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以同理心应对不确定性:医疗助理对在逆境中平衡新冠疫情防控与常规护理的反思

Navigating Uncertainty with Compassion: Healthcare Assistants' Reflections on Balancing COVID-19 and Routine Care through Adversity.

作者信息

Yip Alice, Yip Jeff, Tsui Zoe, Smith Graeme Drummond

机构信息

S.K. Yee School of Health Sciences, Saint Francis University, Hong Kong, China.

Hong Kong Institute of Paramedicine, Hong Kong, China.

出版信息

Healthcare (Basel). 2024 Aug 5;12(15):1544. doi: 10.3390/healthcare12151544.

DOI:10.3390/healthcare12151544
PMID:39120247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11311336/
Abstract

The coronavirus disease 2019 pandemic created unprecedented challenges for healthcare systems around the world. Healthcare assistants played a vital role in the provision of frontline patient care during this crisis. Despite their important contribution, there exists limited research that specifically examines the healthcare assistant's experiences and perspectives of care provision during the COVID-19 pandemic. This study explored healthcare assistants' caring experiences and perspectives on resilience and self-efficacy during the COVID-19 pandemic in Hong Kong. A qualitative descriptive study with semi-structured interviews was conducted with 25 healthcare assistants from public hospitals. Interview recordings were analyzed using thematic analysis. Five main themes emerged from the data: frontline reinforcement: supporting HCAs through resourcing and education amidst the COVID-19 crisis, confronting uncertainty: building personal fortitude in the face of the COVID-19 pandemic, fostering collective resilience through shared support, self-efficacy as a catalyst for adaptive growth, and paving the way for transformation. These findings advocate for the resilience and self-efficacy of healthcare assistants; this may potentially strengthen healthcare system preparedness for navigating unpredictable challenges in the future.

摘要

2019年冠状病毒病大流行给全球医疗系统带来了前所未有的挑战。在这场危机中,医疗助理在提供一线患者护理方面发挥了至关重要的作用。尽管他们做出了重要贡献,但专门研究医疗助理在2019冠状病毒病大流行期间的护理经历和观点的研究却很有限。本研究探讨了香港医疗助理在2019冠状病毒病大流行期间的护理经历以及对复原力和自我效能感的看法。对来自公立医院的25名医疗助理进行了一项采用半结构化访谈的定性描述性研究。使用主题分析法对访谈录音进行了分析。数据中出现了五个主要主题:前线强化:在2019冠状病毒病危机期间通过资源配置和教育支持医疗助理、面对不确定性:在2019冠状病毒病大流行面前培养个人坚韧精神、通过共同支持增强集体复原力、自我效能感是适应性成长的催化剂、以及为变革铺平道路。这些发现倡导医疗助理的复原力和自我效能感;这可能会增强医疗系统应对未来不可预测挑战的准备能力。

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本文引用的文献

1
Stress experiences of healthcare assistants in family practice at the onset of the COVID-19 pandemic: a mixed methods study.医护助理在 COVID-19 大流行初期在家庭医疗实践中的压力体验:一项混合方法研究。
Front Public Health. 2023 Sep 4;11:1238144. doi: 10.3389/fpubh.2023.1238144. eCollection 2023.
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Learning does not just happen: establishing learning principles for tools to translate resilience into practice, based on a participatory approach.学习并非自然而然发生的:基于参与式方法,为将弹性转化为实践的工具确立学习原则。
BMC Health Serv Res. 2023 Jun 16;23(1):646. doi: 10.1186/s12913-023-09653-8.
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Healthcare workers' (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review.医护人员(HCWs)对 COVID-19 疫苗接种的态度及其相关因素:快速系统评价。
Postgrad Med J. 2023 Jun 15;99(1172):520-528. doi: 10.1136/postgradmedj-2021-140195.
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The role of collaborative learning in resilience in healthcare-a thematic qualitative meta-synthesis of resilience narratives.协作学习在医疗保健中的韧性作用——韧性叙事的主题定性元分析。
BMC Health Serv Res. 2022 Aug 26;22(1):1091. doi: 10.1186/s12913-022-08451-y.
6
Addressing the mental health of nurses during the COVID-19 pandemic: Time for support.关注新冠疫情期间护士的心理健康:是时候提供支持了。
J Clin Nurs. 2022 Oct;31(19-20):e32-e33. doi: 10.1111/jocn.16383. Epub 2022 Jun 26.
7
Exploring crucial programme characteristics and group mechanisms of an empowerment programme for certified nursing assistants-A qualitative study.探讨认证护士助理赋能计划的关键计划特征和团体机制:一项定性研究。
J Adv Nurs. 2022 Sep;78(9):2949-2959. doi: 10.1111/jan.15259. Epub 2022 Apr 9.
8
What can general practice learn from primary care nurses' and healthcare assistants' experiences of the COVID-19 pandemic? A qualitative study.全科医学可以从初级保健护士和医疗保健助理在 COVID-19 大流行期间的经验中学到什么?一项定性研究。
BMJ Open. 2022 Mar 15;12(3):e055955. doi: 10.1136/bmjopen-2021-055955.
9
Policymaking in a low-trust state: legitimacy, state capacity, and responses to COVID-19 in Hong Kong.低信任状态下的政策制定:香港的合法性、国家能力与对新冠疫情的应对
Policy Soc. 2020 Jun 23;39(3):403-423. doi: 10.1080/14494035.2020.1783791. eCollection 2020 Sep.
10
Adapting to the unexpected: Problematic work situations and resilience strategies in healthcare institutions during the COVID-19 pandemic's first wave.适应突发事件:新冠疫情第一波期间医疗机构中的棘手工作情况及复原力策略
Saf Sci. 2021 Jul;139:105277. doi: 10.1016/j.ssci.2021.105277. Epub 2021 Apr 1.