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新冠疫情后急诊与重症护理护士的创伤后成长经历:一项质性元整合研究

Post-traumatic growth experiences of emergency and critical care nurses after the COVID-19 pandemic: A qualitative meta-synthesis.

作者信息

Liu Shuyang, Chen Huifeng, Xu Dele, Liu Yue, Han Peng, Jiang Jinxia, Zhuang Yugang

机构信息

Emergency Department, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Department of medical affairs, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China.

出版信息

Heliyon. 2024 Jun 12;10(12):e32796. doi: 10.1016/j.heliyon.2024.e32796. eCollection 2024 Jun 30.

Abstract

OBJECTIVE

The previous coronavirus disease 2019(COVID-19) epidemic inflicted significant psychological trauma on emergency and critical care nurses due to various factors, potentially leading to job burnout. Despite the rise of positive psychology, little is known about the post-traumatic growth experience of these nurses after the pandemic. The aim of this study was to assess the experience of post-traumatic growth among emergency and critical care nurses, in order to provide managerial insights for developing effective strategies and facilitating the transformation of nurses' negative emotions into positive ones.

DESIGN

A qualitative review.

DATA SOURCES

PubMed, EBSCO, Medline, Elsvier, Cochrane Library, CINAHL, Web of Science, Embase, and Ovid and Chinese databases include the following: Chinese National Knowledge Infrastructure (CNKI), Wanfang Database (CECDB), VIP Database and China Biomedical Database (CBM).

REVIEW METHODS

All articles about emergency and critical care nurses' post-traumatic growth after the COVID-19 pandemic were included after searching and screening 13 databases. The meta-synthesis method was used to integrate and evaluate the included literature in qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used as a basis for reporting the review. The literature was selected and evaluated by two researchers, and then meta-integration was used for analysis.

RESULTS

From a total of 11 articles, 90 main results were presented, eight new categories were integrated, and three themes were formed: stress period, adjustment period and growth period. These three themes include eight sub-themes: negative emotion, psychological gap, self adjusting, social support, improvement of personal ability, increased sense of professional belonging, spiritual awakening and extended thinking, look ahead.

CONCLUSION

Post-traumatic growth in emergency and critical care nurses is dynamic. Managers should monitor the psychological changes experienced by emergency and critical care nurses following traumatic events, offering targeted support at different stages, providing enhanced professional development opportunities, refining management strategies, guiding nurses in self-adjustment and active coping with trauma, and promoting their physical and mental well-being to ensure a positive mindset for effectively addressing future public health crises.

摘要

目的

先前的2019冠状病毒病(COVID-19)疫情因多种因素给急诊和重症护理护士造成了重大心理创伤,可能导致职业倦怠。尽管积极心理学有所兴起,但对于这些护士在疫情后的创伤后成长经历却知之甚少。本研究旨在评估急诊和重症护理护士的创伤后成长经历,以便为制定有效策略和促进护士将负面情绪转化为积极情绪提供管理见解。

设计

定性综述。

数据来源

PubMed、EBSCO、Medline、爱思唯尔、考克兰图书馆、护理学与健康领域数据库(CINAHL)、科学引文索引(Web of Science)、Embase、Ovid以及中文数据库,包括:中国知网(CNKI)、万方数据库(CECDB)、维普数据库和中国生物医学文献数据库(CBM)。

综述方法

在检索和筛选13个数据库后,纳入所有关于COVID-19疫情后急诊和重症护理护士创伤后成长的文章。采用元综合法对定性研究中纳入的文献进行整合和评估。系统评价和元分析的首选报告项目(PRISMA)用作报告综述的依据。由两名研究人员对文献进行筛选和评估,然后进行元整合分析。

结果

从总共11篇文章中呈现了90个主要结果,整合了8个新类别,并形成了三个主题:应激期、调整期和成长阶段。这三个主题包括8个子主题:负面情绪、心理落差、自我调适、社会支持、个人能力提升、职业归属感增强、精神觉醒与思维拓展、展望未来。

结论

急诊和重症护理护士的创伤后成长是动态的。管理者应监测急诊和重症护理护士在创伤事件后的心理变化,在不同阶段提供有针对性的支持,提供更多专业发展机会,完善管理策略,引导护士进行自我调适并积极应对创伤,促进其身心健康,以确保拥有积极心态来有效应对未来的公共卫生危机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1442/11225832/825f319a36d8/gr1.jpg

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