Atashi Vajiheh, Safazadeh Shima, Taleghani Fariba, Sami Ramin, Ahmadi Shokoufeh, Pourkermanian Pourandokht
Nursing and Midwifery Care Research Center, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Critical Care Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2023 Nov 9;28(6):764-771. doi: 10.4103/ijnmr.ijnmr_248_22. eCollection 2023 Nov-Dec.
Encountering the coronavirus disease 2019 (COVID-19) pandemic, nurses face many challenges due to various strategies and resources that can compromise the quality of care. This study aimed to identify nursing care challenges for patients with COVID-19 from nurses' viewpoint in Iran.
This descriptive qualitative study was conducted in one of the main admission centers in Isfahan to treat patients with COVID-19. Data were collected through semi-structured in-depth interviews with 19 nurses from April 2020 to June 2020. The recorded interviews were transcribed and then analyzed through inductive content analysis.
The challenges of nursing care for patients infected with COVID-19 from the nurses' viewpoint were categorized into 11 subcategories and four main categories: work overload in disaster (lack of nurses with adequate clinical qualification and restrictions on the compliance of the infection control protocols), immersion in an ocean of psychological and social tensions (personal and family tensions, work environment tensions, perception of organizational injustice, and social stigma), quality of care in fragile condition (self-preservation rather than patient care and contradictory patient care standards), and disaster preparedness, response, and management (passive resource management, information system challenges, and lack of guideline-supported protocols).
The findings of this study suggest that policymakers should actively participate in supporting nurses in the form of reducing physical and mental stress in pandemics such as COVID-19. Having the right perception of the challenges nurses face in such crises can contribute to providing patient safety, improving the quality of care, maintaining organizational resources, and properly managing the disaster.
在2019冠状病毒病（COVID-19）大流行期间，由于各种可能影响护理质量的策略和资源，护士面临诸多挑战。本研究旨在从伊朗护士的角度确定COVID-19患者的护理挑战。
本描述性定性研究在伊斯法罕的一个主要收治中心进行，以治疗COVID-19患者。2020年4月至2020年6月，通过对19名护士进行半结构化深度访谈收集数据。对记录的访谈进行转录，然后通过归纳性内容分析进行分析。
从护士的角度来看，COVID-19感染患者的护理挑战分为11个子类别和四个主要类别：灾难中的工作负荷过重（缺乏具备足够临床资质的护士以及感染控制协议合规性方面的限制）、沉浸在心理和社会紧张的海洋中（个人和家庭紧张、工作环境紧张、对组织不公正的认知以及社会耻辱感）、脆弱状态下的护理质量（自我保护而非患者护理以及相互矛盾的患者护理标准）以及灾难准备、应对和管理（被动的资源管理、信息系统挑战以及缺乏指南支持的协议）。
本研究结果表明，政策制定者应积极参与以减轻COVID-19等大流行期间的身心压力的形式支持护士。正确认识护士在这类危机中面临的挑战有助于保障患者安全、提高护理质量、维持组织资源以及妥善管理灾难。
