Rosenbäck Ritva, Lantz Björn, Rosén Peter
Department of Engineering Science, University West, 461 86 Trollhättan, Sweden.
Technology Management and Economics, Chalmers University of Technology, 412 96 Gothenburg, Sweden.
Healthcare (Basel). 2022 Oct 21;10(10):2116. doi: 10.3390/healthcare10102116.
Staff management challenges in the healthcare system are inherently different during pandemic conditions than under normal circumstances. Surge capacity must be rapidly increased, particularly in the intensive care units (ICU), to handle the increased pressure, without depleting the rest of the system. In addition, sickness or fatigue among the staff can become a critical issue. This study explores the lessons learned by first- and second-line managers in Sweden with regard to staff management during the COVID-19 pandemic. A mixed-methods approach was used, with preliminary qualitative interview ( = 38) and principal quantitative questionnaire ( = 272) studies, based on principal component and multiple regression analyses. The results revealed that the pandemic created four types of challenges relating to staff management: staff movement within hospitals; addition of external staff; addition of hours for existing staff through overtime and new shift schedules; and avoidance of lost hours due to sickness or fatigue. Furthermore, the effects of these managerial challenges were different in the first wave than in later waves, and they significantly differed between the ICU and other units. Therefore, a greater proactive focus on staff management would be beneficial in future pandemic situations.
在大流行期间，医疗系统中的人员管理挑战与正常情况下有着本质的不同。必须迅速提高应急能力，尤其是在重症监护病房（ICU），以应对增加的压力，同时又不使系统的其他部分不堪重负。此外，工作人员的生病或疲劳可能成为一个关键问题。本研究探讨了瑞典一线和二线管理人员在新冠疫情期间在人员管理方面吸取的经验教训。采用了混合方法，基于主成分分析和多元回归分析，进行了初步定性访谈（n = 38）和主要定量问卷调查（n = 272）。结果显示，疫情带来了与人员管理相关的四类挑战：医院内部人员调动；增加外部工作人员；通过加班和新的轮班安排增加现有工作人员的工作时长；以及避免因生病或疲劳导致的工时损失。此外，这些管理挑战在第一波疫情中的影响与后来几波不同，在ICU和其他科室之间也存在显著差异。因此，在未来的疫情形势下，更加积极主动地关注人员管理将是有益的。
