Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.
Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.
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DOI：
10.1016/j.iccn.2020.102966
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发表时间：
2021-03
影响因子：
5.3
通讯作者：
Oter-Quintana C
中科院分区：
文献类型：
--
作者：
González-Gil MT;González-Blázquez C;Parro-Moreno AI;Pedraz-Marcos A;Palmar-Santos A;Otero-García L;Navarta-Sánchez MV;Alcolea-Cosín MT;Argüello-López MT;Canalejas-Pérez C;Carrillo-Camacho ME;Casillas-Santana ML;Díaz-Martínez ML;García-González A;García-Perea E;Martínez-Marcos M;Martínez-Martín ML;Palazuelos-Puerta MDP;Sellán-Soto C;Oter-Quintana C
重症监护护士不得不执行他们没有接受过适当培训的任务。护士们不得不控制自己被感染并传染给家人的恐惧。精神上的痛苦和情感上的疲惫是一线护理的主要后果。繁重的工作量，高病人护士比，以及缺乏休息，导致护士疲惫不堪。COVID-19大流行是一项公共卫生挑战，使卫生系统处于高度脆弱的境地。重症监护室（CCU）和医院急救服务（HES）的护士在压力和不确定性下为COVID-19患者提供护理。确定西班牙马德里地区重症监护和急诊护士在疫情危机急性期的安全、组织、决策、沟通和心理社会情感需求。这是一项横断面研究（混合方法研究的第一阶段），使用在线问卷调查马德里26家公立医院的重症监护和急诊护士。回复率为557，其中37.5%的人报告说，他们在工作中害怕被感染及其后果，28.2%的人报告说，工作量增加，病人与护士的比例高，轮班不允许他们断开连接或休息，同时在管理COVID-19患者时承担更多责任（23.9%）。他们还报告与中层管理人员沟通不足（21.2%），无法为患者和家属提供心理社会护理，情绪疲惫（53.5%），难以发泄情绪（44.9%）。重症监护和急诊护士可能被归类为弱势群体。因此，有必要更深入地研究他们在这一流行病方面的经验。
Critical care nurses have had to perform tasks for which they have not received proper training. Nurses have had to manage the fear of becoming infected and spreading it to their families. Moral suffering and emotional exhaustion are major consequences of front-line care. Heavy workloads, high patient-nurse ratios, and lack of rest are causing exhaustion among nurses. The COVID-19 pandemic is a public health challenge that puts health systems in a highly vulnerable situation. Nurses in critical care units (CCUs) and hospital emergency services (HESs) have provided care to patients with COVID-19 under pressure and uncertainty. To identify needs related to safety, organisation, decision-making, communication and psycho-socio-emotional needs perceived by critical care and emergency nurses in the region of Madrid, Spain, during the acute phase of the epidemic crisis. This is a cross-sectional study (the first phase of a mixed methods study) with critical care and emergency nurses from 26 public hospitals in Madrid using an online questionnaire. The response rate was 557, with 37.5% reporting working with the fear of becoming infected and its consequences, 28.2% reported elevated workloads, high patient-nurse ratios and shifts that did not allow them to disconnect or rest, while taking on more responsibilities when managing patients with COVID-19 (23.9%). They also reported deficiencies in communication with middle management (21.2%), inability to provide psycho-social care to patients and families and being emotionally exhausted (53.5%), with difficulty in venting emotions (44.9%). Critical care and emegency nurses may be categorised as a vulnerable population. It is thus necessary to delve deeper into further aspects of their experiences of the pandemic.
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DOI：
10.12968/bjon.2019.28.8.523
发表时间：
2019-04-25
期刊：
British journal of nursing (Mark Allen Publishing)
影响因子：
--
作者：
Lam, Stanley Kk;Kwong, Enid Wy;Chien, Wai Tong
通讯作者：
Chien, Wai Tong
影响因子：
4.2
作者：
Liu, Huaping;Liehr, Patricia
通讯作者：
Liehr, Patricia
DOI：
10.1016/j.ijchp.2015.01.001
发表时间：
2015-05
期刊：
International journal of clinical and health psychology : IJCHP
影响因子：
--
作者：
de la Fuente EI;García J;Cañadas GA;San Luis C;Cañadas GR;Aguayo R;de la Fuente L;Vargas C
通讯作者：
Vargas C
影响因子：
7
作者：
Lee SH;Juang YY;Su YJ;Lee HL;Lin YH;Chao CC
通讯作者：
Chao CC
影响因子：
13.8
作者：
Lai, Jianbo;Ma, Simeng;Hu, Shaohua
通讯作者：
Hu, Shaohua