Changes in nurses' work: A comparative study during the waves of COVID-19 pandemic

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-02-26 DOI:10.1111/ijn.13250

Gerli Usberg MSc (Nursing Science), RN, PhD Candidate, Marco Clari PhD (Nursing Science), Alessio Conti PhD (Nursing Science), Mariliis Põld PhD (Medicine), Ruth Kalda MD, PhD (Medicine), Mari Kangasniemi PhD (Nursing Science)

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Abstract

Aim

The aim of this study is to describe and evaluate how nurses caring for COVID and non-COVID patients assess changes in their work and in nursing activities during the two waves of the COVID-19 pandemic.

Methods

Two cross-sectional surveys were conducted for Estonian nurses working during the first and second waves of the COVID-19 pandemic, using The impact of COVID-19 emergency on nursing care questionnaire. Based on convenience sampling, the data were collected among the members of professional organizations, unions and associations. Responses from the first (n = 162) and second wave (n = 284) were analysed using descriptive statistics, Fisher's exact test and McNemar's test.

Results

The COVID-19 pandemic changed the working context during both waves for nurses caring for COVID and non-COVID patients. Changes were considered to a greater extent during the second wave, when Estonia was severely affected, and by nurses caring for COVID patients. During the second wave, the number and complexity of patients increased, and nurses caring for COVID patients performed fundamental care, nursing techniques and symptom control significantly more frequently compared to nurses caring for non-COVID patients.

Conclusion

Taking care of COVID patients is demanding, requiring nurses to perform more direct patient care. However, the pandemic also increased the frequency of activities not related with direct patient care.

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护士工作的变化：COVID-19 大流行期间的比较研究。

目的：本研究旨在描述和评估护理 COVID 和非 COVID 患者的护士在 COVID-19 两次大流行期间如何评估其工作和护理活动的变化：采用 "COVID-19 紧急情况对护理工作的影响 "问卷，对 COVID-19 大流行第一波和第二波期间工作的爱沙尼亚护士进行了两次横断面调查。根据方便抽样原则，从专业组织、工会和协会的成员中收集数据。采用描述性统计、费雪精确检验和 McNemar 检验对第一波（n = 162）和第二波（n = 284）的回答进行了分析：结果：COVID-19 大流行改变了护理 COVID 和非 COVID 患者的护士的工作环境。在爱沙尼亚受到严重影响的第二波期间，护理 COVID 患者的护士认为变化程度更大。在第二轮调查中，病人的数量和复杂性都有所增加，护理 COVID 病人的护士与护理非 COVID 病人的护士相比，进行基本护理、护理技术和症状控制的频率明显更高：结论：对 COVID 患者的护理要求很高，需要护士对患者进行更多的直接护理。然而，大流行也增加了与直接护理病人无关的活动频率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.