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一线护士护理新冠肺炎患者的经历——一项主题分析。

Experiences of frontline nurses caring COVID-19 patients - A thematic analysis.

作者信息

Sequira Leena, Nayak Shalini Ganesh, Nayak Shobha

机构信息

Manipal School of Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education Manipal, Karnataka, India.

Medical Surgical Nursing, Manipal College of Nursing Manipal, Manipal Academy of Higher Education Manipal, Karnataka, India.

出版信息

J Educ Health Promot. 2024 Jul 5;13:200. doi: 10.4103/jehp.jehp_12_24. eCollection 2024.

DOI:10.4103/jehp.jehp_12_24
PMID:39268448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11392319/
Abstract

BACKGROUND

The COVID-19 pandemic exerts a considerable impact on the healthcare setting and healthcare provider's personal and social life. Adjusting to an entirely new working environment may have added challenges for the nurses without having infectious disease expertise. The study aimed to understand and describe the experiences of nurses taking care of COVID-19 patients in a tertiary care Hospital.

MATERIALS AND METHODS

The study was conducted in a tertiary care multispecialty hospital of Udupi District, Karnataka, India. A qualitative research approach with thematic analysis was used in this study. The inclusion criteria were staff nurses caring for COVID-19 patients for a minimum of 1 week. Samples were selected by purposive sampling technique, and the data saturation was achieved with 12 participants. Data were collected through in-depth, face-to-face interviews directed by a semi-structured interview guide. The interviews were audio-recorded and then transcribed verbatim. Thematic analysis derived from participant's responses. Data collection and data analysis were performed simultaneously. The data were analyzed using Kiger and Vapiro's six-step process of thematic analysis of qualitative data.

RESULTS

Ten subthemes were grouped from the three major themes under "working in COVID-19 facility: A "challenging experience", "adaptive coping strategies", and "support during a pandemic" emerged based on the experiences of staff nurses working with the COVID-19 patients.

CONCLUSION

Staff nurses in this study had challenging experiences attributed to several factors at the outbreak of the COVID-19 pandemic. Meanwhile, strategies to confront the difficulties were adopted by them to improve their well-being.

摘要

背景

2019年冠状病毒病(COVID-19)大流行对医疗环境以及医护人员的个人和社会生活产生了重大影响。对于没有传染病专业知识的护士来说,适应全新的工作环境可能会带来更多挑战。本研究旨在了解和描述在一家三级医院照顾COVID-19患者的护士的经历。

材料与方法

本研究在印度卡纳塔克邦乌杜皮区的一家三级多专科医院进行。本研究采用了带有主题分析的定性研究方法。纳入标准为照顾COVID-19患者至少1周的注册护士。通过目的抽样技术选取样本,12名参与者达到数据饱和。通过由半结构化访谈指南指导的深入面对面访谈收集数据。访谈进行录音,然后逐字转录。主题分析源自参与者的回答。数据收集和数据分析同时进行。使用基格和瓦皮罗的定性数据主题分析六步法对数据进行分析。

结果

根据照顾COVID-19患者的注册护士的经历,从“在COVID-19设施中工作:一次‘具有挑战性的经历’”“适应性应对策略”和“大流行期间的支持”这三个主要主题中归纳出了10个子主题。

结论

本研究中的注册护士在COVID-19大流行爆发时因多种因素而经历了具有挑战性的体验。同时,他们采取了应对困难的策略来改善自身状况。

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本文引用的文献

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Psychological impacts of the COVID-19 on health care providers.新冠疫情对医护人员的心理影响。
J Educ Health Promot. 2023 Aug 31;12:272. doi: 10.4103/jehp.jehp_1179_22. eCollection 2023.
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Mental Health Needs of Health Care Workers Providing Frontline COVID-19 Care.提供新冠肺炎一线护理的医护人员的心理健康需求
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BMC Med Inform Decis Mak. 2022 Mar 2;22(1):54. doi: 10.1186/s12911-022-01792-y.
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Nursing Students' Competency to Attend Disaster Situations: A Study in Western Iran.护理学生应对灾害情景的能力:伊朗西部的一项研究。
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Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies.新型冠状病毒肺炎疫情期间医护人员的心理弹性、应对行为和社会支持:定量研究的系统评价。
J Nurs Manag. 2021 Oct;29(7):1893-1905. doi: 10.1111/jonm.13336. Epub 2021 Apr 28.
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Health Problems and Skin Damages Caused by Personal Protective Equipment: Experience of Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units.个人防护装备导致的健康问题与皮肤损伤:重症监护病房中一线护士护理危重症 COVID-19 患者的经验
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Burnout and Resilience among Frontline Nurses during COVID-19 Pandemic: A Cross-sectional Study in the Emergency Department of a Tertiary Care Center, North India.新冠疫情期间一线护士的职业倦怠与心理韧性:印度北部一家三级护理中心急诊科的横断面研究
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