Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Int Nurs Rev. 2020 Dec;67(4):543-553. doi: 10.1111/inr.12625. Epub 2020 Oct 2.
To describe our response to the COVID-19 emergency in a cancer centre to enable other nursing organizations to determine which elements could be useful to manage a surge of patients in their own setting.
The COVID-19 pandemic represents one of the most challenging healthcare scenarios faced to date. Managing cancer care in such a complex situation requires a coordinated emergency action plan to guarantee the continuity of cancer treatments for patients by providing healthcare procedures for patients, caregivers and healthcare professionals in a safe environment.
We describe the main strategies and role of nurses in implementating such procedures.
Nurses at our hospital were actively involved in COVID-19 response defined by the emergency action plan that positively contributed to correct social distancing and to the prevention of the spread of the virus.
Lessons learned from the response to phase I of COVID-19 have several implications for future nursing and health policies in which nurses play an active role through their involvement in the frontline of such events. Key policies include a coordinated emergency action plan permitting duty of care within the context of a pandemic, and care pathway revision. This requires the rapid implementation of strategies and policies for a nursing response to the new care scenarios: personnel redistribution, nursing workflow revision, acquisition of new skills and knowledge, effective communication strategies, infection control policies, risk assessment and surveillance programmes, and continuous supplying of personal protective equipment. Finally, within a pandemic context, clear nursing policies reinforcing the role of nurses as patient and caregiver educators are needed to promote infection prevention behaviour in the general population.
描述我们在癌症中心应对 COVID-19 紧急情况的措施，以便其他护理组织能够确定在其自身环境中应对患者激增时哪些元素可能有用。
COVID-19 大流行是迄今为止面临的最具挑战性的医疗保健情况之一。在这种复杂的情况下管理癌症护理需要协调应急行动计划，以通过为患者、护理人员和医护人员在安全的环境中提供医疗程序来保证癌症治疗的连续性。
我们描述了实施这些程序的护士的主要策略和角色。
我们医院的护士积极参与了应急行动计划定义的 COVID-19 应对，这对正确的社交距离和病毒的传播预防有积极的贡献。
从 COVID-19 第一阶段的应对中吸取的教训对未来的护理和卫生政策有几个启示，护士通过参与此类事件的前线工作，在其中发挥积极作用。关键政策包括协调应急行动计划，允许在大流行背景下履行护理职责，以及修订护理路径。这需要迅速实施针对新护理场景的护理应对策略和政策：人员重新分配、护理工作流程修订、获得新技能和知识、有效的沟通策略、感染控制政策、风险评估和监测计划，以及持续供应个人防护设备。最后，在大流行背景下，需要明确的护理政策来加强护士作为患者和护理人员教育者的作用，以促进普通人群的感染预防行为。
