Umeda Aya, Baba Hiroko, Ishii Shoko, Mizuno So
Department of Adult Nursing, National College of Nursing, Japan, Tokyo, Japan.
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
Glob Health Med. 2023 Jun 30;5(3):169-177. doi: 10.35772/ghm.2023.01037.
The fatality rate of the coronavirus disease (COVID-19) at the beginning of the pandemic was as high as 8.5%, and it was considered to be an intractable infectious disease. Reports regarding early experiences are essential for improving nurses' quality of care, patient safety, and working conditions during future pandemics. Therefore, this study aimed to describe the experiences of nurses who were in charge of critically ill COVID-19 patients during the early stages of the pandemic in Japan. This was a qualitative study. Participants were nurses who were in charge of critically ill COVID-19 patients in an emerging contagious disease ward between February and April 2020. Interviews were conducted in groups of 2-3 persons based on an interview guide using an online conferencing application to prevent infection. Consent to participation was obtained from 19 nurses. Five categories of experiences were generated from the analysis: "Fear of risk to my own life and to those of others around me", "The shock of finding myself amid an infectious disease pandemic", "Anxiety about unknown challenges", "Driven by a sense of purpose", and "Growth as nurses". Working under harsh conditions where nurses' safety is threatened may affect the quality of care and nurses' mental health. Therefore, nurses should receive both short-term and long-term support.
在疫情初期，冠状病毒病（COVID-19）的死亡率高达8.5%，它被认为是一种难以治疗的传染病。关于早期经验的报告对于在未来疫情期间提高护士的护理质量、患者安全和工作条件至关重要。因此，本研究旨在描述日本疫情早期负责COVID-19危重症患者的护士的经历。这是一项定性研究。参与者是2020年2月至4月期间在一个新兴传染病病房负责COVID-19危重症患者的护士。基于访谈指南，使用在线会议应用程序以防止感染，对护士进行2至3人一组的访谈。获得了19名护士的参与同意。分析产生了五类经历：“对自身及周围人生命风险的恐惧”、“发现自己身处传染病大流行中的震惊”、“对未知挑战的焦虑”、“使命感的驱使”以及“作为护士的成长”。在护士安全受到威胁的恶劣条件下工作可能会影响护理质量和护士的心理健康。因此，护士应获得短期和长期的支持。
