Stephenson Pam, Warner-Stidham Andrea
College of Nursing, Kent State University, Kent, OH, US.
SAGE Open Nurs. 2024 Jan 10;10:23779608231226095. doi: 10.1177/23779608231226095. eCollection 2024 Jan-Dec.
COVID-19 was devastating for many frontline nurses embroiled in health care's response. Most media outlets reported from several large metropolitan areas in New York, California, and Florida, leaving other regions to wonder about the extent to which their nurses were suffering.
The purpose of this article was to understand the specific needs and experiences of Northeast Ohio nurses caring for patients with COVID-19 before designing interventions targeting negative mental outcomes.
This phenomenological study interviewed 16 Northeast Ohio nurses to understand their experiences of caring for patients with COVID-19.
Although not asked about it directly, the participants' stories consistently included details that could be linked to moral distress. Two themes describing their lived experiences included "acquiring moral distress" and "living with moral distress." Additional findings are also reported separately because although they do not represent the lived experience of COVID-19 nursing, they did represent significant concerns that participants had for the future and are reported here to assist other researchers with the intervention design. Furthermore, these participants thought that participation in support groups with other nurses who cared for COVID-19 patients and possibly led by mental health advanced practice nurses offered the best intervention to process their trauma from the pandemic.
The long-term effects of moral distress have been discussed routinely in recent literature and are further complicated by the effects of the COVID-19 pandemic. Threats to the shrinking workforce of nurses must be taken seriously and interventions to improve the mental health and morale of frontline nurses must be prioritized and tested.
新冠疫情对许多参与医疗应对工作的一线护士来说是灾难性的。大多数媒体报道集中在纽约、加利福尼亚和佛罗里达州的几个大城市地区，这让其他地区的人们不禁想知道他们的护士遭受痛苦的程度。
本文的目的是在设计针对负面心理结果的干预措施之前，了解俄亥俄州东北部照顾新冠患者的护士的具体需求和经历。
这项现象学研究采访了16名俄亥俄州东北部的护士，以了解他们照顾新冠患者的经历。
尽管没有直接询问，但参与者的故事中始终包含一些可与道德困扰相关联的细节。描述他们生活经历的两个主题包括“产生道德困扰”和“忍受道德困扰”。其他研究结果也单独报告，因为尽管它们不代表新冠护理的生活经历，但它们确实代表了参与者对未来的重大担忧，在此报告以协助其他研究人员进行干预设计。此外，这些参与者认为，与其他照顾新冠患者的护士一起参加支持小组，可能由心理健康高级执业护士主持，是处理他们在疫情中创伤的最佳干预措施。
近期文献中经常讨论道德困扰的长期影响，而新冠疫情的影响使其更加复杂。必须认真对待护士劳动力萎缩的威胁，必须优先考虑并测试改善一线护士心理健康和士气的干预措施。
