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重症监护护士在新冠疫情期间的团队合作经历。一项定性研究。

Intensive care nurses' experiences of teamwork during the covid-19 pandemic. a qualitative study.

作者信息

Eckerblad Jeanette, Dorell Åsa, Conte Helen

机构信息

Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Nobels Allé 23 Huddinge, Stockholm, SE-141 83, Sweden.

出版信息

BMC Nurs. 2025 Jan 27;24(1):97. doi: 10.1186/s12912-025-02696-8.

DOI:10.1186/s12912-025-02696-8
PMID:39871259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11771016/
Abstract

BACKGROUND

Teamwork is a core competence for all health care professionals and quality of care is a vital outcome. The pandemic backdrop of 2020-2022 led to initial chaos and adaptation of the nurses' roles and responsibilities in the intensive care unit. Therefore, the purpose was to describe the intensive care nurses' experiences of working in teams during the Covid-19 pandemic and discussing the results through the lens of transitiontheory.

METHODS

Individual and semi-structured interviews were conducted with 16 intensive care nurses. The interview transcripts were analysed using Braun & Clarke's six-step inductive thematic analysis.

RESULTS

The intensive and critical care nurses' experiences during the first 18 months of the Covid-19 pandemic captured chronological and conceptual commonalities, which were represented in three themes, "Losing the security of the ICU team", "Having time to adapt and finding structure for collaborative work", and "Gaining professional growth through adapting collaborative work to contextual challenges".

CONCLUSION

Losing the security of the intensive care unit team, having to adapt to constant changes, and the need to provide care to an increased number of critically ill patients led to a sense of being left to manage on their own. The intensive care unit nurses missed the interprofessional collaboration that had previously been a core part of their professional role. The adaptability and willingness to find solutions helped nurses regain control, manage the challenges they faced and find new ways to collaborate.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

团队合作是所有医疗保健专业人员的核心能力,而护理质量是至关重要的结果。2020 - 2022年的疫情背景导致重症监护病房护士的角色和职责最初出现混乱并进行调整。因此,目的是描述重症监护护士在新冠疫情期间的团队合作经历,并通过转型理论的视角讨论结果。

方法

对16名重症监护护士进行了个人和半结构化访谈。使用布劳恩和克拉克的六步归纳主题分析法对访谈记录进行了分析。

结果

在新冠疫情的前18个月,重症和危重症护理护士的经历呈现出时间顺序和概念上的共性,体现在三个主题中,即“失去重症监护病房团队的安全感”、“有时间适应并找到协作工作的架构”以及“通过使协作工作适应情境挑战实现职业成长”。

结论

失去重症监护病房团队的安全感、不得不适应不断的变化以及需要为更多危重症患者提供护理,导致一种只能独自应对的感觉。重症监护病房护士怀念以前作为其职业角色核心部分的跨专业协作。适应能力和寻找解决方案的意愿帮助护士重新获得掌控,应对他们面临的挑战并找到新的协作方式。

临床试验编号

不适用。

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