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利用医护人员的经验和认知来改善应对 COVID-19 大流行的医疗响应。

Using the Experiences and Perceptions of Health Care Workers to Improve the Health Care Response to the COVID-19 Pandemic.

机构信息

Epidemiology and Health Analytics, Western Sydney Local Health District, Sydney.

Infectious Diseases and Prevention, Westmead Hospital, Wentworthville.

出版信息

Workplace Health Saf. 2022 Nov;70(11):500-508. doi: 10.1177/21650799221102299. Epub 2022 Jul 8.

Abstract

BACKGROUND

We sought the opinions of health care workers (HCWs) at a designated COVID-19 facility receiving the first cases to identify workplace modifications and inform effective changes to maximize health and safety at the onset of a crisis.

METHODS

A cross-sectional study utilized open- and close-ended questions gathered demographic and work details, experiences and perspectives on infection control, communication, support, and the workplace. Qualitative data were analyzed thematically and quantitative were analyzed using descriptive statistics.

FINDINGS

Of 340 HCWs, most approved of the organization's response to minimizing risk (81.0%), infection control training (81.1%), and supplies (74.3%). Key actions included up-to-date guidelines (93.6%) and specialized infectious diseases clinics (94.9%). Conclusions: HCWs rated the organization's adaptive changes highly, noting areas for improvement such as transparency and timeliness of communication. Incorporating input from HCWs when responding to health crises was beneficial to maximize staff health and safety and consequently that of patients.

摘要

背景

我们在一家接收首批 COVID-19 病例的指定 COVID-19 医疗机构征求医护人员的意见,以确定工作场所的调整,并为在危机发生时最大限度地保障健康和安全提供信息。

方法

一项横断面研究采用开放式和封闭式问题收集人口统计学和工作细节、感染控制、沟通、支持和工作场所的经验和观点。定性数据进行主题分析,定量数据进行描述性统计分析。

结果

在 340 名医护人员中,大多数人赞成该组织将风险最小化的措施(81.0%)、感染控制培训(81.1%)和供应品(74.3%)。关键措施包括最新的指南(93.6%)和专门的传染病诊所(94.9%)。结论:医护人员对该组织的适应性变革给予了高度评价,并指出了一些需要改进的地方,如沟通的透明度和及时性。在应对卫生危机时,吸纳医护人员的意见有助于最大限度地保障员工的健康和安全,从而保障患者的健康和安全。

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