Lessons from the COVID-19 epidemic in Hubei, China: Perspectives on frontline nursing.

IF 0.9 Q4 INFECTIOUS DISEASES Journal of Infection Prevention Pub Date : 2022-09-01 Epub Date: 2022-05-06 DOI:10.1177/17571774221092558
Janita Pak Chun Chau, Suzanne Hoi Shan Lo, Jie Zhao, Laveeza Butt, Ravneet Saran, Simon Kwun Yu Lam, David R Thompson
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引用次数: 1

Abstract

Background: The emergence of COVID-19 has been an ordeal for nurses worldwide. It is crucial to understand their experiences at the frontline, attempt to allay their concerns, and help inform future pandemic response capabilities.

Aims: To explore nurses' lived experiences at the frontline in order to identify and address their concerns and help enhance future responses to infectious disease outbreaks.

Methods: A qualitative study was carried out. Semi-structured interviews were conducted with 60 registered nurses who came to Hubei from different parts of China to care for patients with COVID-19. Interviews were audio-recorded and transcribed verbatim for thematic analysis.

Results: Six major themes emerged: emotional turmoil due to personal and professional concerns, quality issues with personal protective equipment and associated physical discomfort, witnessing and managing patient distress, readiness of emergency response mechanisms in the health system, collective community awareness and preparedness, and heightened professional pride and confidence in future epidemic control.

Discussion: Nurses were placed in challenging and unfamiliar situations to deal with unexpected and unpredictable events which caused considerable psychological and physical distress. Support in the form of government edicts, hospital management policies, community generosity and collegiality was highly welcomed by the nurses. Policy makers and managers should ensure that nurses are provided with the support and resources necessary for dealing with large-scale infectious disease outbreaks. Priority should be given to risk assessment, infection prevention and control, and patient and staff health and safety.

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中国湖北省新冠肺炎疫情的教训:一线护理的视角。
背景:COVID-19的出现对全世界的护士来说都是一场考验。至关重要的是要了解他们在一线的经验,努力减轻他们的关切,并帮助了解未来的大流行应对能力。目的:探讨护士在一线的生活经历,以确定和解决他们的担忧,并帮助加强未来对传染病爆发的反应。方法:进行定性研究。对60名来自全国各地的注册护士进行了半结构化访谈,这些护士来到湖北照顾COVID-19患者。采访录音并逐字抄写,供专题分析之用。结果:出现了六个主要主题:由于个人和职业担忧引起的情绪动荡,个人防护装备的质量问题和相关的身体不适,目睹和管理患者的痛苦,卫生系统应急机制的准备情况,社区集体意识和准备,以及提高职业自豪感和对未来流行病控制的信心。讨论:护士被置于具有挑战性和不熟悉的环境中,以处理意外和不可预测的事件,这些事件造成了相当大的心理和身体痛苦。护士们非常欢迎政府法令、医院管理政策、社区慷慨和合作等形式的支持。决策者和管理者应确保向护士提供处理大规模传染病暴发所需的支持和资源。应优先考虑风险评估、感染预防和控制以及患者和工作人员的健康和安全。
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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