The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study
The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study
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DOI：
10.1016/s2214-109x(20)30204-7
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发表时间：
2020-06-01
影响因子：
34.3
通讯作者：
Yang, Bing Xiang
中科院分区：
文献类型：
--
作者：
Liu, Qian;Luo, Dan;Yang, Bing Xiang
背景2019冠状病毒病（COVID-19）在中国湖北爆发的早期阶段，当地的医疗系统不堪重负。招募没有传染病专业知识的医生和护士为COVID-19患者提供护理。据我们所知，并无发表有关彼等抗击COVID-19经验的研究。我们的目的是描述这些卫生保健提供者在早期阶段的explosion.Methods的经验，我们做了一个定性研究，采用实证现象学的方法。护士和医生从湖北省的五家COVID-19定点医院招募，采用目的性和滚雪球抽样。他们于2020年2月10日至2月15日通过电话参加了半结构化的深度访谈。采访逐字转录和分析使用Haase的适应Colaizzi的现象学方法。结果我们招募了9名护士和4名医生。通过数据分析得出三个主题类别。第一个是“对病人的健康完全负责-'这是我的职责'”。卫生保健提供者自愿参加，并尽最大努力为病人提供护理。护士在提供重症监护和协助日常生活活动方面发挥着至关重要的作用。第二类是“在COVID-19病房工作的挑战”。卫生保健提供者面临的挑战是：在全新的环境中工作，由于繁重的工作量和防护装备而疲惫不堪，担心被感染和传染他人，感到无力处理病人的病情，以及在这种紧张的情况下管理关系。第三类是“在挑战中的复原力”。保健提供者确定了许多社会支助来源，并采用自我管理战略来科普这种情况。他们也从这种独特的经历中获得了超越。高强度的工作使保健提供者身心疲惫。保健服务提供者表现出他们的复原力和克服困难的敬业精神。应提供全面支持，以保障保健提供者的福祉。对所有医疗保健提供者进行定期和强化培训是必要的，以促进危机管理的准备和效率。版权所有（C）2020作者。爱思唯尔有限公司出版
Background In the early stages of the outbreak of coronavirus disease 2019 (COVID-19) in Hubei, China, the local healthcare system was overwhelmed. Physicians and nurses who had no infectious disease expertise were recruited to provide care to patients with COVID-19. To our knowledge, no studies on their experiences of combating COVID-19 have been published. We aimed to describe the experiences of these health-care providers in the early stages of the outbreak.Methods We did a qualitative study using an empirical phenomenological approach. Nurses and physicians were recruited from five COVID-19-designated hospitals in Hubei province using purposive and snowball sampling. They participated in semi-structured, in-depth interviews by telephone from Feb 10 to Feb 15, 2020. Interviews were transcribed verbatim and analysed using Haase's adaptation of Colaizzi's phenomenological method.Findings We recruited nine nurses and four physicians. Three theme categories emerged from data analysis. The first was "being fully responsible for patients' wellbeing-'this is my duty'". Health-care providers volunteered and tried their best to provide care for patients. Nurses had a crucial role in providing intensive care and assisting with activities of daily living. The second category was "challenges of working on COVID-19 wards". Health-care providers were challenged by working in a totally new context, exhaustion due to heavy workloads and protective gear, the fear of becoming infected and infecting others, feeling powerless to handle patients' conditions, and managing relationships in this stressful situation. The third category was "resilience amid challenges". Health-care providers identified many sources of social support and used self-management strategies to cope with the situation. They also achieved transcendence from this unique experience.& para;Interpretation The intensive work drained health-care providers physically and emotionally. Health-care providers showed their resilience and the spirit of professional dedication to overcome difficulties. Comprehensive support should be provided to safeguard the wellbeing of health-care providers. Regular and intensive training for all healthcare providers is necessary to promote preparedness and efficacy in crisis management. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.