Trauma Center of West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Gastroenterology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
J Nurs Manag. 2022 Jul;30(5):1147-1156. doi: 10.1111/jonm.13627. Epub 2022 May 16.
The aim of this study is to investigate the situation and perceptions of nursing directors about emergency nursing staff deployment in designated hospitals during the pandemic of COVID-19 in mainland China.
The pandemic of COVID-19 has significantly depleted health care resources, leading to increased burden of nursing care and staffing and exacerbating the crisis in health care facilities. Currently, how to effectively plan and schedule nursing staffing in the pandemic still remains unknown.
From 14 July 2020 to 8 September 2020, 62 nursing directors of designated hospitals in mainland China were invited to participate in a cross-sectional online survey for their perceptions of nursing human-resource allocation during the pandemic of COVID-19.
A total of 55 valid questionnaires were collected, showing that 96.36% of the hospitals had emergency nursing organizations and management systems during the pandemic, 96.36% had well-established scheduling principles for nursing human resources and 54.55% of hospitals had human-resource scheduling platforms. All the hospitals had trained emergency nursing staff in infection control (55, 100%), work process (51, 92.73%) and emergency skills (50, 90.91%). Most of the participants were satisfied with the nursing staffing deployments at their institutions (52, 94.55%). However, more than two thirds of them believed that their human-resource deployment plans need further improvements (39, 70.91%).
Most of the designated hospitals investigated had established emergency nursing organizations, and management systems, and related regulations for the epidemic. However, the contents mentioned above still need to be further standardized.
The surge of patients in the epidemic was considerable challenge for the emergency capacity of hospitals. In the future, we should pay more attention to the following aspects: building emergency nursing staffing platforms, increasing emergency human-resource reserves, establishing reliable communication channels for emergency response teams, improving the rules and regulations of emergency human-resource management, offering more training and drills for emergency-related knowledge and skills and giving more focus on bio-psycho-social wellbeing of nurses.
本研究旨在调查中国内地新冠疫情大流行期间，指定医院护理主任对急诊护理人员部署的情况和看法。
新冠疫情大流行极大地消耗了医疗资源，导致护理和人员负担增加，加剧了医疗机构的危机。目前，如何有效地规划和安排大流行期间的护理人员配置仍不清楚。
2020 年 7 月 14 日至 9 月 8 日，邀请中国内地 62 名指定医院的护理主任参加一项横断面在线调查，了解他们对新冠疫情大流行期间护理人力资源配置的看法。
共收集到 55 份有效问卷，结果显示，96.36%的医院在疫情期间设有急诊护理组织和管理系统，96.36%制定了完善的护理人力资源排班原则，54.55%的医院设有人力资源排班平台。所有医院均对感染控制（55，100%）、工作流程（51，92.73%）和急救技能（50，90.91%）对急诊护理人员进行了培训。大多数参与者对机构的护理人员配置感到满意（52，94.55%）。然而，超过三分之二的参与者认为他们的人力资源部署计划需要进一步改进（39，70.91%）。
调查的大部分指定医院都建立了应对疫情的急诊护理组织和管理系统以及相关规定。然而，上述内容仍需进一步规范。
疫情期间患者人数的增加对医院的应急能力构成了相当大的挑战。在未来，我们应更加关注以下方面：建立急诊护理人员配置平台，增加应急人力资源储备，为应急响应团队建立可靠的沟通渠道，完善应急人力资源管理规章制度，为应急相关知识和技能提供更多培训和演练，更加关注护士的生物-心理-社会健康。
