National Referral Hospital, Honiara, Solomon Islands.
Solomon Islands National University, Honiara, Solomon Islands.
Asia Pac J Public Health. 2021 Sep;33(6-7):761-766. doi: 10.1177/10105395211036266. Epub 2021 Aug 1.
During the 2016-2017 Solomon Islands dengue outbreak, the National Referral Hospital (NRH) in Honiara was the epicenter for the national response. High-quality nursing care is critical for successful management and this study investigated the factors affecting the quality of nursing care for patients admitted to NRH with dengue. Data were collected using two methods: () Focus group discussions with nurses who cared for dengue patients and () a self-administered questionnaire completed by a senior manager. Analysis of qualitative data using a thematic technique found two key factors affected care: () training on protocols and guidelines for clinical management and () planning and preparedness of NRH. Quality of care was influenced by lack of basic equipment, transport provided for nursing staff to attend shifts, and confusion between allowances for regular salaried staff and extra staff assisting with the outbreak. Specific attention is needed in future outbreaks to ensure staff understand protocols, follow guidelines, and that adequate equipment is provided.
在 2016-2017 年所罗门群岛登革热疫情期间，霍尼亚拉的国家转诊医院（NRH）是国家应对疫情的中心。高质量的护理对于成功管理至关重要，本研究调查了影响登革热患者在 NRH 接受护理质量的因素。数据收集采用两种方法：（）对照顾登革热患者的护士进行焦点小组讨论；（）由高级管理人员完成的自我管理式问卷。使用主题技术对定性数据进行分析，发现有两个关键因素影响护理：（）针对临床管理协议和指南的培训；（）NRH 的规划和准备工作。护理质量受到基本设备缺乏、为护理人员提供的轮班交通以及常规薪级员工津贴和协助疫情爆发的额外员工津贴之间的混淆的影响。未来的疫情爆发需要特别注意，以确保工作人员了解协议、遵循指南，并提供足够的设备。
