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“这简直令人不安”——疫情期间新冠疫情特殊病房护理人员压力因素评估:一项定性研究。

"It was simply disturbing" - evaluation of the stress factors of nursing staff on special COVID-19 wards during the pandemic: a qualitative study.

作者信息

Kiefer Lea, Volberg Christian, Graw Jan Adriaan, Bösner Stefan

机构信息

Department of General Practice and Family Medicine, Philipps-University Marburg, Marburg, Germany.

Department of Anesthesiology and Intensive Care Medicine, Research Group Medical Ethics, Philipps University of Marburg, Baldingerstraße, 35043, Marburg, Germany.

出版信息

BMC Nurs. 2025 Feb 3;24(1):120. doi: 10.1186/s12912-025-02773-y.

Abstract

BACKGROUND

The COVID-19 pandemic has posed enormous challenges for healthcare systems worldwide. The strain on nursing staff working in special COVID-19 wards during the pandemic increased dramatically. To support nursing staff more effectively in similar situations in the future, it is important to identify specific stress factors to design effective support measures.

OBJECTIVE

To collect the experiences and lessons learned from nursing staff who have been affected by COVID-19 pandemic on a special COVID-19 ward that were perceived as stressful. The findings should contribute to the development of specific support measures for healthcare professionals.

DESIGN

Qualitative interview study.

SETTING

We interviewed 14 members of nursing staff who worked on COVID-19 wards at two University Hospitals about their working experiences during the pandemic.

RESULTS

We were able to identify 10 key stress factors. These included an increased workload, communication deficits, a difficult personnel situation, subjective pressure, the establishment of a new ward, a shortage of material resources, inadequate hygiene conditions, a lack of opportunities to cope with the situation, the absence of relatives and decision making.

CONCLUSION

The identification of various stress factors highlights the urgent need for comprehensive support measures. These measures could include concepts for dealing with physical and psychosocial stress, the provision of resources and sufficient personnel support. It remains crucial to proactively take preventive and supportive measures to reduce the burden and moral distress of nursing staff and protect their health in the long term. Despite the pandemic, the implications of our findings remain relevant for the future.

摘要

背景

新冠疫情给全球医疗系统带来了巨大挑战。疫情期间,在新冠专科病房工作的护理人员压力剧增。为了在未来类似情况下更有效地支持护理人员,识别具体的压力因素以设计有效的支持措施至关重要。

目的

收集在新冠专科病房受疫情影响的护理人员的经验教训,这些经历被认为具有压力。研究结果应有助于为医护人员制定具体的支持措施。

设计

定性访谈研究。

地点

我们采访了两所大学医院新冠病房的14名护理人员,了解他们在疫情期间的工作经历。

结果

我们识别出10个关键压力因素。包括工作量增加、沟通不足、人员情况困难、主观压力、新病房的设立、物资资源短缺、卫生条件不足、缺乏应对情况的机会、亲属缺席和决策。

结论

识别出各种压力因素凸显了全面支持措施的迫切需求。这些措施可包括应对身体和心理社会压力的理念、提供资源和充足的人员支持。积极采取预防和支持措施以减轻护理人员的负担和道德困扰并长期保护他们的健康仍然至关重要。尽管有疫情,但我们的研究结果对未来仍具有相关性。

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