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一项关于护士在 COVID-19 大流行期间经历的患者探视限制的调查。

A survey of nurses' experiences with patient visitation restrictions during the COVID-19 pandemic.

机构信息

At the American Public University System, Barbara Cliff is a professor, Elina Keiser is an associate professor, Stacey Malinowski is an associate dean, and Meagan Wilson is the Healthcare Administration & Health Sciences Department Chair.

出版信息

Nursing. 2024 Aug 1;54(8):52-57. doi: 10.1097/NSG.0000000000000039. Epub 2024 Jul 19.

Abstract

PURPOSE

To characterize nurses' experiences of restrictive visitation during the COVID-19 pandemic.

METHODS

In early 2023, an exploratory study investigated professional RNs' perceptions of restrictive visitation policies and end-of-life care during the COVID-19 pandemic, focusing on experiences between March and September 2020. An 11-question online survey containing qualitative and quantitative elements was sent to postlicensure nursing students and alumni of American Public University System (American Military University/American Public University).

RESULTS

Among the 41 survey respondents (response rate of 4%), 75.6% observed patients dying alone due to visitation restrictions during March-September 2020, with 87.8% noting strict no-visitation policies, yet only 10% found it effective. A majority (68.3%) supported allowing some family presence, reflecting negative sentiments toward strict policies; suggestions for enhancing family involvement included technology (78%) and employing volunteers or liaisons (34.1%) to improve patient/family well-being and alleviate nurse burden.

CONCLUSION

The findings revealed insights into nurses' experiences and perspectives on end-of-life care and visitation limitations during the pandemic. While the isolation of patients during times of strict visitation restrictions has some merit, exploring options for modified family visitation at the end of life is critical.

摘要

目的

描述护士在 COVID-19 大流行期间限制探视的体验。

方法

2023 年初,一项探索性研究调查了注册护士对 COVID-19 大流行期间限制探视政策和临终关怀的看法,重点关注 2020 年 3 月至 9 月期间的经验。一项包含定性和定量元素的 11 个问题的在线调查被发送给美国公立大学系统(美国军事大学/美国公立大学)的毕业后护理学生和校友。

结果

在 41 名调查参与者(回应率为 4%)中,75.6%的人观察到患者因 2020 年 3 月至 9 月期间的探视限制而孤独死亡,87.8%的人注意到严格的禁止探视政策,但只有 10%的人认为该政策有效。大多数人(68.3%)支持允许一些家属在场,这反映了对严格政策的负面情绪;加强家属参与的建议包括使用技术(78%)和雇佣志愿者或联络人(34.1%),以改善患者/家属的福祉和减轻护士的负担。

结论

研究结果揭示了护士在大流行期间对临终关怀和探视限制的体验和观点。虽然在严格探视限制期间隔离患者有一定的好处,但探索修改临终时家属探视的选择至关重要。

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