Work Experience of Surgical Technologists Under the COVID-19 Disaster: A Qualitative Study

L. Sadati, Z. Nouri Khaneghah, R. Abjar
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Abstract

Background: Due to the crisis of shortage of specialized nurses and high workload in intensive care units and emergency departments of hospitals during the COVID-19 pandemic, hospital managers had to use nurses and staff in other departments as reinforcements despite their lack of necessary competency to work in those departments. Hence, this study investigated surgical technologists' work experiences during the COVID-19 disaster. Methods: This qualitative study was conducted using the conventional content analysis method at Alborz University of Medical Sciences. The participants were 42 surgical technologists selected using purposive sampling from 14 hospitals in 10 cities of Iran. Data were collected through semi-structured interviews and analyzed in MaxQDA2 software using the content analysis method. Results: The results of this study were classified into two main categories, "challenges" and "coping strategies. The first main category consists of three subcategories, "psychological-emotional stress," "managerial crises," and "physical injuries." The second main category also includes three subcategories, "emotion-based strategy," "cognition-based strategy," and "problem-based strategy." Conclusions: The surgical technologists' experience indicated that the COVID-19 crisis posed serious challenges, mostly related to the shortage of protective facilities and the lack of adequate training about self-care and patients in wards with no work experience. Therefore, managers of hospitals should offer appropriate purposive training courses to sufficiently develop their staff's knowledge and competence to manage the crisis in pandemics or epidemics.
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新冠肺炎疫情下外科技术人员工作经验的定性研究
背景:在新冠肺炎疫情期间,由于医院重症监护室和急诊科专科护士短缺和工作量大的危机,医院管理者不得不利用护士和其他科室的工作人员作为补充,尽管他们缺乏必要的工作能力。因此,本研究调查了外科技术人员在COVID-19灾难期间的工作经历。方法:本定性研究采用奥尔博尔兹医学大学的常规含量分析法。参与者是42名外科技术人员,通过有目的抽样从伊朗10个城市的14家医院中选出。采用半结构化访谈法收集数据,在MaxQDA2软件中采用内容分析法进行分析。结果:本研究结果分为“挑战”和“应对策略”两大类。第一个主要类别包括三个子类别:“心理-情绪压力”、“管理危机”和“身体伤害”。第二个主要类别还包括三个子类别,“基于情绪的策略”,“基于认知的策略”和“基于问题的策略”。结论:外科技术人员的经验表明,新冠肺炎危机带来了严峻的挑战,主要与防护设施短缺、缺乏足够的自我保健培训以及病房中没有工作经验的患者有关。因此,医院管理人员应提供适当的有目的的培训课程,以充分发展其员工管理大流行病或流行病危机的知识和能力。
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