对养老院工作人员的幸福感产生了影响。三个主题涉及工作经历：护理质量下降、额外角色和工作场所支持。具体来说，工作量增加，额外任务增加，不断更新的指导方针以及限制使用的个人防护设备，导致不适和焦虑。另外两个主题涉及工作之外的经历：工作与生活的干扰以及社会互动和地位。护士报告说，他们下班后回到家时，感到疲倦和担忧，担心传播病毒，同时面临有限的社会互动和支持。
结论：由于 COVID-19 大流行实施的社交距离措施，在缺乏足够资源的情况下增加了需求，对养老院工作人员的幸福感产生了负面影响。
对专业和/或患者护理的影响：护士的幸福感需求应继续得到关注，以确保在未来危机期间医疗保健的可持续性。
患者或公众的贡献：养老院经理参与了推荐访谈中要涵盖的主题。
影响：这项研究解决了什么问题？大流行期间，护士面临的压力对其幸福感的影响。主要发现是什么？护士制定了应对幸福感下降的策略。然而，现有的资源并没有减轻大流行带来的需求增加。这项研究将在何处以及对谁产生影响？这项研究对医疗保健组织来说很重要，因为他们需要了解 COVID-19 大流行如何影响护士，以便他们为未来的危机做好更好的准备。
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