The lived experiences of health care professionals regarding visiting restrictions in the emergency department during the COVID-19 pandemic: A multi-perspective qualitative study

被引：1

作者：

Lyu, Yang ^{[1
]}

Yu, Han ^{[2
]}

Gao, Fengli ^{[3
]}

He, Xinhua ^{[2
]}

Crilly, Julia ^{[4
,5
]}

机构：

[1] Chinese Acad Med Sci & Peking Union Med Coll, Canc Hosp, Natl Canc Ctr, Natl Clin Res Ctr Canc,Dept Thorac Surg, Beijing 100021, Peoples R China

[2] Beijing Chao Yang Hosp, Dept Emergency Med, Beijing 100020, Peoples R China

[3] Beijing Chao Yang Hosp, Dept Nursing, Beijing, Peoples R China

[4] Gold Coast Hlth, Dept Emergency Med, Gold Coast, Qld, Australia

[5] Griffith Univ, Menzies Hlth Inst Queensland, Sch Nursing & Midwifery, Gold Coast, Qld, Australia

来源：

NURSING OPEN | 2023年 / 10卷 / 05期

关键词：

COVID-19; emergency departments; moral injury; nurses; pandemic; qualitative study; visiting restrictions; IMPACT;

D O I：

10.1002/nop2.1576

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aims: To explore the lived experiences of emergency department (ED) healthcare professionals regarding visiting restrictions during the COVID-19 pandemic. Design: A qualitative phenomenology study. Methods: Semi-structured interviews were undertaken. Participants consisted of 10 physicians, 20 clinical nurses, and three managers, who were purposefully selected from two EDs in China between April and July 2021. Colaizzi's approach guided data analysis. Results: Four themes arose: (i) burden moral injury, (ii) higher workload to provide and support patient- and family-centered care, (iii) dissatisfied and unsafe healthcare service for patients and families, and (iv) tailoring strategies to provide family-centered care. Patient or Public Contribution: This study explored the lived experiences of ED health care professionals regarding visiting restrictions during the COVID-19 pandemic. Noted challenges included communicating with families and ethical decision making. Strategies that support ED clinician welfare, and communication with families are warranted if visiting policy restrictions are continued or re-introduced.

引用

页码：3243 / 3252

页数：10

共 33 条

[1] The psychological impact of quarantine and how to reduce it: rapid review of the evidence [J].

Brooks, Samantha K. ;

Webster, Rebecca K. ;

Smith, Louise E. ;

Woodland, Lisa ;

Wessely, Simon ;

Greenberg, Neil ;

Rubin, Gideon James .

LANCET, 2020, 395 (10227) :912-920

[2]

Colaizzi P.F., 1978, ExistentialPhenomenological Alternatives for Psychology, P48

[3] Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic [J].

Creutzfeldt, Claire J. ;

Schutz, Rachael E. C. ;

Zahuranec, Darin B. ;

Lutz, Barbara J. ;

Curtis, J. Randall ;

Engelberg, Ruth A. .

JOURNAL OF PALLIATIVE MEDICINE, 2021, 24 (05) :743-746

[4] Receiving power through confirmation: the meaning of close relatives for people who have been critically ill [J].

Engstroem, Asa ;

Soederberg, Siv .

JOURNAL OF ADVANCED NURSING, 2007, 59 (06) :569-576

[5] Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness [J].

Graneheim, UH ;

Lundman, B .

NURSE EDUCATION TODAY, 2004, 24 (02) :105-112

[6] Consequences of visiting restrictions during the COVID-19 pandemic: An integrative review [J].

Hugelius, Karin ;

Harada, Nahoko ;

Marutani, Miki .

INTERNATIONAL JOURNAL OF NURSING STUDIES, 2021, 121

[7]

Institute for Patient-and Family-Centered Care, 2020, WHAT IS PAT FAM CTR

[8] Conditions and strategies to meet the challenges imposed by the COVID-19-related visiting restrictions in the intensive care unit: A Scandinavian cross-sectional study [J].

Jensen, Hanne Irene ;

Akerman, Eva ;

Lind, Ranveig ;

Alfheim, Hanne Birgit ;

Frivold, Gro ;

Fridh, Isabell ;

Agard, Anne Sophie .

INTENSIVE AND CRITICAL CARE NURSING, 2022, 68

[9] Increase in Video Consultations During the COVID-19 Pandemic: Healthcare Professionals' Perceptions about Their Implementation and Adequate Management [J].

Jimenez-Rodriguez, Diana ;

Santillan Garcia, Azucena ;

Montoro Robles, Jesus ;

Rodriguez Salvador, Maria del Mar ;

Munoz Ronda, Francisco Jose ;

Arrogante, Oscar .

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (14) :1-14

[10] Association between visitation restriction during the COVID-19 pandemic and delirium incidence among emergency admission patients: a single-center retrospective observational cohort study in Japan [J].

Kandori, Kenji ;

Okada, Yohei ;

Ishii, Wataru ;

Narumiya, Hiromichi ;

Maebayashi, Yoshiro ;

Iizuka, Ryoji .

JOURNAL OF INTENSIVE CARE, 2020, 8 (01)

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