广州疫情封控区紧急状态下过渡隔离病区护士工作压力源的混合研究方案

A mixed research scheme on job stressors in nurses from the transitional isolation ward under emergency in the epidemic containment area of Guangzhou

目的了解广州疫情封控区紧急状态下过渡隔离病区护士的工作压力源,明确其工作过程中实际问题和困难,制定有效干预措施。方法采用量性与质性相结合的方法,对2021年6月至7月广东省中医院过渡隔离病区的67名护士采用护士工作压力源量表以问卷星形式匿名调查;对其中年龄阶段23~39岁的2名男护士和13名女护士进行半结构式访谈,运用Golaizzi 7步分析法对访谈内容进行整理、归纳和分析。采用研究软件Nvivo12对访谈材料进行分析。结果67名过渡隔离病区护士工作压力源总得分为(2.549±0.758)分,其中主要压力源为工作量及时间分配问题[(2.878±0.838)分]。提炼出4个主题:护理工作负荷强、任务重;担心工作能力不足、知识缺乏;心理状态波动大;封控期间对家人的牵挂。结论今后护理管理者应开展全方位、多元化、持续性的知识培训,及时关注、疏导护士的心理压力,减轻过渡隔离病房的工作负荷,采取针对性的干预措施,帮助其积极应对。

Objective To understand the job stressors in nurses from the transitional isolation ward under emergency in the epidemic containment area of Guangzhou,to clarify the practical problems and difficulties in their work process,and to formulate effective intervention measures.Methods Using the combination of quantitative and qualitativemethods,67 nurses in the transitional isolation ward of Guangdong Hospital of Traditional Chinese Medicine from June to July 2021 were surveyed by Nurse Job Stressor Scale(NJSS)in the form of questionnaire.Semi-structured interview was conducted on 2 male nurses and 13 female nurses aged 23 to 39 years.Golaizzi 7-step analysis was used to sort out,summarize,and analyze the interview contents.Research software Nvivo12 was used to analyze the interview materials.Results The score of job stressors in the nurses from the transitional isolation ward was(2.549±0.758)points,among which the main stressor was workload and time distribution[(2.878±0.838)points].Four themes were extracted:nursing workload,worry about lack of working ability and knowledge,psychological state fluctuation,and concern for family members during the epidemic containment.Conclusion In the future,nursing managers should carry out all-round,diversified,and continuous knowledge training,timely pay attention to and ease nurses'psychological pressure,reduce the workload of transitional isolation ward,and take targeted intervention measures to help them cope with it positively.