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澳大利亚维多利亚州在应对 COVID-19 第一波和第二波疫情时的放射治疗反应:策略和人员配备。

Victoria (Australia) radiotherapy response to working through the first and second wave of COVID-19: Strategies and staffing.

机构信息

Department of Radiation Oncology, ONJ Centre, Austin Hospital, Melbourne, Victoria, Australia.

University of Melbourne, Melbourne, Victoria, Australia.

出版信息

J Med Imaging Radiat Oncol. 2021 Jun;65(3):374-383. doi: 10.1111/1754-9485.13186. Epub 2021 Apr 27.

Abstract

INTRODUCTION

The COVID-19 pandemic demanded a rapid response within Radiation Oncology services to minimise the risk of infection to patients and workforce. This study aimed to assess whether the operational changes put in place to reduce infection risks were effective in engaging and supporting staff.

METHODS

Our service's response saw staff and patients split into morning or afternoon shifts without overlap. Changes included extended clinic hours, modified treatment regimens, expanded online/electronic communication and remote working. Staff were invited to respond to an electronic questionnaire in September 2020, just after the peak of the second COVID-19 wave in Victoria. Responses captured demographic data, parental status, profession, happiness levels, fear of COVID-19 and e-communication efficacy.

RESULTS

A 57% response rate was achieved. 69% of respondents were female; 40% were aged 45+ and 35% had school-aged children. Staff aged 45+ showed a significantly greater fear of COVID-19 than younger staff. 36% of respondents reported feeling nervous or anxious watching news reports about COVID-19. 92% of staff were happy with their work arrangements; staff with children were happier than staff without children with their shifts. Online chat/channels were reported as the preferred e-communication method between colleagues.

CONCLUSION

Staff provided predominantly positive feedback to the changes made in response to the pandemic, reporting high levels of happiness and willingness to continue with the changes implemented during COVID-19. The strategies adopted worked well and the overall high levels of staff satisfaction will allow our service to quickly pivot should further surges, or another pandemic, arise.

摘要

引言

COVID-19 大流行要求放射肿瘤学服务部门迅速做出反应,以最大程度地降低患者和员工感染的风险。本研究旨在评估为降低感染风险而实施的运营变更是否有效地使员工参与和支持。

方法

我们的服务部门将员工和患者分为上午或下午班,班次之间没有重叠。变化包括延长诊所时间、修改治疗方案、扩大在线/电子通信和远程工作。工作人员被邀请在 2020 年 9 月,即维多利亚第二次 COVID-19 浪潮高峰过后不久,对电子问卷做出回应。回应内容包括人口统计学数据、父母身份、职业、幸福感水平、对 COVID-19 的恐惧和电子沟通效率。

结果

回应率达到 57%。69%的受访者为女性;40%的人年龄在 45 岁以上,35%的人有学龄儿童。年龄在 45 岁以上的员工比年轻员工更害怕 COVID-19。36%的受访者表示,观看有关 COVID-19 的新闻报道会感到紧张或焦虑。92%的员工对工作安排感到满意;有孩子的员工比没有孩子的员工对轮班更满意。在线聊天/频道被报告为同事之间首选的电子沟通方式。

结论

员工对针对大流行做出的变更给予了主要的积极反馈,报告了高水平的幸福感和愿意继续实施 COVID-19 期间实施的变更。所采用的策略效果很好,员工的总体满意度很高,如果再次出现疫情高峰或另一场大流行,我们的服务部门将能够迅速调整。

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