John Muir Health, Walnut Creek, California (Dr Cariaso-Sugay and Ms Browder); and Department of Family Health Care Nursing, University of California, San Francisco (Dr Chen) and Doctor of Nursing Practice Program (Drs Hultgren and Chen).
Nurs Adm Q. 2021;45(2):142-151. doi: 10.1097/NAQ.0000000000000468.
Whether natural or human-induced, disasters are a global issue that impact health care systems' operations, especially in the acute care setting. The current COVID-19 pandemic is a recent illustration of how health care systems and providers, especially nurses, respond to a rapidly evolving crisis. Nurse leaders in the acute care setting are pivotal in responding to the multifactorial challenges caused by a disaster. A quality improvement project was developed to increase nurse leaders' knowledge and confidence in disaster management during the COVID-19 pandemic at 2 Magnet-designated acute care hospitals within the John Muir Health system in Northern California. A total of 50 nurse leaders initially participated in this project, with 33 participants completing the postintervention survey. Results indicated significant improvement in perceived knowledge and confidence in disaster management after the intervention. Qualitative responses from project participants highlighted the need to annualize educational opportunities to sustain knowledge and consistently review emergency management operations plans. This quality improvement project provided an approach to educating nurse leaders in disaster management to promote resilience, support of employees, and optimal patient outcomes during disasters.
无论是自然发生的还是人为引发的，灾害都是一个全球性问题，会影响医疗保健系统的运作，尤其是在急症护理环境中。当前的 COVID-19 大流行就是一个最近的例子，说明了医疗保健系统和提供者（尤其是护士）如何应对快速演变的危机。急症护理环境中的护理领导者在应对灾害带来的多方面挑战方面起着关键作用。在加利福尼亚州北部约翰缪尔健康系统的 2 家磁铁指定的急症护理医院中，开展了一项质量改进项目，以提高护士领导者在 COVID-19 大流行期间管理灾害的知识和信心。最初共有 50 名护士领导者参与了该项目，其中 33 名参与者完成了干预后的调查。结果表明，干预后在管理灾害方面的感知知识和信心有显著提高。项目参与者的定性反馈强调需要将教育机会年度化，以维持知识并定期审查紧急管理操作计划。该质量改进项目为教育护理领导者进行灾害管理提供了一种方法，以促进弹性、支持员工并在灾害期间实现最佳患者结果。
