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عنوان انگلیسی مقاله:
The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study
ترجمه فارسی عنوان مقاله:
تجارب ارائه دهندگان مراقبت های بهداشتی در طول بحران COVID-19 در چین: یک مطالعه کیفی
Sciencedirect - Elsevier - The Lancet Global Health, 8 (2020) e790-e798. doi:10.1016/S2214-109X(20)30204-7
Qian Liu, Dan Luo, Joan E Haase, Qiaohong Guo, Xiao Qin Wang, Shuo Liu, Lin Xia, Zhongchun Liu, Jiong Yang, Bing Xiang Yang
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.
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.
Funding National Key R&D Program of China, Project of Humanities and Social Sciences of the Ministry of Education