关键词: COVID-19 pandemic Experiences Intensive care nurses Qualitative research Workforce shortage

Mesh : Humans United States COVID-19 Pandemics Qualitative Research Critical Care Nurses

来  源:   DOI:10.1016/j.iccn.2023.103388

Abstract:
OBJECTIVE: To describe the impact of the COVID-19 pandemic on intensive care nurses personal and professional well-being.
METHODS: A descriptive, qualitative design was used. Two nurse researchers conducted one-on-one interviews via Zoom or TEAMS using a semi-structured interview guide.
METHODS: Thirteen nurses who were working in an intensive care unit in the United States participated in the study. A convenience sample of nurses who completed a survey in the larger parent study provided an email and were contacted by the research team to participate in interviews to discuss their experiences.
METHODS: An inductive approach to content analysis was used to develop categories.
RESULTS: Five major categories emerged from the interviews: (1) We are not heroes, (2) inadequate support, (3) helplessness, (4) exhaustion, and (5) Nurses the second victim.
CONCLUSIONS: The COVID-19 pandemic has taken a physical and mental health toll on intensive care nurses. The impact of the pandemic on personal and professional well-being has serious implications for retaining and expanding the nursing workforce.
CONCLUSIONS: This work highlights the importance for bedside nurses to advocate for systemic change to improve the work environment. It is imperative for nurses to have effective training including evidence-based practice and clinical skills. There needs to be systems in place to monitor and support nurses\' mental health and encourage bedside nurses to use self-care methods and practices to prevent anxiety, depression, post-traumatic stress disorder and burnout.
摘要:
目的:描述COVID-19大流行对重症监护护士个人和职业幸福感的影响。
方法:描述性,采用定性设计。两名护士研究人员使用半结构化访谈指南通过Zoom或TEAMS进行了一对一访谈。
方法:在美国重症监护病房工作的13名护士参与了这项研究。在较大的父母研究中完成调查的护士的便利样本提供了一封电子邮件,研究小组与他们联系以参加访谈以讨论他们的经历。
方法:采用归纳法进行内容分析,以开发类别。
结果:采访中出现了五个主要类别:(1)我们不是英雄,(2)支持不足,(3)无助,(4)耗尽,(5)护理第二个受害者。
结论:COVID-19大流行对重症监护护士的身心健康造成了损害。大流行对个人和职业福祉的影响对保留和扩大护理人员队伍具有严重影响。
结论:这项工作强调了床边护士倡导系统变革以改善工作环境的重要性。护士必须接受有效的培训,包括循证实践和临床技能。需要建立监测和支持护士心理健康的系统,并鼓励床边护士使用自我护理方法和做法来预防焦虑,抑郁症,创伤后应激障碍和倦怠。
公众号