From the Departments of Clinical Neurosciences (M.G., J.K., A.G., J.M.O.)
Diagnostic Imaging (M.G.), University of Calgary, Calgary, Alberta Canada.
AJNR Am J Neuroradiol. 2021 Jan;42(1):22-27. doi: 10.3174/ajnr.A6854. Epub 2020 Oct 8.
A health care crisis such as the coronavirus disease 2019 (COVID-19) pandemic requires allocation of hospital staff and resources on short notice. Thus, new and sometimes less experienced team members might join the team to fill in the gaps. This scenario can be particularly challenging in endovascular stroke treatment, which is a highly specialized task that requires seamless cooperation of numerous health care workers across various specialties and professions. This document is intended for stroke teams who face the challenge of integrating new team members into endovascular stroke-treatment workflows during the COVID-19 pandemic or any other global health care emergency. It discusses the key strategies for smooth integration of new stroke-team members in a crisis situation: 1) transfer of key knowledge (simple take-home messages), 2) open communication and a nonjudgmental atmosphere, 3) strategic task assignment, and 4) graded learning and responsibility. While these 4 key principles should generally be followed in endovascular stroke treatment, they become even more important during health care emergencies such as the COVID-19 pandemic, when health care professionals have to take on new and additional roles and responsibilities in challenging working environments for which they were not specifically trained.
一场医疗保健危机，如 2019 年冠状病毒病（COVID-19）大流行，需要在短时间内调配医院工作人员和资源。因此，新的、有时经验较少的团队成员可能会加入团队来填补空缺。在血管内卒中治疗中，这种情况尤其具有挑战性，因为这是一项高度专业化的任务，需要来自多个不同专业和职业的大量医疗保健工作者之间的无缝合作。本文面向的是在 COVID-19 大流行或任何其他全球医疗保健紧急情况下，面临将新团队成员融入血管内卒中治疗工作流程这一挑战的卒中团队。本文讨论了在危机情况下顺利融入新卒中团队成员的关键策略：1）关键知识的传递（简单的带回家信息），2）开放的沟通和非评判性的氛围，3）战略性任务分配，以及 4）分级学习和责任。虽然这些 4 个关键原则通常应适用于血管内卒中治疗，但在 COVID-19 大流行等医疗保健紧急情况下，这些原则变得更为重要，因为医疗保健专业人员必须在他们没有专门接受过培训的具有挑战性的工作环境中承担新的和额外的角色和责任。
