关键词: COVID-19 Experience Interdisciplinary nurses Qualitative research Ten new guidelines

来  源:   DOI:10.1186/s12912-024-01905-0   PDF(Pubmed)

Abstract:
BACKGROUND: On December 7, 2022, the Joint Prevention and Control Mechanism of China\'s State Council released the \"Ten New Guidelines\" to optimize the coronavirus disease 2019 (COVID-19) prevention policies further. This signaled a broader shift from \"dynamic clearing\" to \"coexisting with the virus\" nationwide.
OBJECTIVE: This study aims to examine the experiences and perspectives of interdisciplinary nurses during the COVID-19 outbreak in China after the implementation of the \"Ten New Guidelines\". The goal is to understand the challenges faced by this unique nursing group and inform organizational support to bolster their well-being and resilience.
METHODS: Two tertiary hospitals in southeastern Zhejiang Province were selected, with interdisciplinary nurses chosen as subjects. A constructivist qualitative research approach was employed, using semi-structured face-to-face interviews. Research data were collected through interviews and analyzed using content analysis.
RESULTS: Fifteen interdisciplinary nurses were included in this study. The analysis revealed four main themes and nine sub-themes. The main themes were: (1) ineffective organizational support (inadequate organizational care, poor PPE, excessive workload), (2) physiological distress after contracting COVID-19 (extreme physical fatigue, leakage of urine due to severe coughing), (3) fear of being wrong (fear of being reprimanded in public, psychological anxiety), and (4) family responsibility anxiety (difficulty of loyalty and filial piety, obligations to their children).
CONCLUSIONS: We provide new evidence that organizations must proactively address the support, training, and communication needs of staff, particularly interdisciplinary nurses, to supplement epidemic containment. This is also essential in helping mitigate the work-family conflicts such roles can create.
摘要:
背景:2022年12月7日,中国国务院联防联控机制发布“新十条”,进一步优化2019冠状病毒病(COVID-19)预防政策。这标志着全国范围内从“动态清除”到“与病毒共存”的更广泛转变。
目的:本研究旨在探讨中国实施“十大新指南”后,在COVID-19暴发期间,跨学科护士的经验和观点。我们的目标是了解这个独特的护理小组面临的挑战,并为组织提供支持,以增强他们的福祉和韧性。
方法:选取浙江东南部的两家三级医院,选择跨学科护士作为科目。采用了建构主义的定性研究方法,使用半结构化的面对面访谈。通过访谈收集研究数据,并使用内容分析进行分析。
结果:本研究纳入了15名跨学科护士。分析揭示了四个主要主题和九个次主题。主要主题是:(1)无效的组织支持(组织护理不足,可怜的PPE,过度的工作量),(2)感染COVID-19后的生理困扰(极度身体疲劳,严重咳嗽引起的尿液泄漏),(3)害怕犯错(害怕在公共场合受到谴责,心理焦虑),和(4)家庭责任焦虑(忠诚和孝道的困难,对子女的义务)。
结论:我们提供了新的证据,表明组织必须主动解决支持,培训,和员工的沟通需求,尤其是跨学科护士,以补充疫情遏制。这对于帮助减轻这些角色可能造成的工作-家庭冲突也至关重要。
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