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本文引用的文献

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Covid-19 pandemic? Mental health implications among nurses and Proposed interventions.新冠疫情?护士的心理健康影响及建议干预措施
AIMS Public Health. 2024 Mar 11;11(1):273-293. doi: 10.3934/publichealth.2024014. eCollection 2024.
2
Determinants of burnout among nurses and midwives at a tertiary hospital in Ghana: A cross-sectional study.加纳一家三甲医院护士和助产士职业倦怠的决定因素:一项横断面研究。
Nurs Open. 2023 Feb;10(2):869-878. doi: 10.1002/nop2.1355. Epub 2022 Sep 9.
3
A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19.新型冠状病毒肺炎疫情期间医护人员职业倦怠的系统评价与Meta分析
Front Psychiatry. 2021 Nov 10;12:758849. doi: 10.3389/fpsyt.2021.758849. eCollection 2021.
4
Health of nursing professionals: workload during the COVID-19 pandemic.护理专业人员的健康:新冠疫情期间的工作量
Rev Bras Med Trab. 2021 Mar 3;18(4):464-471. doi: 10.47626/1679-4435-2020-600.
5
Meaningful Living to Promote Complete Mental Health Among University Students in the Context of the COVID-19 Pandemic.在新冠疫情背景下促进大学生全面心理健康的有意义生活
Int J Ment Health Addict. 2022;20(2):930-942. doi: 10.1007/s11469-020-00416-8. Epub 2020 Nov 3.
6
Exploring the challenges faced by frontline workers in health and social care amid the COVID-19 pandemic: experiences of frontline workers in the English Midlands region, UK.探索英国英格兰中部地区卫生和社会保健一线工作者在 COVID-19 大流行期间面临的挑战:一线工作者的经历。
J Interprof Care. 2020 Sep-Oct;34(5):655-661. doi: 10.1080/13561820.2020.1792425. Epub 2020 Jul 17.
7
The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study.中国医护人员在 COVID-19 危机期间的经历:一项定性研究。
Lancet Glob Health. 2020 Jun;8(6):e790-e798. doi: 10.1016/S2214-109X(20)30204-7. Epub 2020 Apr 29.
8
Nurses' Stress Associated with Nursing Activities and Electronic Health Records: Data Triangulation from Continuous Stress Monitoring, Perceived Workload, and a Time Motion Study.护士与护理活动及电子健康记录相关的压力:来自持续压力监测、感知工作量和时间动作研究的数据三角剖分
AMIA Annu Symp Proc. 2020 Mar 4;2019:952-961. eCollection 2019.
9
Coronavirus infections: Epidemiological, clinical and immunological features and hypotheses.冠状病毒感染:流行病学、临床及免疫学特征与假说
Cell Stress. 2020 Mar 2;4(4):66-75. doi: 10.15698/cst2020.04.216.
10
A Comparison of Burnout Frequency Among Oncology Physicians and Nurses Working on the Frontline and Usual Wards During the COVID-19 Epidemic in Wuhan, China.中国武汉 COVID-19 疫情期间,比较肿瘤临床医师和在一线及普通病房工作的护士的 burnout 频率。
J Pain Symptom Manage. 2020 Jul;60(1):e60-e65. doi: 10.1016/j.jpainsymman.2020.04.008. Epub 2020 Apr 10.

新冠疫情与医护人员职业倦怠:加纳一家二级医院医护人员职业倦怠经历的定性研究

COVID-19 and Healthcare Workers Burnt out: A Qualitative Study of Burnout Experiences of Healthcare workers in a Secondary Hospital in Ghana.

作者信息

Appiah Seth Christopher Yaw, Sobiesuo Elvis Mwinsome, Obeng Bernard, Asamoah Elsie, Mantey Comfort Badu, Dwumah Peter, Boampong Mary Sefa, Boateng Abena Afrakomah, Ofori Richard, Nimoh Michael, Nyarko Josephine Boakyewaa, Dapaah Jonathan Mensah

机构信息

Department of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Centre for Gender, Sustainable Health, Climate Migration and Displacement Studies, Kumasi, Ghana.

出版信息

Nurs Open. 2025 Aug;12(8):e70279. doi: 10.1002/nop2.70279.

DOI:10.1002/nop2.70279
PMID:40743288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12312758/
Abstract

AIM

The COVID-19 pandemic emerged between 2019 and 2021, and had a profound and far-reaching impact across all sectors of society, significantly altering daily life and working conditions especially for frontline health professionals. This study explored the burnout context that occurred among health workers, predominantly nurses during the peak of the COVID-19 pandemic in a secondary hospital facility in Ghana.

DESIGN

Descriptive phenomenological design.

METHODS

The study adopted a qualitative approach, anchored on a descriptive phenomenological design to explore the dynamics of burnt-out experienced by 12 healthcare staff at the Kwame Nkrumah University of Science and Technology (KNUST) hospital in Ghana during the COVID-19 pandemic. The (12) healthcare workers, which included six (6) male and six (6) female, were recruited using a convenient sampling technique, guided by a structured interview guide. Adopting a thematic approach, the transcribed data were analysed after data categorisation and manual coding.

FINDINGS

Healthcare staff reported a significant increase in workload during the peak of COVID-19 cases, which subsided as case severity decreased over time. Healthcare workers recounted the pandemic's psychological toll, including symptoms of increased stress, worry, and despair exacerbated by severe burnout as a result of the crisis's relentless demands. Despite the obstacles, healthcare workers constantly emphasised their dedication to professionalism, indicating a strong feeling of obligation to maintain patient-centred treatment. A highlight was made in respect of exhaustion and emotional difficulties, though these experiences did not impair the quality of treatment delivered to clients. Providing respectful, empathetic, and equitable care to all patients irrespective of suspected COVID-19 or other diseases remained a central feature of services provided.

PATIENT OR PUBLIC CONTRIBUTION

This paper presents findings relevant to the provision of quality client care in moments of extreme stress. It provides insights into the challenges nurses go through to secure their health and provide safety for the public in moments of general public fear and discomfort. The findings in this study invite the public to appreciate and equally empathise with emergency health care providers particularly during periods of pandemic.

摘要

目的

2019年至2021年期间出现了新冠疫情,对社会各部门产生了深远影响,极大地改变了日常生活和工作条件,尤其是一线医护人员的生活和工作条件。本研究探讨了在加纳一家二级医院设施中,在新冠疫情高峰期医护人员(主要是护士)出现职业倦怠的情况。

设计

描述性现象学设计。

方法

本研究采用定性研究方法,以描述性现象学设计为基础,探讨加纳夸梅·恩克鲁玛科技大学(KNUST)医院的12名医护人员在新冠疫情期间所经历的职业倦怠动态。这12名医护人员包括6名男性和6名女性,采用方便抽样技术招募,由结构化访谈指南指导。采用主题分析法,在对数据进行分类和手工编码后,对转录的数据进行分析。

结果

医护人员报告称,在新冠病例高峰期工作量显著增加,随着病例严重程度随时间下降,工作量也随之减少。医护人员讲述了疫情带来的心理负担,包括由于危机的持续要求导致的压力、担忧和绝望加剧,严重倦怠症状也随之出现。尽管面临诸多障碍,医护人员始终强调他们对专业精神的执着,表明有一种强烈的责任感,要坚持以患者为中心的治疗。疲惫和情绪困扰也被提及,不过这些经历并未影响为患者提供的治疗质量。无论患者疑似感染新冠病毒还是患有其他疾病,为所有患者提供尊重、同理心和公平的护理仍是所提供服务的核心特征。

患者或公众贡献

本文介绍了在极端压力时刻提供优质患者护理方面的相关研究结果。它深入探讨了护士在公众恐惧和不安时期为保障自身健康以及为公众提供安全保障所面临的挑战。本研究结果呼吁公众,尤其是在疫情期间,要理解并同情紧急医疗服务提供者。