Ministry of Health, State of Israel, Patient Safety Devision, Jerusalem, Israel.
Shenkar College of Engineering and Design, School of Industrial Engineering and Management, Ramat Gan, Israel.
Int Nurs Rev. 2023 Dec;70(4):578-588. doi: 10.1111/inr.12894. Epub 2023 Oct 7.
(1) Exploring nurses' perceptions of issues that impacted the quality of patient care and their own performance on COVID-19 wards; (2) examining nurses' perceptions of how these issues impacted their psychological state and level of performance; and (3) presenting recommendations for improving healthcare policies.
Nurses played a critical role in caring for hospitalized COVID-19 patients and managing the disease.
Semistructured interviews were conducted with 50 nurses (32 females), aged 31-58 years, 6-37 years' tenure, from eight hospitals across Israel. Prior to working in COVID-19 wards, they worked in internal medicine, emergency rooms, or intensive care units. Based on the COREQ checklist, these interviews were recorded and transcribed, and categorized into themes and subthemes.
The findings indicate that the unpreparedness of healthcare systems for the pandemic outbreak rendered nurses paying a high price at the personal and professional levels, which in turn may have impacted the levels of care that they provided.
The rich, qualitative data source revealed important interactions between clinical, personal, social, and familial factors in determining distress levels and performance impairment. A nuanced understanding of the link between these stressors is key to developing and implementing policies that could mitigate deficiencies in the management of epidemics and pandemics in the future.
Changes should be made to government directives and healthcare policies, with an emphasis on increasing the nursing workforce, providing emotional support, ensuring availability of equipment and beds, optimizing work practices, developing transparent means of communication within teams, and clearly defining the areas of responsibility of nurses-in times of routine and crises.
(1) 探讨护士对影响患者护理质量和自身在 COVID-19 病房工作表现的问题的看法；(2) 考察护士对这些问题如何影响其心理状态和工作表现的看法；(3) 提出改善医疗保健政策的建议。
护士在照顾住院 COVID-19 患者和管理疾病方面发挥了关键作用。
对以色列 8 家医院的 50 名护士（32 名女性，年龄 31-58 岁，工作年限 6-37 年）进行了半结构化访谈。他们在进入 COVID-19 病房之前，曾在内科、急诊室或重症监护室工作。根据 COREQ 清单，对这些访谈进行了录音和转录，并分类为主题和子主题。
研究结果表明，医疗保健系统对疫情爆发的准备不足，使护士在个人和职业层面付出了高昂的代价，这反过来可能影响了他们提供的护理水平。
丰富的定性资料来源揭示了临床、个人、社会和家庭因素之间的重要相互作用，这些因素决定了压力水平和工作表现受损。对这些压力源之间的联系有一个细致的理解，是制定和实施未来管理传染病和大流行政策的关键。
应修改政府指令和医疗保健政策，重点是增加护理人员数量，提供情感支持，确保设备和床位的可用性，优化工作实践，在团队内部建立透明的沟通方式，并明确界定护士在常规和危机时期的责任范围。
