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“大流行疲劳!自2020年3月以来一直存在”:一项关于大流行期间有色人种老年人和一线医护人员经历的照片叙事研究。

"Pandemic Fatigue! It's Been Going On since March 2020": A Photovoice Study of the Experiences of BIPOC Older Adults and Frontline Healthcare Workers during the Pandemic.

作者信息

Ekwonye Angela U, Malek Abigail, Chonyi Tenzin, Nguyen Stephanie, Ponce-Diaz Valerie, Lau Haller Lisa, Farah Iqra, Hearst Mary

机构信息

Department of Public Health, St. Catherine University, 2004 Randolph Ave, St. Paul, MN 55105, USA.

School of Nursing, University of Minnesota, Minneapolis, MN 55454, USA.

出版信息

Healthcare (Basel). 2022 Oct 8;10(10):1967. doi: 10.3390/healthcare10101967.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic intensified the stressful and already difficult circumstances of communities of color. Yet, there is no current photovoice research highlighting the lived experiences of these communities from two perspectives-the older adults (OAs) and the frontline healthcare workers (FLHWs). This qualitative study used photovoice to visually portray the struggles of Black, Indigenous, and persons of color (BIPOC) OAs ( = 7) and younger FLHWs ( = 5) who worked with older adults during the pandemic and how they coped and recovered from the challenges of the pandemic. The investigators conducted a three-day training of ten research assistants (RAs) who were paired with either an OA or an FLHW for the photovoice sessions conducted in four stages. Upon examination of the narratives, focus group transcriptions, and photo stories, it became clear that participants faced different challenges during the pandemic, such as the fear of COVID-19 exposure, struggles to adopt COVID-19 mitigation strategies, workplace challenges, and social isolation. Amid this crisis of suffering, isolation, and sadness, participants employed two major strategies to deal with the challenges of the pandemic: positive reappraisal and self-care practices. The findings have implications for clinical social workers, mental health counselors, faith communities, nurse managers and administrators, and policymakers.

摘要

2019年冠状病毒病(COVID-19)大流行加剧了有色人种社区本就紧张且艰难的处境。然而,目前尚无照片声音研究从老年人(OAs)和一线医护人员(FLHWs)这两个视角突出这些社区的生活经历。这项定性研究运用照片声音法直观呈现了黑人、原住民和有色人种(BIPOC)老年人(n = 7)以及在大流行期间与老年人共事的年轻一线医护人员(n = 5)的挣扎,以及他们如何应对大流行挑战并从中恢复。研究人员对十名研究助理(RAs)进行了为期三天的培训,这些研究助理在四个阶段进行的照片声音环节中,分别与一名老年人或一名一线医护人员配对。在审视这些叙述、焦点小组记录和照片故事时,很明显参与者在大流行期间面临着不同的挑战,比如对接触COVID-19的恐惧、难以采取COVID-19缓解策略、工作场所挑战以及社会隔离。在这场痛苦、隔离和悲伤的危机中,参与者采用了两种主要策略来应对大流行的挑战:积极重新评估和自我护理实践。这些研究结果对临床社会工作者、心理健康顾问、宗教团体、护士经理和管理人员以及政策制定者具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c80d/9601847/aba95886d5b7/healthcare-10-01967-g001.jpg

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