Health workers' experiences of coping with the Ebola epidemic in Sierra Leone's health system: a qualitative study.
Health workers' experiences of coping with the Ebola epidemic in Sierra Leone's health system: a qualitative study.
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DOI：
10.1186/s12913-018-3072-3
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发表时间：
2018-04-05
影响因子：
2.8
通讯作者：
Witter S
中科院分区：
文献类型：
--
作者：
Raven J;Wurie H;Witter S
2014年埃博拉病毒病疫情在塞拉利昂以惊人的方式蔓延到所有地区。在卫生系统已经不堪重负的背景下，该国努力控制艾滋病。卫生工作者在流行病期间发挥着重要作用，但关于他们如何科普脆弱国家卫生流行病的研究有限。本文探讨了塞拉利昂Bonthe、Kenema、Koinadugu和Western Area四个地区埃博拉疫情期间卫生工作者面临的挑战及其应对策略。我们采用了定性研究设计：与地区卫生管理小组和地方议会，卫生设施管理人员和国际合作伙伴的成员进行了关键信息访谈（n = 19）;并与在公共卫生设施工作的卫生工作者（n = 25）和参与治疗埃博拉患者的国际卫生工作者进行了深入访谈。有几个重要的应对战略，包括利用现有机制的战略：依靠宗教、为国家和社区服务的意识以及同伴和家庭的支持。外部衍生战略包括：培训卫生工作者，使其对提供护理有信心;提供设备，使其安全地开展工作;建立社会媒体平台，帮助卫生工作者应对挑战;举办讲习班，提供处理与作为卫生工作者相关的耻辱感的方法;提供风险津贴，激励工作人员在设施中工作，并提供额外的收入来源。应推行支助性监督、同侪支助网络和更好地利用通信技术，同时实施一项重建与社区结构的信任关系的方案。目前的挑战是将这些机制纳入常规系统，预先防范冲击，而不是等待对危机作出迟来的反应。
The 2014 Ebola Virus Disease epidemic evolved in alarming ways in Sierra Leone spreading to all districts. The country struggled to control it against a backdrop of a health system that was already over-burdened. Health workers play an important role during epidemics but there is limited research on how they cope during health epidemics in fragile states. This paper explores the challenges faced by health workers and their coping strategies during the Ebola outbreak in four districts – Bonthe, Kenema, Koinadugu and Western Area - of Sierra Leone. We used a qualitative study design: key informant interviews (n = 19) with members of the District Health Management Teams and local councils, health facility managers and international partners; and in depth interviews with health workers (n = 25) working in public health facilities and international health workers involved with the treatment of Ebola patients. There were several important coping strategies including those that drew upon existing mechanisms: being sustained by religion, a sense of serving their country and community, and peer and family support. Externally derived strategies included: training which built health worker confidence in providing care; provision of equipment to do their job safely; a social media platform which helped health workers deal with challenges; workshops that provided ways to deal with the stigma associated with being a health worker; and the risk allowance, which motivated staff to work in facilities and provided an additional income source. Supportive supervision, peer support networks and better use of communication technology should be pursued, alongside a programme for rebuilding trusting relations with community structures. The challenge is building these mechanisms into routine systems, pre-empting shocks, rather than waiting to respond belatedly to crises.
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影响因子：
15.8
作者：
Cancedda C;Farmer PE;Kerry V;Nuthulaganti T;Scott KW;Goosby E;Binagwaho A
通讯作者：
Binagwaho A
影响因子：
3.2
作者：
Namakula, Justine;Witter, Sophie
通讯作者：
Witter, Sophie
影响因子：
3.3
作者：
De Roo, A;Ado, B;Colebunders, R
通讯作者：
Colebunders, R
影响因子：
4.5
作者：
Imai H;Matsuishi K;Ito A;Mouri K;Kitamura N;Akimoto K;Mino K;Kawazoe A;Isobe M;Takamiya S;Mita T
通讯作者：
Mita T
DOI：
10.1177/1043659605278935
发表时间：
2005-10-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
Hewlett, Bonnie L;Hewlett, Barry S
通讯作者：
Hewlett, Barry S