Zhang Xiaohong, Yang Ziyan, Chen Jiaqi, Zhang Cuiling, Zhang Junyan
Nursing Department, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, People's Republic of China.
College of Nursing, Shanxi Medical University, Taiyuan, People's Republic of China.
J Multidiscip Healthc. 2023 Jul 11;16:1905-1914. doi: 10.2147/JMDH.S415678. eCollection 2023.
To clarify the implementation of the admission process under the public crisis of COVID-19 pandemic.
A real-world study was conducted to collect data on the normal and public crisis situations at a tertiary hospital in China and understand the views of 18 head nurses on the necessity of the admission process in public crisis situations. Independent -test and chi-square test were used to analyze the work data in two situations; Spearman correlation analysis was performed to determine the correlation of work data with two situations of process implementation, and differences between the head nurses' views of necessity of the admission process and actual implementation under public crisis situations were analyzed.
Significant differences were observed in the working data between the normal and public crisis situations ( < 0.05), and the implementation of the admission process was not in place. The number of nurses on duty was positively correlated with each item of admission process ( < 0.05), the rest of work data were negatively correlated with each item in the admission process ( < 0.05), and there was a significant difference between the necessity of each item in the admission process and the actual implementation results ( < 0.05).
Public crisis leads to the lack of implementation of admission process, and the original admission process and quality control standards are not applicable during the public crisis situation.
阐明新型冠状病毒肺炎疫情公共危机下入院流程的实施情况。
开展一项真实世界研究，收集中国一家三级医院在正常及公共危机情况下的数据，并了解18名护士长对公共危机情况下入院流程必要性的看法。采用独立样本t检验和卡方检验分析两种情况下的工作数据；进行Spearman相关性分析以确定工作数据与流程实施两种情况的相关性，并分析护士长对公共危机情况下入院流程必要性的看法与实际实施情况之间的差异。
正常情况与公共危机情况的工作数据存在显著差异（P<0.05），入院流程实施不到位。值班护士人数与入院流程各项呈正相关（P<0.05），其余工作数据与入院流程各项呈负相关（P<0.05），入院流程各项的必要性与实际实施结果之间存在显著差异（P<0.05）。
公共危机导致入院流程实施不足，原入院流程及质量控制标准在公共危机情况下不适用。
