The Impact of COVID-19 from the Perspectives of Dutch District Nurses: A Mixed-Methods Study

被引:8
作者
Veldhuizen, Jessica D. [1 ]
Zwakhalen, Sandra [2 ,3 ]
Buurman, Bianca M. [4 ,5 ]
Bleijenberg, Nienke [1 ,6 ]
机构
[1] Univ Appl Sci Utrecht, Fac Hlth Care, Res Ctr Hlthy & Sustainable Living, NL-3584 CS Utrecht, Netherlands
[2] Maastricht Univ, CAPRI Care & Publ Hlth Res Inst, Dept Hlth Serv Res, Duboisdomein 30, NL-6229 GT Maastricht, Netherlands
[3] Living Lab Ageing & Long Term Care, NL-6200 MD Maastricht, Netherlands
[4] Univ Amsterdam, Dept Internal Med, Sect Geriatr Med, Med Ctr,Amsterdam Univ Med Ctr, NL-1000 GG Amsterdam, Netherlands
[5] Amsterdam Univ Appl Sci, Fac Hlth, Ctr Appl Res, ACHIEVE, NL-1105 BD Amsterdam, Netherlands
[6] Univ Med Ctr Utrecht, Div Julius Ctr Hlth Sci & Primary Care, Dept Gen Practice, NL-3508 GA Utrecht, Netherlands
关键词
COVID-19; community health nursing; district nursing; home care; geriatric care; nursing research; OLDER-PEOPLE; CARE WORKERS;
D O I
10.3390/ijerph182413266
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Little is known about how COVID-19 affects older patients living at home or how it affects district nursing teams providing care to these patients. This study aims to (1) explore, from the perspectives of Dutch district nurses, COVID-19 ' s impact on patients receiving district nursing care, district nursing teams, and their organisations during the first outbreak in March 2020 as well as one year later; and (2) identify the needs of district nurses regarding future outbreaks. A mixed-methods, two-phase, sequential exploratory design was followed. In total, 36 district nurses were interviewed during the first outbreak (March 2020), of which 18 participated in the follow-up questionnaire in April 2021. Thirteen themes emerged, which showed that the COVID pandemic has substantially impacted patient care and district nursing teams. During the first outbreak, nurses played a crucial role in organising care differently and worked under high pressure, leading to exhaustion, tiredness, and psychosocial problems, including fear of infection. A year later, nurses were better prepared to provide COVID care, but problems regarding work pressure and mental complaints remained. The identified needs focus on a sustainable implementation of leadership roles for district nurses. At the organisational and national levels, more support and appreciation are needed in terms of trust and appropriate policies.
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页数:16
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