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护士在 COVID-19 大流行期间的职业安全与健康:缺失的优质护理环节:一项定性研究。

Occupational safety and health of nurses during the COVID-19 pandemic, the missing part of quality care: a qualitative study.

机构信息

Medical-Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran (the Islamic Republic of).

Medical-Surgical Nursing, Tabriz University of Medical Sciences, Faculty of Nursing and Midwifery, Tabriz, Iran (the Islamic Republic of)

出版信息

BMJ Open. 2024 Jun 10;14(6):e083863. doi: 10.1136/bmjopen-2024-083863.

Abstract

OBJECTIVE

This study explored the consequences of COVID-19 on the occupational safety and health of nurses.

DESIGN

Qualitative conventional content analysis.

PARTICIPANTS

14 nurses selected by purposeful sampling method.

SETTING

Five educational and non-educational hospitals in the Northwest of Iran.

DATA COLLECTION AND ANALYSIS

Semistructured interviews were used for data collection and analysed using conventional content analysis.

RESULTS

Two main categories have emerged from the data: reduced quality of professional life and post-traumatic growth. Reduced quality of professional life, which has two subcategories including job dissatisfaction and burnout, has a negative nature, and has had many negative effects on the physical, mental and well-being of nursing personnel during the coronavirus era. On the other hand, post-traumatic growth, with two subcategories that include promoting safe behaviour and gaining a positive self-concept, has a positive nature.

CONCLUSIONS

Maintaining the occupational health and safety of nurses plays an important role in providing quality services to patients. Therefore, it is necessary for managers and policymakers to use the experiences related to the COVID-19 crisis, to prevent negative factors and strengthen positive factors, to maintain the safety and occupational health of nurses, and increase the quality of care.

摘要

目的

本研究探讨了 COVID-19 对护士职业安全与健康的影响。

设计

定性常规内容分析。

参与者

14 名护士,采用目的抽样法选取。

地点

伊朗西北部的 5 所教育和非教育医院。

资料收集与分析

采用半结构式访谈收集资料,采用常规内容分析进行分析。

结果

数据中出现了两个主要类别:职业生活质量下降和创伤后成长。职业生活质量下降具有两个亚类,包括工作不满和倦怠,具有消极性质,在冠状病毒时代对护理人员的身心健康和幸福感产生了许多负面影响。另一方面,创伤后成长具有两个亚类,包括促进安全行为和获得积极的自我概念,具有积极性质。

结论

维护护士的职业健康和安全对于为患者提供优质服务至关重要。因此,管理者和政策制定者有必要利用与 COVID-19 危机相关的经验,预防消极因素,加强积极因素,维护护士的安全和职业健康,提高护理质量。

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本文引用的文献

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Exploring Clinical Nurses' Perceptions on the Concept of Quality Care: A Qualitative Study.
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An examination of the fear of COVID-19 and professional quality of life among nurses: A multicultural study.
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Frontline Nurses' Post-Traumatic Stress Disorder and Associated Predictive Factors During the Second Wave of COVID-19 in Central, Uganda.
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