Kang Bada, Oh Eui Geum, Kim Sue, Jang Yeonsoo, Choi JiYeon, Konlan Kennedy Diema, Lee Hyeonkyeong
WHO Collaborating Centre for Research and Training for Nursing Development in Primary Health Care, College of Nursing, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea.
BMC Nurs. 2024 Oct 11;23(1):740. doi: 10.1186/s12912-024-02406-w.
Nurses form the frontline of the healthcare system's response to both epidemics and pandemics, and this was especially the case during the novel coronavirus disease (COVID-19) pandemic. Although the influence of COVID-19 on nursing roles has attracted interest, there is no integrated knowledge of nurses' roles and experiences in primary health care settings during the COVID-19 pandemic. Thus, this study identifies the roles and experiences of nurses in primary health care during the COVID-19 pandemic.
A scoping review study design and the Joanna Briggs Institute methodology were used. The study searched five electronic databases (PubMed, CINAHL, EMBASE, Scopus, and PsychINFO) and included studies published in English from March 2020 to June 2023 that focused on the roles and experiences of nurses (participants) during COVID-19 (concept) in primary health care settings (context).
Fourteen articles were selected for review, involving a total of 1,487 nurses as study participants. The various roles undertaken by nurses in primary health care settings were categorized as comprehensive care providers, supporters and empowerers, coordinators and collaborators, information navigators, and change agents. Challenges and strategies are multilevel intrapersonal, interpersonal, organizational, community, and societal issues, but are not mutually exclusive.
The pandemic-induced challenges revealed primary health care nurses' vital and indispensable roles and resilience. They also fostered a heightened awareness of technological influence on the progression of primary health care in the current milieu. Policymakers and healthcare organizations need to integrate primary health care nurses' expanding and emerging roles within the scope of practice, ensuring their effective implementation without excessive regulatory constraints. This study emphasizes the importance of developing multilevel interventions to address the support needs of primary health care nurses through a system-based approach. Building a strong infrastructure to support nurses' self-care, offering continuing professional development opportunities, and securing official government recognition will be essential for enhancing the resilience of primary healthcare nurses in preparation for future, potentially devastating pandemics.
护士构成了医疗保健系统应对流行病和大流行病的前线力量，在新型冠状病毒病（COVID-19）大流行期间尤其如此。尽管COVID-19对护理角色的影响已引起关注，但对于COVID-19大流行期间护士在初级卫生保健环境中的角色和经历，尚无综合的认识。因此，本研究确定了COVID-19大流行期间护士在初级卫生保健中的角色和经历。
采用范围综述研究设计和乔安娜·布里格斯研究所方法。该研究检索了五个电子数据库（PubMed、CINAHL、EMBASE、Scopus和PsychINFO），纳入了2020年3月至2023年6月以英文发表的、聚焦于COVID-19期间（概念）初级卫生保健环境（背景）中护士（参与者）的角色和经历的研究。
选择了14篇文章进行综述，共有1487名护士作为研究参与者。护士在初级卫生保健环境中承担的各种角色被归类为综合护理提供者、支持者和赋能者、协调者和协作者、信息导航者以及变革推动者。挑战和策略是多层次的，包括个人内部、人际、组织、社区和社会问题，但并非相互排斥。
大流行引发的挑战揭示了初级卫生保健护士至关重要且不可或缺的角色以及适应能力。这些挑战还提高了人们对技术在当前环境下对初级卫生保健发展影响的认识。政策制定者和医疗保健组织需要将初级卫生保健护士不断扩展和新出现的角色纳入实践范围，确保其有效实施且不受过多监管限制。本研究强调了通过基于系统的方法制定多层次干预措施以满足初级卫生保健护士支持需求的重要性。建立强大的基础设施以支持护士的自我护理、提供持续专业发展机会以及获得政府官方认可对于增强初级卫生保健护士的适应能力以应对未来可能具有毁灭性的大流行至关重要。
