Please wait a minute...
J Zhejiang Univ (Med Sci)  2020, Vol. 49 Issue (4): 480-486    DOI: 10.3785/j.issn.1008-9292.2020.08.07
    
Qualitative study on working experience of COVID-19 care nurses
WANG Jinying1(),HE Jiangjuan2(),ZHU Jianmei1,QIU Jiangying1,WANG Huafen2,XU Hongzhen1,*()
1. Nursing Department, Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China
2. Nursing Department, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
Download: HTML( 8 )   PDF(1077KB)
Export: BibTeX | EndNote (RIS)      

Abstract  

Objective: To study the working experience of COVID-19 care nurses. Methods: Twenty two nurses taking care of COVID-19 patients were interviewed by means of descriptive phenomenology. All the data were transcribed and recorded, and then processed into WORD documents. The Colaizzi 7 footwork was used to classify, encode, establish nodes and extract themes based on Nvivo11.0 software. Results: Two main themes were extracted: one is the positive feelings of nurses, including the sense of professional mission and pride, the sense of achievement and happiness, the improvement of self-worth and ability, the powerful support system and the power of role models; the other is the negative experience of nurses, including the worry and anxiety at work, the lack of experience and trust, the difficulty of work, and the inconvenience of isolating life. Conclusions: While fully affirming the work value of nurses, it is necessary for the society, hospitals and patients to give extensive and continuous support, care and respect to nurses, so as to stimulate their working enthusiasm and sense of professional achievement. Hospital managers need to implement all kinds of security work, meet the safety needs of nurses, pay attention to the physical and mental health of nurses, strengthen the training of nursing talents for critical and severe diseases and infectious diseases, improve the allocation of human resources, and enhance the ability of material allocation and reserve for major health events, so as to make adequate preparations for coping with public health events in the future.



Key wordsCoronavirus diseases 2019      Nurse      Working experience      Qualitative research     
Received: 05 March 2020      Published: 27 September 2020
CLC:  B849  
  R395.1  
Corresponding Authors: XU Hongzhen     E-mail: 365602490@qq.com;13777419132@139.com;6184020@zju.edu.cn
Cite this article:

WANG Jinying,HE Jiangjuan,ZHU Jianmei,QIU Jiangying,WANG Huafen,XU Hongzhen. Qualitative study on working experience of COVID-19 care nurses. J Zhejiang Univ (Med Sci), 2020, 49(4): 480-486.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2020.08.07     OR     http://www.zjujournals.com/med/Y2020/V49/I4/480


2019冠状病毒病患者照护护士工作体验的质性研究

目的: 分析2019冠状病毒病(COVID-19)患者一线照护护士的工作体验,为今后突发公共卫生事件的护理工作提供科学依据。方法: 采用质性研究的描述性现象学法,通过目的抽样访谈22名COVID-19患者一线照护护士,所有资料均为笔录和录音,并整理成文,在Nvivo11.0软件辅助下运用Colaizzi七步法进行分类编码、节点建立、主题提炼。结果: 提炼出两大主题,一为护士的积极感受,包括职业使命感、责任感和成就感,成长和能力的提升,强大的支持系统和被关爱的感动;二为护士的负性体验,包括担忧和焦虑(担心自身被感染或感染家人、经验不足而无法胜任工作、对未来的不确定感)、工作难度大及负荷重,隔离影响生活等。结论: 在充分肯定护士工作价值的同时,需要社会、医院、患者对护士作出广泛而持续的支持、关爱与尊重,以激发护士的工作积极性和职业成就感。医院管理者需要落实各项保障工作,满足护士安全需求,注重护士身心健康,加强急危重症和传染病护理人才的培养,完善人力资源配置,增强重大卫生事件物资调配和储备能力,为今后应对公共卫生事件做好充足的准备。


关键词: 2019冠状病毒病,  护士,  工作体验,  质性研究 
[1]   刘明 . 护理质性研究[M]. 北京: 人民卫生出版社, 2008: 39
LIU Ming . Qualitative research on nursing[M]. Beijing: People's Health Publishing House, 2008: 39
[2]   杨俊茹, 蒋维连 . 三级甲等医院临床护士继续教育需求的质性研究[J]. 解放军护理杂志, 2012, 29 (15): 23- 25
YANG Junru , JIANG Weilian . Needs of continuing education for clinical nurses in grade-Ⅲ level-A hospital: a qualitative research[J]. Nursing Journal of Chinese People's Liberation Army, 2012, 29 (15): 23- 25
[3]   黄天雯, 白玛曲措, 李娜 et al. 西藏自治区县级卫生服务中心护士工作体验的质性研究[J]. 中华护理杂志, 2018, 53 (9): 1100- 1104
HUANG Tianwen , BAIMA Qucuo , LI Na et al. Qualitative research of working experience in county health service center nurses in Tibet[J]. Chinese Journal of Nursing, 2018, 53 (9): 1100- 1104
doi: 10.3761/j.issn.0254-1769.2018.09.017
[4]   SOUSA D . Validation in qualitative research: general aspects and specificities of the descriptive phenomenological method[J]. Qual Res Psychol, 2014, 11 (2): 211- 227
doi: 10.1080/14780887.2013.853855
[5]   朱佳楠, 张欣, 林敏 et al. 新生儿重症监护室护士经历道德困扰体验的现象学研究[J]. 护理学杂志, 2019, 34 (8): 14- 17
ZHU Jianan , ZHANG Xin , LIN Min et al. A phenomenological study on moral distress experience of nurses working in neonatal intensive care unit[J]. Journal of Nursing, 2019, 34 (8): 14- 17
doi: 10.3870/j.issn.1001-4152.2019.15.014
[6]   国家卫生健康委员会.国家卫生健康委办公厅关于进一步加强医疗机构感染预防与控制工作的通知[EB/OL].国卫办医函〔2019〕480号.(2019-05-23)[2020-04-03].http://www.nhc.gov.cn/yzygj/s7659/201905/d831719a5ebf450f991ce47baf944829.shtml.
National Health Commission. Notice of the General Office of the National Health Commission on Further Strengthening the Prevention and Control of Infection in Medical Institutions[EB/OL]. National Health Office Medical Letter〔2019〕No.480. (2019-05-23)[2020-04-03]. http://www.nhc.gov.cn/yzygj/s7659/201905/d831719a5ebf450f991ce47baf944829.shtml. (in Chinese)
[7]   苗琪琪, 刘铭扬, 郑沙沙 et al. 护士在救治人感染H7N9禽流感患者时的工作体验[J]. 中华护理杂志, 2018, 53 (6): 720- 723
MIAO Qiqi , LIU Mingyang , ZHENG Shasha et al. The lived experience of nurses during the treatment of patients infected with avian influenza A (H7N9) virus: a qualitative research[J]. Chinese Journal of Nursing, 2018, 53 (6): 720- 723
doi: 10.3761/j.issn.0254-1769.2018.06.016
[8]   林芳, 黄林娟, 唐艳 . 儿科新护士主观幸福感影响因素及情绪管理效果观察[J]. 齐鲁护理杂志, 2019, 25 (23): 21- 24
LIN Fang , HUANG Linjuan , TANG Yan . Effect of influential factors on subjective wel-being and emotional management for new nurses in pediatric[J]. Qilu Journal of Nursing, 2019, 25 (23): 21- 24
doi: 10.3969/j.issn.1006-7256.2019.23.007
[9]   王颖, 曾铁英.我国护理人力资源存在的问题与对策[J]. 医学与社会, 2017, 30(11): 12-14. DOI: 11.13723/j.yxysh.2017.11.004.
WANG Ying, ZENG Tieying. Problems and countermeasures of chinese nursing human resources[J]. Medicine and Society, 2017, 30(11): 12-14. DOI: 11.13723/j.yxysh.2017.11.004.(inChinese)
[1] WANG Weidan,XU Fangzhong,XU Songquan,ZHANG Jianmin,ZHANG Ning. Impact of public health emergency on public psychology: analysis of mental health assistance hotlines during COVID-19 in Zhejiang province[J]. J Zhejiang Univ (Med Sci), 2020, 49(4): 409-418.