National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin, Taiwan.
Nursing Department, National Taiwan University Hospital, Taipei, Taiwan; National Taiwan University Hospital Union, Taipei, Taiwan.
J Formos Med Assoc. 2024 Nov;123 Suppl 3:S215-S222. doi: 10.1016/j.jfma.2024.03.020. Epub 2024 Apr 4.
In the wake of the COVID-19 pandemic, the fluctuating nurse resignation rates highlighted an understudied area in healthcare: post-pandemic challenges in clinical settings. This study, conducted from May to November 2023, employed a qualitative inquiry using focus groups to delve into these challenges. Six focus group sessions, involving 33 nurse participants recruited through snowball sampling from various hospital settings were conducted to explore their clinical experiences during and after the pandemic. Thematic analysis revealed two primary themes: the 'Invisibility of Nurses' within the healthcare system and the 'Moral Duty of Nursing Practice'. These findings illuminate a tension between the overlooked role of nurses and their ethical obligations, underscoring a critical need for policy reassessment. The study advocates for systemic changes, particularly in the undervaluation of the nursing profession and the National Health Insurance system, to address the poor working environment and mitigate long-term nursing shortages. This research deepens understanding of post-pandemic nursing workforce challenges in Taiwan, highlighting the need for policy evolution to enhance recognition and support for the nursing industry. It is suggested to provide tangible compensation to acknowledge nurses' daily care and health education for patients. A healthier working environment can be enhanced by collaborative efforts between healthcare institutions and nurses.
在 COVID-19 大流行之后，不断波动的护士辞职率凸显了医疗保健领域一个研究不足的领域：大流行后临床环境中的挑战。这项研究于 2023 年 5 月至 11 月进行，采用了定性研究方法，使用焦点小组深入探讨这些挑战。共进行了六次焦点小组会议，参与者为 33 名护士，通过滚雪球抽样从不同医院环境中招募，以探讨他们在大流行期间和之后的临床经验。主题分析揭示了两个主要主题：医疗保健系统中“护士的隐形”和“护理实践的道德责任”。这些发现凸显了护士被忽视的角色与其道德义务之间的紧张关系，强调了政策重新评估的迫切需要。该研究倡导进行系统性变革，特别是在低估护理行业和国家健康保险制度方面，以解决恶劣的工作环境并减轻长期护理短缺问题。这项研究深化了对台湾大流行后护理劳动力挑战的理解，强调需要进行政策演变，以提高对护理行业的认可和支持。建议提供切实的补偿，以认可护士对患者的日常护理和健康教育。通过医疗机构和护士之间的协作努力，可以改善更健康的工作环境。
