Beyond the fear: Nurses' experiences caring for patients with Middle East respiratory syndrome: A phenomenological study
Beyond the fear: Nurses' experiences caring for patients with Middle East respiratory syndrome: A phenomenological study
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DOI：
10.1111/jocn.15366
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发表时间：
2020-06-23
影响因子：
4.2
通讯作者：
Park, Eun Young
中科院分区：
文献类型：
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作者：
Lee, Jin Young;Hong, Jeong Hee;Park, Eun Young
目的与目的探讨韩国护士谁直接照顾中东呼吸综合征（MERS）患者的经验，并得出这些经验的结构和意义。背景2015年，MERS疫情袭击韩国，准备不足的护士不得不照顾MERS患者。护士对疾病的恐惧与工作和职业道德之间存在冲突。设计我们采用了现象学的定性方法。方法对17名护士进行归纳式、定性、深入访谈。研究过程遵循了报告定性研究的统一标准（CONDITION）检查表。结果定性归纳内容分析得到7个主题群和18个主题。主题集群是“对不确定性的恐惧”，“超越犹豫”，“像战场一样的场景”，“混乱的护理身份”，“可持续发展的支撑”，“挥之不去的创伤”和“扩大护理的视野”。最后的分析表明，核心主题是“超越对不确定性的恐惧”。“结论本研究通过描述直接护理MERS患者的护士的经验，设计了一个更深入，更全面的理解，MERS是韩国第一个大规模的传染病。虽然护士认为自己是重要的照顾者，但他们害怕疾病，不得不在恶劣的环境中工作，经历各种内部冲突，不得不处理各种形式的不确定性。与临床实践的相关性这项研究揭示了涉及严重传染病的危机期间的护理情况;为了应对这些情况，需要更多的医疗设施，工作人员应积极指导如何照顾病人。它可以作为一个很好的基础的一部分，进一步研究医务人员在反复流行病。
Aim and objectives To explore the experiences of Korean nurses who had directly cared for patients with Middle East respiratory syndrome (MERS) and to derive the structure and meaning of these experiences. Background In 2015, the MERS epidemic struck Korea, and ill-prepared nurses had to care for patients with MERS. Nurses experienced conflict between their fear of the disease and their work and professional ethic. Design We employed a phenomenological qualitative approach. Methods Inductive, qualitative, in-depth interviews were performed with 17 nurses. The study process followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results The qualitative inductive content analysis generated seven theme clusters and 18 themes. The theme clusters were "Fear of Uncertainty," "Beyond Hesitation," "A Scene Like a Battlefield," "Chaotic Nursing Identity," "Buttresses for Sustainability," "Lingering Trauma" and "Expanded Horizon of Nursing." The final analysis revealed that the core theme was "Beyond the fear of uncertainty." Conclusions This study contrives a more in-depth, holistic understanding by describing the experiences of nurses who directly cared for patients with MERS-the first large-scale infectious disease in Korea. Although nurses saw themselves as vital caregivers, they were frightened of the disease, had to work in a harsh environment, experienced various internal conflicts and had to deal with varying forms of uncertainty. Relevance to clinical practice This study sheds light on the nursing situation during crises involving serious infectious diseases; to combat these, more medical facilities are needed, and staff should be proactively guided on how to care for patients. It can serve as part of a good foundation for further study of medical staff during recurring epidemics.