COVID-19 期间俯卧位团队的建立和工作人员认知的探索。
Development of a Prone Team and Exploration of Staff Perceptions During COVID-19.
机构信息
Karen Miguel is Staff Specialist, Patient Care Services Quality, Safety & Practice, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (
Colleen Snydeman is Executive Director, Patient Care Services Quality, Safety & Practice, Massachusetts General Hospital, Boston, Massachusetts.
出版信息
AACN Adv Crit Care. 2021 Jun 15;32(2):159-168. doi: 10.4037/aacnacc2021848.
OBJECTIVE
As intensive care unit bed capacity doubled because of COVID-19 cases, nursing leaders created a prone team to support labor-intensive prone positioning of patients with COVID-related acute respiratory distress syndrome. The goal of the prone team was to reduce workload on intensive care teams, standardize the proning process, mitigate pressure injuries and turning-related adverse events, and ensure prone team safety.
METHODS
Staff were trained using a hybrid learning model focused on prone-positioning techniques, pressure injury prevention, and turning-related adverse events.
RESULTS
No adverse events occurred to patients or members of the prone team. The prone team mitigated pressure injuries using prevention strategies. The prone team and intensive care unit staff were highly satisfied with their experience.
CONCLUSION
The prone team provided support for critically ill patients, and team members reported feeling supported and empowered. Intensive care unit staff were highly satisfied with the prone team.
目的
由于 COVID-19 病例的增加，重症监护病房的床位容量增加了一倍，护理领导人成立了一个俯卧位团队，以支持 COVID 相关急性呼吸窘迫综合征患者进行劳动密集型俯卧位。俯卧位团队的目标是减轻重症监护团队的工作量，标准化俯卧位过程，减轻压疮和翻身相关不良事件，并确保俯卧位团队的安全。
方法
工作人员使用混合学习模式接受培训，重点是俯卧位技术、压疮预防和翻身相关不良事件。
结果
患者或俯卧位团队成员均未发生不良事件。俯卧位团队通过预防策略减轻压疮。俯卧位团队和重症监护病房工作人员对他们的体验非常满意。
结论
俯卧位团队为重症患者提供了支持，团队成员表示感到支持和授权。重症监护病房工作人员对俯卧位团队非常满意。
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