“I Don’t Really Wanna Go Back. I Know What I’ve Got in Front of Me.” Lived Experiences of Emergency Nurses 2 Years Into the Global COVID-19 Pandemic

IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Journal of Emergency Nursing Pub Date : 2024-03-01 DOI:10.1016/j.jen.2023.11.011
Megan R. Simic BN (Hons), RN, Joanne E. Porter PhD, MN, GradDipCC, GradDipHSM, GradCertHeD, BN, RN, Blake Peck PhD, BN (Hons), RN, Christopher Mesagno PhD, MSESS, BS
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Abstract

Introduction

As the coronavirus disease 2019 pandemic continued into 2021 and beyond, unrelenting work pressures continued to mount on the emergency nursing workforce. In the second year of this longitudinal study on emergency nurse lived experiences, staff outlined the continued strain of the profession, highlighting their increasing levels of burnout and identifying early stages of trauma response.

Methods

This research aimed to continue to explore lived experiences of Australian emergency nurses working on the frontline 2 years into the coronavirus disease 2019 pandemic. A qualitative research design was used, guided by an interpretive hermeneutic phenomenological approach. A total of 9 Victorian emergency nurses from both regional and metropolitan hospitals were interviewed between October and November 2021. Analysis was undertaken using a thematic analysis method.

Results

A total of 3 major themes and 12 subthemes were extracted from the data. The 3 overarching themes included “On the floor each day,” “Can I keep going?” and “What’s around the corner?” Increasing levels of emotional exhaustion and burnout were evident, with emergency nurses stating their intentions to leave the profession.

Discussion

Deep engagement with participant emergency nurses across 2 years of the coronavirus disease 2019 pandemic has revealed a need for greater emphasis on staff well-being for future maintenance of a resilient and healthy workforce. Without this, lack of support for subsequent nursing cohorts may affect the quality and reliability of care being provided in acute care centers.

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"我真的不想回去我知道眼前有什么"。全球 COVID-19 大流行两年后急诊护士的亲身经历。
导言:随着 2019 年冠状病毒疾病大流行持续到 2021 年及以后,急诊护理人员的工作压力持续上升。在这项关于急诊护士生活经历的纵向研究的第二年,工作人员概述了这一职业的持续压力,强调了他们日益严重的职业倦怠,并确定了创伤应对的早期阶段:本研究旨在继续探讨澳大利亚急诊护士在 2019 年冠状病毒疾病大流行两年后在一线工作的生活经历。研究采用定性研究设计,以解释学现象学方法为指导。2021 年 10 月至 11 月期间,共采访了 9 名维多利亚州地区和大都市医院的急诊护士。分析采用主题分析法进行:结果:从数据中共提取出 3 个主要主题和 12 个次主题。3 大主题包括 "每天都在地板上"、"我能坚持下去吗?"和 "转角处有什么?"情绪衰竭和职业倦怠的程度明显增加,急诊护士表示打算离开这一行业:在 2019 年冠状病毒疾病大流行的两年中,与参与的急诊护士进行的深入交流表明,需要更加重视员工的福祉,以在未来维持一支具有复原力和健康的员工队伍。如果做不到这一点,后续护士队伍缺乏支持可能会影响急诊护理中心所提供护理的质量和可靠性。
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来源期刊
CiteScore
3.10
自引率
11.80%
发文量
132
审稿时长
46 days
期刊介绍: The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
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