Jiang Jinxia, Han Peng, Liu Yue, Wu Qian, Shao Haiyan, Duan Xia, Shi Yan
Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.
Nursing Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, 200072, China.
BMC Nurs. 2023 Sep 1;22(1):298. doi: 10.1186/s12912-023-01452-0.
Since March 2022, Shanghai, China, has experienced a severe wave of SARS-CoV-2 transmission caused by the Omicron variant strain. The pandemic has severely constrained the local healthcare system. After treating critically ill COVID-19 patients, emergency nurses may experience some positive changes due to new insights or gains in their work, even if they have had traumatic experiences. This study aimed to explore the promoting factors of emergency nurses' post-traumatic growth during the COVID-19 pandemic in Shanghai. We hoped to provide a new perspective and theoretical basis for intervening in and promoting the psychological rehabilitation of medical staff after traumatic circumstances.
This study employed a qualitative design based on the phenomenological approach. 18 participants from the emergency department of a third-level class-A hospital in Shanghai who participated in treating COVID-19 patients were enrolled using purposive sampling. Data collection was through in-depth and semi-structured interviews and continued until reaching data saturation. The seven-step Colaizzi process was used for data analysis.
The investigation uncovered two themes and six subthemes. Internal factors contained self-affirmation, deliberate rumination, and cognitive restructuring, which constituted attitudes and behaviours that participants could subjectively determine. External factors included social support, transformational leadership, and role modelling, which constituted factors influenced by others or the environment.
The promoting factors of PTG of emergency nurses originated from different sources such as individuals, organizations, and society. In addition to good psychological adjustment of the individual, society, hospitals, and nursing managers should focus on establishing supportive PTG strategies. The ultimate purpose is to improve the retention rate and career growth of nurses.
自2022年3月以来，中国上海经历了由奥密克戎变异株引发的严重的新冠病毒传播浪潮。这场疫情严重限制了当地的医疗系统。在救治重症新冠患者后，急诊护士即使有过创伤经历，也可能因工作中的新见解或收获而经历一些积极的变化。本研究旨在探讨上海新冠疫情期间急诊护士创伤后成长的促进因素。我们希望为创伤后医护人员心理康复的干预和促进提供新的视角和理论依据。
本研究采用基于现象学方法的质性设计。采用目的抽样法，选取上海市某三级甲等医院急诊科参与救治新冠患者的18名护士作为研究对象。通过深入的半结构式访谈收集数据，持续进行直至达到数据饱和。采用Colaizzi七步法进行数据分析。
调查发现了两个主题和六个子主题。内部因素包括自我肯定、深思熟虑和认知重构，这些构成了参与者可主观决定的态度和行为。外部因素包括社会支持、变革型领导和榜样作用，这些构成了受他人或环境影响的因素。
急诊护士创伤后成长的促进因素源于个人、组织和社会等不同来源。除了个人良好的心理调适外，社会、医院和护理管理者应注重制定支持性的创伤后成长策略。最终目的是提高护士的留职率和职业成长。
