Silies Katharina, Schley Angelika, Sill Janna, Fleischer Steffen, Müller Martin, Balzer Katrin
Sektion Forschung und Lehre in der Pflege, Institut für Sozialmedizin und Epidemiologie, Universität zu Lübeck.
Institut für Gesundheits- und Pflegewissenschaft, Martin-Luther-Universität Halle-Wittenberg.
Pflege. 2020;33(5):289-298. doi: 10.1024/1012-5302/a000756.
The COVID-19-pandemic in acute inpatient setting from nursing managers' and hygiene specialists' perspective - A qualitative study Background: The COVID-19-pandemic is an unprecedented, exceptional situation and necessitates numerous adaptations of structures and processes in the acute inpatient setting.
The aim of this study was to explore how acute inpatient care was influenced by the pandemic and which implications may result for the future from nursing managers' and hygiene specialists' point of view.
Qualitative study based on semi-structured interviews with five nursing managers and three hygiene specialists in four German acute care hospitals. Interviews were interpreted by using content analysis.
Interviewees described how everyday routines in their hospitals were adapted to the prioritized care for COVID-19 patients. Main challenges were uncertainty and anxiety among staff, relative scarcity of equipment and workforce resources and rapid implementation of new requirements for treatment capacities. This was addressed by targeted communication and information, large efforts to ensure resources and coordinated control of all processes by cross-department, interprofessional task forces.
Adaptations made to the structures and procedures of care delivery during the pandemic hold potential for future improvements of routine care, e. g. new workplace and skill mix models. To identify detailed practical implications, a renewed and deepened data analysis is needed at a later point of time, with a larger distance to the period of the pandemic.
从护理管理人员和卫生专家的角度看急性住院环境中的新冠疫情——一项定性研究 背景：新冠疫情是一种前所未有的特殊情况，需要对急性住院环境中的结构和流程进行诸多调整。
本研究的目的是从护理管理人员和卫生专家的角度探讨疫情如何影响急性住院护理，以及未来可能产生哪些影响。
基于对德国四家急性护理医院的五名护理管理人员和三名卫生专家进行半结构化访谈的定性研究。访谈采用内容分析法进行解读。
受访者描述了他们医院的日常工作是如何适应对新冠患者的优先护理的。主要挑战包括工作人员的不确定性和焦虑、设备和劳动力资源相对短缺以及迅速实施新的治疗能力要求。通过有针对性的沟通和信息传递、大力确保资源以及跨部门、跨专业工作组对所有流程的协调控制来应对这些挑战。
疫情期间对护理提供的结构和程序所做的调整有可能在未来改善常规护理，例如新的工作场所和技能组合模式。为了确定详细的实际影响，需要在以后的时间进行重新深入的数据分析，与疫情时期拉开更大的距离。
