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“压力下的成长”:新冠重症监护病房护士的经历——一项定性研究

"Growth under pressure": The Experience of COVID-19 ICU Nurses - A Qualitative Study.

作者信息

Saidkhani Vahid, Asadizaker Marziyeh, Rokhafrooz Dariush, Molavynejad Shahram, Fakhri Ahmad

机构信息

Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Nursing Care Research Center in Chronic Diseases, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Iran J Nurs Midwifery Res. 2024 Jul 2;29(3):320-329. doi: 10.4103/ijnmr.ijnmr_161_23. eCollection 2024 May-Jun.

DOI:10.4103/ijnmr.ijnmr_161_23
PMID:39100398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11296604/
Abstract

BACKGROUND

As an epidemic, COVID-19 has brought a new shock to the world's healthcare system. The crisis caused by this disease and the prolonged involvement of communities and healthcare systems have intensified the duties and psychological burden of nurses. The current study aimed to explain the experience of ICU nurses during the COVID-19 crisis.

MATERIALS AND METHODS

The present study was conducted using conventional content analysis in 2021. Twenty nurses of the COVID-19 ICU of Ahvaz hospitals were selected by purposive sampling. The main method of data collection was semistructured interview. The process of data analysis was done based on Granheim and Lundman's approach using MAXQDA-2020. For the scientific rigor of the findings, Guba and Lincoln's four criteria were abided by. The COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist was used to ensure the study met the recommended standards of qualitative data reporting.

RESULTS

After data analysis, 22 subcategories, eight categories, and one theme (growth under pressure) were extracted. The eight main categories included (psychological crisis, physical exhaustion, family conflicts, complex care, professional development, expertise, life enrichment, and full support).

CONCLUSIONS

Despite the pressures that ICU nurses faced during the COVID-19 pandemic, they were able to grow by benefiting from positive experiences. These findings can lead to the development and implementation of effective interventions to improve adaptation strategies of nurses, especially those working in the intensive care unit, during the COVID-19 and other future crises.

摘要

背景

作为一种流行病,新型冠状病毒肺炎给全球医疗系统带来了新的冲击。这种疾病引发的危机以及社区和医疗系统的长期参与加剧了护士的职责和心理负担。本研究旨在阐释新型冠状病毒肺炎疫情危机期间重症监护病房护士的经历。

材料与方法

本研究于2021年采用传统内容分析法进行。通过目的抽样法选取了阿瓦士医院新型冠状病毒肺炎重症监护病房的20名护士。数据收集的主要方法是半结构式访谈。数据分析过程基于格兰海姆和伦德曼的方法,使用MAXQDA - 2020软件进行。为确保研究结果的科学性严谨性,遵循了古巴和林肯的四项标准。采用COREQ(定性研究报告统一标准)清单来确保该研究符合定性数据报告的推荐标准。

结果

经过数据分析,提取出22个亚类、8个类别和1个主题(压力下成长)。8个主要类别包括(心理危机、身体疲惫、家庭冲突、复杂护理、专业发展、专业技能、生活充实和全力支持)。

结论

尽管重症监护病房护士在新型冠状病毒肺炎大流行期间面临诸多压力,但他们能够通过从积极经历中获益而实现成长。这些研究结果可促使制定并实施有效的干预措施,以改善护士尤其是重症监护病房护士在新型冠状病毒肺炎疫情及未来其他危机期间的适应策略。

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Analysis of the strategies used by iranian nurses for management of provided care for patients with COVID- 19: a qualitative study.伊朗护士对COVID-19患者护理管理策略的分析:一项定性研究。
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Burnout and quality of life in nursing staff during the COVID-19 pandemic.新冠疫情期间护理人员的职业倦怠与生活质量
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Explaining the challenges and adaptation strategies of nurses in caring for patients with COVID-19: a qualitative study in Iran.解释护士在护理新冠肺炎患者时面临的挑战及适应策略:伊朗的一项定性研究
BMC Nurs. 2022 Jun 28;21(1):170. doi: 10.1186/s12912-022-00937-8.
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[A qualitative study on nurses' experiences with social stigma in the context of COVID-19].[关于新冠疫情背景下护士社会污名经历的质性研究]
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