Experience of clinical nurses engaged in caring for patients with COVID-19: A qualitative systematic review and meta-synthesis.

AIMS AND OBJECTIVE: This qualitative review summarises and synthesises the available evidence on subjective experiences of clinical nurses who cared for patients with COVID-19. BACKGROUND: Nurses are first responders and play a vital role in emerging infectious disease epidemics such as the COVID-19 pandemic. In this context, they also face many difficulties and challenges related, for example to the imbalance between extensive demands and low control over work tasks. DESIGN AND METHOD: A systematic review of qualitative studies and meta-synthesis focused on the experiences of clinical nurses caring for patients with COVID-19 during the pandemic was carried out. RESULTS: A total of 279 findings were extracted, aggregated into 21 categories and combined into seven synthesised findings, namely (1) professional nursing practice during the pandemic, (2) support systems, (3) somatic sensations and psychological experiences, (4) difficulties and challenges, (5) coping strategies and behaviour, (6) impact on life, profession and values, and (7) needs and expectations for the future. CONCLUSION: Nurses encountered considerable difficulties and challenges in caring for patients with COVID-19. Nurses caring for patients with COVID-19 need more support from organisations, families and society. It is essential to explore positive coping strategies suitable for working in different cultural backgrounds. Policymakers and decision-makers should pay attention to the experiences and voices of nurses. RELEVANCE TO CLINICAL PRACTICE: It is critical for nurse managers to consider how to enhance the support system and help nurses develop adaptive coping strategies in response to COVID-19. Nurses' experiences and voices are valuable in improving health emergency response systems. PATIENT OR PUBLIC CONTRIBUTION: There was no patient or public contribution.

Evolutionary Game Analysis of Cross-Regional Coordinated Governance of Major Public Health Emergencies: The Example of the Spread of the COVID-19 Outbreak

Cross-regional governance of government often faces various problems, which often brings great loss to the society. The global outbreak of the novel coronavirus pneumonia (NCP) in early 2020 has not only caused serious economic and social losses to various countries but also put the current public health event governance system to a severe test. The cross-regional character and spillover effects of public health outbreak governance often make it difficult to coordinate cross-regional governance. In this context, this paper adopts a regional evolutionary game analysis framework and studies the cross-regional governance of public health emergencies by constructing a symmetric game of peripheral regions and an asymmetric game of core-peripheral regions. The marginal contribution of this paper is to attempt to construct a symmetric game model for peripheral regions and an asymmetric game model for core and peripheral regions using an evolutionary game approach to study the behavioral strategies of multiple regions in the governance of public health emergencies, and it is found that when the regional spillover effects and governance costs are small or the economic and social damages caused by public health emergencies are large, all regions will choose to conduct coordinated governance. Otherwise, there will be regions that choose to "free-ride." This "free-rider" mentality has led to the failure in achieving good cross-regional collaborative governance of public health emergencies, resulting in a lack of efficiency in the overall governance of public health in society. However, when the spillover effect of regional governance exceeds a certain critical value, the result of the regional governance game is also the socially optimal result, when public health emergencies are effectively governed. At the same time, the relevant findings and analytical framework of this paper will provide a policy reference for the cross-regional governance of the current new crown epidemic. [ABSTRACT FROM AUTHOR] Copyright of Mathematical Problems in Engineering is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)