应对 COVID-19 大流行期间护理工作的关键策略：护理主任的多案例研究。
Key strategies for managing nursing care under the COVID-19 pandemic: A multiple-case study of nursing directors.
机构信息
Nursing Department, The University of Tokyo Hospital, Tokyo, Japan.
Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
出版信息
J Nurs Manag. 2022 Nov;30(8):4042-4053. doi: 10.1111/jonm.13844. Epub 2022 Oct 12.
AIM
We aim to identify measures implemented by hospital nursing directors early in the COVID-19 pandemic and enabling factors.
BACKGROUND
Managerial factors affect nurses' physical and mental health and willingness to work, especially early in a pandemic.
METHOD
We used multiple-case study of 15 hospitals, comparing management approaches by interviewing 28 nursing directors and their assistants from August to December 2020.
RESULTS
Hospitals that accepted COVID-19 patients and hospitals that unexpectedly experienced clusters underwent a nursing provision system organization phase, followed by an adjustment phase to maintain nursing organization function. Two factors aided measure implementation: an emergency system and staff protection policies.
CONCLUSION
Early epidemic management strategies apply across contexts. The hospital's basic attitude is key to effective implementation of the strategies.
IMPLICATIONS FOR NURSING MANAGEMENT
The results suggest that hospitals, nursing directors and nurses can each prepare for future emerging infectious disease epidemics.
目的
我们旨在确定医院护理主任在 COVID-19 大流行早期实施的措施和促进因素。
背景
管理因素会影响护士的身心健康和工作意愿，尤其是在大流行早期。
方法
我们采用了 15 家医院的多案例研究，通过对 28 名护理主任及其助手进行访谈，于 2020 年 8 月至 12 月进行了比较管理方法。
结果
收治 COVID-19 患者的医院和意外出现集群的医院经历了护理供应系统组织阶段，随后是调整阶段以维持护理组织功能。有两个因素有助于措施的实施：应急系统和员工保护政策。
结论
早期的疫情管理策略适用于不同的情况。医院的基本态度是有效实施这些策略的关键。
护理管理的意义
研究结果表明，医院、护理主任和护士都可以为未来新发传染病的流行做好准备。
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