Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK.

Perceptions and experiences of healthcare workers during the COVID-19 pandemic in the UK.
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DOI:
10.1136/bmjopen-2020-040503
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发表时间:
2020-11-05
期刊:
影响因子:
2.9
通讯作者:
Johnson G
Johnson G
中科院分区:
医学3区
文献类型:
--
作者:
Vindrola-Padros C;Andrews L;Dowrick A;Djellouli N;Fillmore H;Bautista Gonzalez E;Javadi D;Lewis-Jackson S;Manby L;Mitchinson L;Mulcahy Symmons S;Martin S;Regenold N;Robinson H;Sumray K;Singleton G;Syversen A;Vanderslott S;Johnson G

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COVID-19疫情对全球医护人员提出前所未有的需求。英国是欧洲受影响最严重的国家之一。本研究旨在探讨医护人员(HCW)对新型冠状病毒(COVID-19)的看法及经验,以及英国为应对疫情而实施的护理模式。该研究被设计为一项快速评估,结合了:(1)英国医疗保健政策的审查(n=35项政策),(2)大众媒体和社交媒体对一线工作人员经验和看法的分析(n=101篇报纸文章,n= 146000篇帖子)和(3)对一线工作人员的深入(电话)访谈(n=30次访谈)。使用框架分析法分析了所有方面的调查结果。有限的个人防护设备和缺乏常规检测造成了焦虑和痛苦,对劳动力产生了切实影响。当PPE可用时,不正确的尺寸和过热使日常工作复杂化。对重新部署的工作人员缺乏培训,以及没有考虑到重新部署的工作人员在新领域的技能,被认为是问题所在。保健工作者报告的日常工作的积极方面包括同事之间的团结、建立福利支助结构和感受到社会的重视。我们的研究强调了在大流行期间考虑前线工作人员的经验和关注的重要性。于2019冠状病毒病大流行期间在英国工作的员工提倡清晰及一致的指引、简化医护人员工作人员的测试、个人防护装备的管理及确认个人防护装备对日常工作的影响。
The COVID-19 pandemic has set unprecedented demand on the healthcare workforce around the world. The UK has been one of the most affected countries in Europe. The aim of this study was to explore the perceptions and experiences of healthcare workers (HCWs) in relation to COVID-19 and care delivery models implemented to deal with the pandemic in the UK. The study was designed as a rapid appraisal combining: (1) a review of UK healthcare policies (n=35 policies), (2) mass media and social media analysis of front-line staff experiences and perceptions (n=101 newspaper articles, n=1 46 000 posts) and (3) in-depth (telephone) interviews with front-line staff (n=30 interviews). The findings from all streams were analysed using framework analysis. Limited personal protective equipment (PPE) and lack of routine testing created anxiety and distress and had a tangible impact on the workforce. When PPE was available, incorrect size and overheating complicated routine work. Lack of training for redeployed staff and the failure to consider the skills of redeployed staff for new areas were identified as problems. Positive aspects of daily work reported by HCWs included solidarity between colleagues, the establishment of well-being support structures and feeling valued by society. Our study highlighted the importance of taking into consideration the experiences and concerns of front-line staff during a pandemic. Staff working in the UK during the COVID-19 pandemic advocated clear and consistent guidelines, streamlined testing of HCWs, administration of PPE and acknowledgement of the effects of PPE on routine practice.
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