Yi Xu, Jamil Nursa'adah Binte, Gaik Irene Tan Cheng, Fee Lim Su
Senior Nurse Clinician, Community Nurse, the Department of RHS-Community Nursing, Population Health and Integrated Care Office, Singapore General Hospital, Singapore.
Senior Staff Nurse, Community Nurse, the Department of RHS-Community Nursing, Population Health and Integrated Care Office, Singapore General Hospital, Singapore.
Br J Community Nurs. 2020 Aug 2;25(8):390-395. doi: 10.12968/bjcn.2020.25.8.390.
Community nurses in Singapore support vulnerable older persons with chronic health condition(s). In the situation of scaled-down community health and social services during the COVID-19 outbreak, the community nursing team adopted measures for pandemic preparedness. This report is to share the Singapore General Hospital community nursing experience, preparation and transforming efforts during the pandemic. Team segregation, active screening and triage before visits and other precautionary measures were executed to minimise the risk of exposure to COVID-19. There was a shift from face-to-face to teleconsultation to meet the requirement of safe social-distancing. Community nursing teams continued to play an active role in supporting older persons during the pandemic, despite the challenges. Moving to the lockdown phase ('circuit breaker'), teleconsultation, virtual meetings and integrated partnerships were essential to ensure healthcare accessibility and continuity of care. The experience gleaned was valuable to advance future community nursing services in the evolving healthcare landscape. Structured teleconsultation and technology advancement are useful to complement the service.
新加坡的社区护士为患有慢性健康问题的弱势老年人提供支持。在新冠疫情期间社区卫生和社会服务规模缩减的情况下，社区护理团队采取了大流行防范措施。本报告旨在分享新加坡总医院社区护理团队在疫情期间的经验、准备工作和转型努力。实施了团队隔离、访视前的主动筛查和分诊以及其他预防措施，以尽量降低接触新冠病毒的风险。为满足安全社交距离的要求，从面对面咨询转变为远程会诊。尽管面临挑战，但社区护理团队在疫情期间继续在支持老年人方面发挥积极作用。进入封锁阶段（“断路器”）后，远程会诊、虚拟会议和综合伙伴关系对于确保医疗服务可及性和护理连续性至关重要。所积累的经验对于在不断演变的医疗格局中推进未来社区护理服务具有重要价值。结构化远程会诊和技术进步有助于补充服务。
