美国前线医生在COVID-19大流行期间的经验:一种定性研究
Robin L Whitney1,2, Melissa Gosdin3, Sabrina F Loureiro4
1Betty Irene Moore School of Nursing, University of California Davis, 2570 48th Street, Sacramento, CA, 95817, USA. rlwhitney@ucdavis.edu.
概括
在COVID-19大流行期间,医生面临着重大挑战,包括缺乏明确的指导方针和个人压力因素. 在这场危机期间,组织支持和清晰的沟通是患者护理和临床医生福祉的关键促进因素.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 由于COVID-19的流行,医疗保健的提供和组织需要迅速改变.
- 了解疫情初期医生面临的挑战,对于改善患者护理和临床医生的福祉至关重要.
- 这项研究侧重于医生在疫情初期提供护理的实践经验.
研究的目的:
- 探索医生在早期COVID-19大流行期间对患者护理的经验.
- 识别影响医疗保健提供和医生福祉的促进者和障碍.
- 为未来的流行病准备策略提供信息.
主要方法:
- 使用主题分析进行定性,描述性研究.
- 涉及来自五个专业的17名医生,他们有直接的COVID-19患者护理经验.
- 通过重点小组和采访 (2020年5月至6月) 收集的数据,使用诱导和演主题分析进行分析.
主要成果:
- 三个主题出现了:促进者 (组织支持,同行/家庭支持),障碍物 (缺乏指导方针,沟通不良,自我照顾挑战) 和急性压力因素 (暴露的担忧,感觉不准备).
- 组织和系统层面的因素显著影响了患者护理和医生福祉.
- 关键的促进者包括后勤支持和健康计划,而障碍则涉及不一致的指导方针和沟通.
结论:
- 医生福利和患者护理在大流行期间受到组织和系统因素的重大影响.
- 调查结果可以指导制定应急准备和流行病应对的最佳实践.
- 有效的策略需要解决运营挑战和临床医生支持系统.
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