Hurst Helen, Ramsey Sarah M
University of Salford, Salford, United Kingdom.
Manchester University NHS Foundation Trust, Manchester, United Kingdom.
Glob Qual Nurs Res. 2025 Jan 16;12:23333936241292737. doi: 10.1177/23333936241292737. eCollection 2025 Jan-Dec.
In 2020, the UK's National Health Service (NHS) braced itself for the challenge of the COVID pandemic. Older, frail adults were among those at highest risk for morbidity and mortality. This study aimed to capture the lived experiences of patients, families/carers and staff on a COVID ward. Thirty participants were included, and data collected through in-depth unstructured interviews. The data were analyzed using interpretive phenomenology. Four main themes were constructed, capturing the collective experiences of the participants. The first theme, the changing and uncertain period of time, describes the shared sense of immersion in the chaotic situation, lack of control and resulting fears related to the contagion. Secondly, challenges of care, focuses on shared anxieties and guilt related to shortcomings in care delivery, and efforts to adapt to the new situation. The third theme, communication and keeping in touch, details the effect restrictions had on efforts to maintain contact and its toll on mental health. The last theme of challenging situations in end-of-life care, reflects experiences of grief and loss shared by all three participant groups. This study adds to the growing evidence base around experiences of the COVID pandemic through exploration of the profound triangulated experience of all participants.
2020年，英国国家医疗服务体系（NHS）为应对新冠疫情的挑战做好了准备。年长体弱的成年人是发病率和死亡率风险最高的人群之一。本研究旨在了解新冠病房中患者、家属/护理人员及工作人员的实际经历。研究纳入了30名参与者，并通过深入的非结构化访谈收集数据。采用解释现象学对数据进行分析。构建了四个主要主题，以反映参与者的集体经历。第一个主题“不断变化且不确定的时期”，描述了在混乱局面中共同的沉浸感、缺乏掌控以及由此产生的对传染的恐惧。第二个主题“护理挑战”，聚焦于与护理提供方面的不足相关的共同焦虑和内疚，以及为适应新情况所做的努力。第三个主题“沟通与保持联系”，详细说明了限制措施对维持联系的努力所产生的影响及其对心理健康造成的损害。最后一个主题“临终关怀中的挑战情况”，反映了所有三个参与群体共同经历的悲伤和失落。本研究通过探索所有参与者深刻的三角测量体验，为围绕新冠疫情经历的不断增加的证据库增添了内容。
