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中国湖北省抗击新冠肺炎疫情中指定护士的角色认知:一项诠释现象学研究

Role cognition of assigned nurses supporting Hubei Province in the fight against COVID-19 in China: a hermeneutic phenomenological study.

作者信息

Zhang Xu, Wang Yaqian, Chen Yuanyuan, Yang Hailing, Luan Xiaorong

机构信息

School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.

Qilu Hospital of Shandong University, Jinan, Shandong, China.

出版信息

Front Psychol. 2024 Feb 29;15:1287944. doi: 10.3389/fpsyg.2024.1287944. eCollection 2024.

DOI:10.3389/fpsyg.2024.1287944
PMID:38487660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10939063/
Abstract

AIMS

During the COVID-19 epidemic, nurses played a crucial role in clinical treatment. As a special group, front-line nurses, especially those assigned to support Hubei Province in the fight against COVID-19 between February and April 2020, brought diverse experiences from different provinces in China in taking care of COVID-19 patients and role cognition. Therefore, our purpose is to explore the real coping experience and role cognition of front-line nurses during the novel coronavirus outbreak to provide relevant experience references for society and managers in the face of such major public health emergencies in the future.

DESIGN

This qualitative study was performed using the phenomenological hermeneutics method.

METHOD

This is a qualitative phenomenological study. Semi-structured in-depth interviews were used to collect data. The interviewees were 53 front-line nurses who assisted and supported the fight against COVID-19 in Hubei Province during the COVID-19 epidemic. Data were collected through individual online and telephone interviews using a semi-structured interview during March 2020. The COREQ guidance was used to report this study.

RESULTS

The findings revealed that front-line nurses assisting in the fight against COVID-19 developed a context-specific role cognition of their work and contribution to society. The qualitative analysis of the data revealed 15 sub-categories and 5 main categories. These five themes represented the different roles identified by nurses. The roles included expectations, conflicts, adaptation, emotions, and flow of blessing. Belief in getting better, a sense of honor, and training could help them to reduce feelings of conflict in this role and adapt more quickly.

DISCUSSION

This article discusses the real coping experience and role cognition of front-line nurses during the novel coronavirus epidemic. It provides relevant experience references for society and managers to face similar major public health emergencies in the future. This study makes a significant contribution to the literature because it demonstrates how non-local nurses sent to Hubei to work perceived their roles as part of a larger narrative of patriotism, duty, solidarity, and hope.

摘要

目的

在新型冠状病毒肺炎疫情期间,护士在临床治疗中发挥了关键作用。作为一个特殊群体,一线护士,尤其是那些在2020年2月至4月期间被派往湖北省支援抗击新型冠状病毒肺炎的护士,带来了来自中国不同省份照顾新型冠状病毒肺炎患者的多样经历和角色认知。因此,我们的目的是探索新型冠状病毒爆发期间一线护士的真实应对经验和角色认知,以便为未来面对此类重大突发公共卫生事件的社会和管理者提供相关经验参考。

设计

本定性研究采用现象学诠释学方法进行。

方法

这是一项定性现象学研究。采用半结构化深度访谈收集数据。受访者为53名在新型冠状病毒肺炎疫情期间协助并支援湖北省抗击新型冠状病毒肺炎的一线护士。2020年3月通过个人在线和电话访谈,采用半结构化访谈收集数据。本研究遵循COREQ指南进行报告。

结果

研究结果显示,协助抗击新型冠状病毒肺炎的一线护士对其工作及对社会的贡献形成了特定情境下的角色认知。对数据的定性分析揭示了15个子类别和5个主要类别。这五个主题代表了护士所认同的不同角色。这些角色包括期望、冲突、适应、情感和祝福传递。对病情好转的信念、荣誉感和培训有助于他们减少在该角色中的冲突感并更快适应。

讨论

本文探讨了新型冠状病毒疫情期间一线护士的真实应对经验和角色认知。它为社会和管理者未来面对类似重大突发公共卫生事件提供了相关经验参考。本研究对文献做出了重大贡献,因为它展示了被派往湖北工作的非本地护士如何将自己的角色视为爱国主义、责任、团结和希望这一宏大叙事的一部分。

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本文引用的文献

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Role demands and turnover intention among Covid-19 frontline nurses: The mediating and moderating roles of compassion fatigue and spiritual leadership.新冠疫情一线护士的角色需求与离职意愿:同情疲劳和精神领导力的中介和调节作用。
PLoS One. 2023 Aug 10;18(8):e0289888. doi: 10.1371/journal.pone.0289888. eCollection 2023.
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Lancet. 2022 Oct 29;400(10362):1539-1556. doi: 10.1016/S0140-6736(22)02092-X.
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Impact of the COVID-19 pandemic on the mental health of hospital staff: An umbrella review of 44 meta-analyses.**新冠疫情对医护人员心理健康的影响**:44 项荟萃分析的伞式综述。
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Nurses' perspectives of taking care of patients with Coronavirus disease 2019: A phenomenological study.护士对照顾 2019 年冠状病毒病患者的看法:一项现象学研究。
PLoS One. 2021 Sep 3;16(9):e0257064. doi: 10.1371/journal.pone.0257064. eCollection 2021.
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The Psychological Status of General Population in Hubei Province During the COVID-19 Outbreak: A Cross-Sectional Survey Study.湖北省 COVID-19 疫情期间一般人群的心理状况:一项横断面调查研究。
Front Public Health. 2021 Apr 22;9:622762. doi: 10.3389/fpubh.2021.622762. eCollection 2021.
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Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis.护士在 COVID-19 大流行期间的倦怠及其相关风险因素:系统评价和荟萃分析。
J Adv Nurs. 2021 Aug;77(8):3286-3302. doi: 10.1111/jan.14839. Epub 2021 Mar 25.
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The Current Situation and Influencing Factors of Job Stress Among Frontline Nurses Assisting in Wuhan in Fighting COVID-19.援鄂抗疫一线护士工作压力现状及其影响因素分析。
Front Public Health. 2020 Oct 22;8:579866. doi: 10.3389/fpubh.2020.579866. eCollection 2020.
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Nursing experiences of COVID-19 outbreak in Iran: A qualitative study.伊朗新冠疫情的护理经验:一项定性研究。
Nurs Open. 2021 Jan;8(1):72-79. doi: 10.1002/nop2.604. Epub 2020 Aug 19.
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Lancet Glob Health. 2020 Jun;8(6):e790-e798. doi: 10.1016/S2214-109X(20)30204-7. Epub 2020 Apr 29.
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