{"title":"南非豪登省埃库尔胡莱尼的护士在 Covid-19 期间的临床工作经历","authors":"Sinethemba Nyandeni, Fhumulani Mavis Mulaudzi, Rafiat Ajoke Anokwuru","doi":"10.1016/j.ijans.2023.100653","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.</p></div><div><h3>Methods</h3><p>The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.</p></div><div><h3>Findings</h3><p>Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.</p></div><div><h3>Conclusion</h3><p>The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.</p></div><div><h3>Implications for nursing management</h3><p>Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001282/pdfft?md5=00ffa5061d4d3b029c32fac1ae687276&pid=1-s2.0-S2214139123001282-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Lived experiences of nurses working in the clinical setting during Covid-19, in Ekurhuleni, Gauteng Province, South Africa\",\"authors\":\"Sinethemba Nyandeni, Fhumulani Mavis Mulaudzi, Rafiat Ajoke Anokwuru\",\"doi\":\"10.1016/j.ijans.2023.100653\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.</p></div><div><h3>Methods</h3><p>The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.</p></div><div><h3>Findings</h3><p>Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.</p></div><div><h3>Conclusion</h3><p>The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.</p></div><div><h3>Implications for nursing management</h3><p>Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.</p></div>\",\"PeriodicalId\":38091,\"journal\":{\"name\":\"International Journal of Africa Nursing Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2214139123001282/pdfft?md5=00ffa5061d4d3b029c32fac1ae687276&pid=1-s2.0-S2214139123001282-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Africa Nursing Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214139123001282\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Africa Nursing Sciences","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214139123001282","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Lived experiences of nurses working in the clinical setting during Covid-19, in Ekurhuleni, Gauteng Province, South Africa
Background
The Coronavirus 2019 (COVID-19) outbreak rose rapidly and had a strenuous impact on the healthcare systems. As the health system responded to the pandemic, there was a change in the care rendered. Additionally, as more people became infected with the virus, the number of nurses reduced resulting in prolonged working hours and increased burden of care for the remaining few nurses. This study aimed to gain an in-depth understanding of the lived experiences of nurses working in the clinical setting during the COVID-19 pandemic in Ekurhuleni, Gauteng Province.
Methods
The study followed a descriptive phenomenological approach. In-depth interviews were conducted face-to-face and telephonically with thirteen professional nurses who were purposively sampled as they had nursed COVID-19 positive patients in a hospital in Ekurhuleni District, Gauteng Province, South Africa. The audio-recorded interviews were transcribed and inductively analysed using descriptive phenomenological analysis with the aid of the ATLASti Version 9 program.
Findings
Four themes emerged: (1) Nurse’s social life during COVID-19 pandemic. (2) Challenges in the clinical setting during COVID-19 pandemic. (3) COVID-19 pandemic impact on patient care. (4) Nurse’s future recommendations for pandemic management.
Conclusion
The results of this study indicated that professional nurses who nursed COVID-19 patients suffered psychological distress and physical burnout. Having insufficient resources, which included Personal Protective Equipment (PPE) and other equipment exposed the nurses to the possibility of contracting COVID-19. Lack of managerial support worsened poor patient care. Therefore, further studies are needed to improve the procurement of resources and disaster preparedness. Therefore, it is recommended that managerial support which includes offering of professional counselling be done routinely, regular in-service training, and nurses should be involved in decisions affecting patient care.
Implications for nursing management
Managerial support to offer professional routine counselling for improvement of mental wellbeing of the nurses and acknowledge nurses’ input.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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