Abstract：
BACKGROUND: The COVID-19 pandemic has challenged health care professionals and changed our approach to care delivery. The aim in this study was to explore nurses\' experiences providing care in the ED during the COVID-19 pandemic in Australia and the impact of this on ED team functioning.
METHODS: A qualitative explorative descriptive study was conducted using thematic analysis strategies. Participants comprised: Registered Nurses (n = 18) working in clinical roles in the Emergency Department and Leadership Registered Nurses (n = 6) within the organisation. One on one interviews (n = 21) and one focus group interview were conducted utilising semi-structured, conversational style, in-depth interviews between January 2022 and April 2022.
RESULTS: Two major themes were identified that described the impact on ED team dynamics and longer-term impacts on the ED nursing workforce. The first major theme was: \'Changed Emergency Department team identity and dynamics\' and included four sub-themes: i) PPE is a barrier to team camaraderie; ii) outsiders versus insiders - ambivalence to PPE spotter role; iii) personal safety comes first in a pandemic; and iv) using PPE depersonalises the whole patient experience. The second major theme was: \'This pandemic caught everyone off guard\' and had three sub-themes. The associated sub-themes were: i) People outside ED have no understanding of what it has been like; ii) COVID-19 is here to stay - Permanent changes to care delivery and nursing practice; and iii) tenacity of a true profession.
CONCLUSIONS: Study findings illuminated the dynamics and functionality of ED nursing, encompassing the unique qualities of camaraderie, autonomy, resilience and tenacity.
METHODS: A qualitative explorative descriptive study was conducted using thematic analysis strategies. Participants comprised: Registered Nurses (n = 18) working in clinical roles in the Emergency Department and Leadership Registered Nurses (n = 6) within the organisation. One on one interviews (n = 21) and one focus group interview were conducted utilising semi-structured, conversational style, in-depth interviews between January 2022 and April 2022.
RESULTS: Two major themes were identified that described the impact on ED team dynamics and longer-term impacts on the ED nursing workforce. The first major theme was: \'Changed Emergency Department team identity and dynamics\' and included four sub-themes: i) PPE is a barrier to team camaraderie; ii) outsiders versus insiders - ambivalence to PPE spotter role; iii) personal safety comes first in a pandemic; and iv) using PPE depersonalises the whole patient experience. The second major theme was: \'This pandemic caught everyone off guard\' and had three sub-themes. The associated sub-themes were: i) People outside ED have no understanding of what it has been like; ii) COVID-19 is here to stay - Permanent changes to care delivery and nursing practice; and iii) tenacity of a true profession.
CONCLUSIONS: Study findings illuminated the dynamics and functionality of ED nursing, encompassing the unique qualities of camaraderie, autonomy, resilience and tenacity.
摘要：
背景：COVID-19大流行对医疗保健专业人员提出了挑战，并改变了我们提供护理的方法。这项研究的目的是探讨澳大利亚COVID-19大流行期间护士在急诊室提供护理的经验，以及这对急诊室团队功能的影响。
方法：使用主题分析策略进行了定性的探索性描述性研究。参与者包括：在急诊科从事临床工作的注册护士（n=18）和组织内的领导注册护士（n=6）。一对一访谈(n=21)和一个焦点小组访谈是利用半结构化的，对话风格，2022年1月至2022年4月之间的深度访谈。
结果：确定了两个主要主题，描述了对ED团队动态的影响以及对ED护理人员队伍的长期影响。第一个主要主题是：“改变了急诊科团队的身份和动态”，其中包括四个子主题：i）PPE是团队友情的障碍；ii）局外人与局内人-对PPE观察者角色的矛盾态度；iii）大流行中的人身安全是第一位的；iv）使用PPE使整个患者体验个性化。第二个主要主题是：“这场大流行使每个人都措手不及”，并有三个子主题。相关的子主题是：i)ED以外的人不了解它是什么样子；ii)COVID-19将继续存在-护理服务和护理实践的永久变化；以及iii)对真正的职业的坚韧。
结论：研究结果阐明了ED护理的动力学和功能，包含友情的独特品质，自主性,韧性和坚韧。
方法：使用主题分析策略进行了定性的探索性描述性研究。参与者包括：在急诊科从事临床工作的注册护士（n=18）和组织内的领导注册护士（n=6）。一对一访谈(n=21)和一个焦点小组访谈是利用半结构化的，对话风格，2022年1月至2022年4月之间的深度访谈。
结果：确定了两个主要主题，描述了对ED团队动态的影响以及对ED护理人员队伍的长期影响。第一个主要主题是：“改变了急诊科团队的身份和动态”，其中包括四个子主题：i）PPE是团队友情的障碍；ii）局外人与局内人-对PPE观察者角色的矛盾态度；iii）大流行中的人身安全是第一位的；iv）使用PPE使整个患者体验个性化。第二个主要主题是：“这场大流行使每个人都措手不及”，并有三个子主题。相关的子主题是：i)ED以外的人不了解它是什么样子；ii)COVID-19将继续存在-护理服务和护理实践的永久变化；以及iii)对真正的职业的坚韧。
结论：研究结果阐明了ED护理的动力学和功能，包含友情的独特品质，自主性,韧性和坚韧。
