智利医护人员在 COVID-19 大流行期间的护理工作经历及其对心理健康的影响:基于国际倡议 HEROES 的定性研究。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Jorge Ramírez, Victoria Lermanda, Antonia Aguirre, Sebastián Villarroel, María Soledad Burrone, Valentina Carrera, Felipe Castañeda, Rubén Alvarado, Paula Bedregal
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引用次数: 0

摘要

导言:COVID-19 大流行影响了医护人员的心理健康。研究护理视角对于了解特定心理健康调查结果的原因并提出应对策略至关重要:在 2022 年下学期和 2023 年上半年,通过半结构式访谈和归纳编码,对智利的医护人员进行了横断面研究,采用了主题分析方法,该方法源自国际倡议 "医护人员研究"(HEROES):对 35 个访谈进行了叙述性综合,分为四个主题:工作中的护理:工作任务的变化、对受感染的担忧、集体 "神秘感"、作为医护人员的耻辱感、与患者的冲突;家庭中的护理:安排家务的多种方式、与他人共同生活的意义、与工作动态的相互关系、女性的 "双重负担";与自身心理健康的关系:对心理健康影响的认识、与变化和不确定性相关的压力、对工作超负荷的感知、对感染家庭成员的内疚感或责任感;以及对大流行病及其影响的信念和价值观:接受对医护人员的心理影响、组织文化是推迟自身心理健康的一个相关因素、最初不相信大流行病的影响、与以往社会动荡时期的相似之处以及在易受疾病影响方面的人际平等。结论:有五个因素可作为潜在的干预领域:性别视角、以前的危机经历、自我护理空间、同伴支持和机构反应。护理视角有助于研究大流行病背景下一些压力因素与医护人员心理健康之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The caregiving work experience of healthcare workers in Chile during the COVID-19 pandemic and its impact on mental health: A qualitative study based on the international initiative HEROES.

Introduction: The COVID-19 pandemic has impacted the mental health of healthcare workers. Studying the care perspective is essential to understanding the causes of specific mental health findings and proposing strategies to address them.

Methods: Cross-sectional study with a thematic analytical approach, derived from the international initiative "The Health Care Workers Study" (HEROES), conducted among healthcare workers in Chile during the second semester of 2022 and the first of 2023 through semi-structured interviews and inductive coding.

Results: A narrative synthesis of 35 interviews in four themes: care at work: the presence of changes in work tasks, concern about becoming infected, collective "mystique", stigma due to being a healthcare worker, conflicts with patients; care at home: multiple ways of arranging household tasks, the relevance of living with others, interrelation with work dynamics, "double burden" among women; relationship with one's own mental health: recognition of mental health impact, the stress associated with change and uncertainty, perception of work overload, feelings of guilt or responsibility for infecting family members; and beliefs and values about the pandemic and its effects: acceptance of psychological impact on healthcare workers, organizational culture as a relevant element in postponing one's own mental health, initial disbelief in the effects of the pandemic, similarities with previous periods of social upheaval, and equality among people in terms of vulnerability to the disease.

Conclusions: Five elements emerge as potential areas for intervention: gender perspective, previous exposure to crisis experiences, self-care spaces, peer support, and institutional response. The care perspective helps study the relationship between some stressors and healthcare workers' mental health in the context of a pandemic.

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来源期刊
Medwave
Medwave MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
8.30%
发文量
50
审稿时长
12 weeks
期刊介绍: Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.
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