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COVID-19:从护理角度看意大利医院的应对措施。

COVID-19: An Italian Hospital Response From the Nursing Perspective.

机构信息

IRCCS San Raffaele Scientific Institute, Milan, Italy (Messrs Rolandi and D'Aloia, Dr Villa, and Mss Gengo and Negro); and Vita-Salute San Raffaele University, Milan, Italy (Mr Manara).

出版信息

Nurs Adm Q. 2021;45(2):94-101. doi: 10.1097/NAQ.0000000000000467.

Abstract

Novel coronavirus disease-2019 (COVID-19) is a new respiratory disease that has spread widely throughout the world. On February 20, 2020, the first Italian case of COVID-19 was reported. The infection rapidly spread across the country, and by August 11, 2020, a total of 250 566 official cases with 32 205 deaths (12.8%) were reported in Italy, counting a total of 96 884 positive cases and 16 833 deaths (17.3%) in the Lombardy region only. A huge demand to handle the COVID-19 outbreak challenged both the health care providers and the ordinary work in the hospital. From the beginning of the crisis, San Raffaele Scientific Institute, a 1318-bed tertiary care university hospital located in Lombardy, Northern Italy, has played a major role in supporting the national health care system for the treatment of COVID-19 cases, and a significant reorganization of the hospital was immediately required. The reorganization was carried out both structurally and with regard to the distribution of medical and nonmedical staff. This article aims to highlight the management strategies for the health care staff subsequent to the pandemic intense workload in San Raffaele Scientific Institute.

摘要

新型冠状病毒病(COVID-19)是一种新的呼吸道疾病,已在全球广泛传播。2020 年 2 月 20 日,意大利报告了首例 COVID-19 病例。感染迅速在全国蔓延,截至 2020 年 8 月 11 日,意大利共报告了 250566 例官方病例,32205 例死亡(12.8%),仅伦巴第地区就累计报告了 96884 例阳性病例和 16833 例死亡(17.3%)。应对 COVID-19 疫情的巨大需求不仅对医疗保健提供者,而且对医院的日常工作都构成了挑战。自危机开始以来,位于意大利北部伦巴第的 1318 张病床的三级保健大学医院 San Raffaele 科学研究所一直是支持国家卫生保健系统治疗 COVID-19 病例的主要力量,因此需要立即对医院进行重大改组。改组不仅在结构上,而且在医务人员和非医务人员的分配上都进行了改组。本文旨在强调 San Raffaele 科学研究所在大流行期间高工作量之后对医护人员的管理策略。

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