Shahmari Mehraban, Nayeri Nahid Dehghan, Palese Alvisa, Dashti Seemin, Manookian Arpi
Department of Medical-Surgical School of Nursing and Midwifery Ardabil University of Medical Sciences, Ardabil, Iran.
USERN Care (TUMS) Office School of Nursing and Midwifery Tehran University of Medical Sciences, Tehran, Iran.
J Nurs Manag. 2024 Jul 30;2024:6185455. doi: 10.1155/2024/6185455. eCollection 2024.
Nurse protection is a multifaceted concept that has become increasingly relevant in recent years. Despite its importance in effectively managing pandemics, there is still a gap in knowledge about how nurses achieve protection in hospitals.
To describe the process of seeking protection among nurses during the COVID-19 pandemic.
A grounded theory approach from 2020 to 2022, employing purposive and theoretical sampling. Face-to-face and online interviews were conducted with 25 participants, resulting in 29 interviews. Data analysis was carried out using Corbin and Strauss's method (2015).
The analysis revealed that nurses encountered numerous obstacles related to patients, nurses themselves, organizations, and the passage of time during the COVID-19 pandemic. These challenges were intertwined with three key concepts: transformations, inequalities, and emotional challenges, highlighting the multifaceted nature of nurses' protection concerns. In response, nurses employed a protective strategy bolstered by catalysts to address these challenges. This strategy encompassed both optimistic outlooks ("Bright horizon") and somber reflections ("Unpleasant reflection"). Ultimately, seeking protection in the heart of the storm emerged as the core concept, representing the multifaceted process through which nurses navigate and seek protection amidst the unique challenges posed by the pandemic.
This study presents a comprehensive theory that explicitly explains the multifaceted process of seeking protection among hospital-employed nurses during a pandemic. The theory captures the interconnectedness of challenges faced by nurses and the protective strategies they employ while acknowledging the nuanced balance between hopeful prospects and sobering reflections. . Policymakers, managers, and educators can utilize the findings to improve nursing management and support systems. By increasing awareness, addressing challenges, and providing robust support, they can enhance the well-being and effectiveness of nurses during healthcare crises, ultimately improving patient care quality.
护士保护是一个多方面的概念，近年来变得越来越重要。尽管其在有效管理大流行方面很重要，但对于护士在医院中如何获得保护，仍存在知识差距。
描述2019冠状病毒病大流行期间护士寻求保护的过程。
采用扎根理论方法，从2020年至2022年，运用目的抽样和理论抽样。对25名参与者进行了面对面和在线访谈，共进行了29次访谈。使用科尔宾和施特劳斯的方法（2015年）进行数据分析。
分析表明，在2019冠状病毒病大流行期间，护士在患者、护士自身、组织以及时间推移方面遇到了众多障碍。这些挑战与三个关键概念相互交织：转变、不平等和情感挑战，凸显了护士保护问题的多面性。作为回应，护士采用了由催化剂支持的保护策略来应对这些挑战。该策略包括乐观的展望（“光明前景”）和严肃的反思（“不愉快的反思”）。最终，在风暴中心寻求保护成为核心概念，代表了护士在大流行带来的独特挑战中应对和寻求保护的多方面过程。
本研究提出了一个全面的理论，明确解释了大流行期间医院护士寻求保护的多方面过程。该理论捕捉了护士面临的挑战与其采用的保护策略之间的相互联系，同时承认了充满希望的前景与清醒的反思之间的细微平衡。政策制定者、管理者和教育工作者可以利用这些发现来改善护理管理和支持系统。通过提高认识、应对挑战和提供有力支持，他们可以在医疗危机期间提高护士的幸福感和效率，最终提高患者护理质量。
