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重症监护护士管理者在 COVID-19 大流行第一波期间的经历:对未来流行病学危机的启示。

Intensive care nurse managers' experiences during the first wave of the Covid-19 pandemic: Implications for future epidemiological crises.

机构信息

Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland.

Department of Nursing, School of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.

出版信息

PLoS One. 2023 Aug 25;18(8):e0290722. doi: 10.1371/journal.pone.0290722. eCollection 2023.

DOI:10.1371/journal.pone.0290722
PMID:37624792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10456190/
Abstract

BACKGROUND

Nurse managers play an important role in coordinating the multidisciplinary teamwork, which is specifically important in emergency and crises situations like the COVID-19 pandemic. The aim of this qualitative study is twofold: (1) to explore the experiences of the Intensive care units (ICU) nurse managers regarding their work during the first wave of the COVID-19 pandemic, and (2) to analyse what implications might be provided based on experiences of nurse managers for future possible epidemiological crises.

METHODS

In-depth phone interviews were conducted to explore the experiences of ward managers-nurses (n = 15) working in different hospitals across Poland. Interviews were taped and transcribed verbatim, and then qualitatively analysed.

RESULTS

Three main categories were identified: (1) Challenge of working with the unknown, (2) Nurse managers' expectations, and (3) Methods of coping and received support. The COVID-19 pandemic strongly affected the work of ICU nurse managers and uncovered the malfunctioning of the healthcare system.

CONCLUSION

It is important to improve the knowledge and competence of hospital management personnel through exercises and in-service training on how to handle emergencies in order to improve the management of healthcare facilities, increase the safety of patients and employees, and the quality of healthcare.

摘要

背景

护士长在协调多学科团队合作方面发挥着重要作用,在 COVID-19 大流行等紧急和危机情况下尤为重要。本 qualitative 研究的目的有二:(1) 探讨重症监护病房 (ICU) 护士长在 COVID-19 大流行第一波期间的工作经验;(2) 分析基于护士长的经验可为未来可能的流行病学危机提供哪些启示。

方法

对波兰各地不同医院工作的病房护士长护士 (n = 15) 进行了深入的电话访谈,以探讨其工作经验。访谈进行了录音并逐字转录,然后进行了定性分析。

结果

确定了三个主要类别:(1) 应对未知的挑战;(2) 护士长的期望;(3) 应对方法和获得的支持。COVID-19 大流行强烈影响了 ICU 护士长的工作,并暴露出医疗保健系统的故障。

结论

通过演习和在职培训来提高医院管理人员在紧急情况下的管理知识和能力,以改善医疗设施的管理、提高患者和员工的安全性以及医疗保健质量,这一点非常重要。

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