North Care Team, Institute of Mental Health, Singapore.
Institute of Mental Health, Singapore.
Int Nurs Rev. 2021 Jun;68(2):196-201. doi: 10.1111/inr.12680. Epub 2021 Apr 24.
To understand nurses' responses to COVID-19 and identify their uptake of changes in the procedure required for the management of COVID-19 in an inpatient psychiatric ward.
The infection risk for COVID-19 in an enclosed inpatient psychiatric ward is high due to living arrangements in the ward and the nature of the infectious disease.
This paper describes inpatient nurses' experiences, challenges and strategies deployed at the institutional and national levels to contain the spread of infection.
Written feedback was collected to understand nurses' responses and identify their uptake of changes in procedure following the COVID-19 outbreak in the ward.
Nurses felt shocked, worried, isolated, expressed a lack of confidence, and experienced physical exhaustion. COVID-19 specific challenges were highlighted in the delivery of safe and quality nursing care. Nurses were satisfied with the hospital policy and strategies implemented during the outbreak, acknowledging the importance of support from nursing leaders.
Practical support and strong nursing leadership have been imperative in the battle against the COVID-19 outbreak in the psychiatric hospital. Psychiatric nursing care was maintained with a modified management and treatment approach.
Nurses' willingness to adjust to the reconfiguration of operations to accommodate changes has been crucial for the healthcare system to run effectively. Good practices and policies established during this crisis should be developed and established permanently in nursing practice.
Prompt and effective contingency planning and policymaking at the national and institutional level, targeting human resource management and infection control, can introduce changes and alternative options for nursing care in a pandemic.
With support from influential nursing leaders, strategies and policies are imperative in ensuring the successful management of COVID situations in an inpatient psychiatric setting.
了解护士应对 COVID-19 的情况，并确定他们对管理住院精神病病房 COVID-19 所需程序变化的接受程度。
由于病房的居住安排和传染病的性质，封闭的住院精神病病房 COVID-19 的感染风险很高。
本文描述了住院护士在机构和国家层面为遏制感染传播而采取的经验、挑战和策略。
收集书面反馈，以了解护士的反应，并确定他们在病房 COVID-19 爆发后对程序变更的接受程度。
护士感到震惊、担忧、孤立、缺乏信心和身体疲惫。在提供安全和优质的护理方面，COVID-19 带来了具体的挑战。护士对医院在疫情爆发期间实施的政策和策略感到满意，承认护理领导支持的重要性。
在精神病院对抗 COVID-19 爆发中，实际支持和强大的护理领导至关重要。通过修改管理和治疗方法，维持了精神病护理。
护士愿意调整运营配置以适应变化，这对医疗保健系统的有效运行至关重要。在这场危机中建立的良好做法和政策应在护理实践中永久制定和确立。
在国家和机构层面及时、有效地进行应急规划和决策制定，针对人力资源管理和感染控制，可以在大流行期间为护理提供变化和替代选择。
在有影响力的护理领导的支持下，策略和政策对于确保成功管理住院精神病环境中的 COVID 情况至关重要。
