MedStar Washington Hospital Center, Washington, DC.
Columbia University School of Nursing, New York, NY.
Am J Infect Control. 2021 Apr;49(4):478-483. doi: 10.1016/j.ajic.2020.10.014. Epub 2020 Oct 20.
Little is known about clinical staff's perspectives on preparedness for a pandemic. The purpose of this study was to obtain various clinical staff perspectives about preparedness to meet the demands for care during the early phase of the SARS-CoV-2 (COVID-19) pandemic.
We conducted a qualitative study using semistructured in-person interviews from March 2020 to April 2020 at a large tertiary academic urban hospital center. Interview guides were informed by the Resilience Framework for Public Health Emergency Preparedness and analyzed using a directed content analysis approach.
Fifty-five clinical staff participated in the study. Three themes emerged from the data (1) Risk assessment and planning: "The powder keg," (2) Innovative evolution of roles and responsibilities, and (3) Pandemic response and capacity. In the early phases of the pandemic, participants reported varying levels of risks for dying. However, most participants adapted to practice changes and became innovative in their roles over time. Hierarchies were less relevant during care delivery, whereas team collaboration became crucial in managing workforce capacity.
As the pandemic progressed, staff preparedness evolved through a trial-and-error approach.
The pandemic is evolving as is clinical staff preparedness to meet the demands of a pandemic. In order to get a grasp on the crisis, clinical staff relied on each other and resorted to new workarounds.
对于临床工作人员对大流行准备情况的看法，我们知之甚少。本研究的目的是了解各种临床工作人员对满足 SARS-CoV-2（COVID-19）大流行早期阶段护理需求的准备情况的看法。
我们于 2020 年 3 月至 4 月在一家大型三级学术城市医院中心进行了一项定性研究，采用半结构式面对面访谈。访谈指南由公共卫生应急准备弹性框架提供信息，并使用有针对性的内容分析方法进行分析。
55 名临床工作人员参加了这项研究。数据中出现了三个主题（1）风险评估和规划：“火药桶”，（2）角色和职责的创新演变，以及（3）大流行应对和能力。在大流行的早期阶段，参与者报告了不同程度的死亡风险。然而，大多数参与者随着时间的推移适应了实践的变化，并在其角色方面变得具有创新性。在提供护理时，等级制度的相关性降低，而团队合作对于管理劳动力能力变得至关重要。
随着大流行的发展，工作人员的准备工作通过试错的方法不断发展。
随着临床工作人员为满足大流行的需求而不断做好准备，大流行也在不断演变。为了掌握危机，临床工作人员相互依靠，并采取新的解决方法。
