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运用协作式变革领导力方法,开发并整合安全官员角色,以促进成人住院康复环境中预防 COVID-19 病毒传播。

The Development and Integration of a Safety Officer Role to Facilitate Prevention of COVID-19 Virus Transmission in an Adult Inpatient Rehabilitation Setting Using Collaborative Change Leadership Methodology.

机构信息

St. John's Rehab Program, Sunnybrook Health Sciences Centre.

Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto.

出版信息

Workplace Health Saf. 2023 Nov;71(11):536-542. doi: 10.1177/21650799231186157. Epub 2023 Jul 20.

DOI:10.1177/21650799231186157
PMID:37470271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10359852/
Abstract

BACKGROUND

With the onset of the COVID-19 pandemic, a large urban academic hospital responded by creating the temporary role of a "Safety Officer (SO)." The key task of the SO role was to supervise staff donning and doffing personal protective equipment (PPE) and provide real-time feedback on their performance. The support for safe donning and doffing would contribute to staff well-being by reducing their fear of infection transmission.

METHODS

A Collaborative Change Leadership (CCL) approach was used to facilitate the development, implementation, and evaluation of the role. This included an iterative feedback process with clinicians and safety officers to continually refine the role.

FINDINGS

Feedback indicated value in the initiative as increasing staff confidence about preventing virus transmission, as well as their sense of safety at work. Areas for future improvement included additional communication strategies for interprofessional teams and external partners, as well as planning around logistics to better support the safety officers in performing this new, temporary role.

CONCLUSIONS/APPLICATION TO PRACTICE: The Safety Officer role was able to help alleviate concerns regarding potential infection transmission and contribute positively to staff well-being.

摘要

背景

随着 COVID-19 大流行的爆发,一家大型城市学术医院做出反应,设立了临时职位“安全官员 (SO)”。SO 职位的主要任务是监督员工穿戴和脱下个人防护设备 (PPE),并对其表现提供实时反馈。支持安全的穿戴和脱下有助于减轻员工对感染传播的恐惧,从而提高员工的健康水平。

方法

采用协作式变革领导力 (CCL) 方法来促进该职位的开发、实施和评估。这包括与临床医生和安全官员进行迭代反馈,以不断完善该职位。

结果

反馈表明该举措具有价值,它提高了员工对预防病毒传播的信心,以及他们在工作中的安全感。未来需要改进的领域包括为跨专业团队和外部合作伙伴制定更多沟通策略,以及规划后勤工作,以更好地支持安全官员履行这一新的临时职责。

结论/对实践的应用:安全官员的角色能够帮助缓解对潜在感染传播的担忧,并对员工的健康产生积极影响。

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本文引用的文献

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Open Med (Wars). 2020 Jul 2;15(1):605-612. doi: 10.1515/med-2020-0172. eCollection 2020.
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Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review.在疾病爆发、流行或大流行期间及之后,为支持一线卫生和社会护理专业人员的适应能力和心理健康所采取的干预措施:一项混合方法的系统评价
Cochrane Database Syst Rev. 2020 Nov 5;11(11):CD013779. doi: 10.1002/14651858.CD013779.
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COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review.工作场所与 COVID-19 相关的心理健康影响:叙事性综述。
Int J Environ Res Public Health. 2020 Oct 27;17(21):7857. doi: 10.3390/ijerph17217857.
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Full-Dress Rehearsals with Actual Non-Infected Patients Builds Confidence and Familiarity - An Experience from Singapore during the COVID-19 Pandemic.实际未感染患者的全装彩排可建立信心和熟悉感 - 新加坡在 COVID-19 大流行期间的经验。
J Invest Surg. 2022 Jan;35(1):53-55. doi: 10.1080/08941939.2020.1821135. Epub 2020 Sep 24.
5
Video Section-Operative Nuances: Step by Step - Donning and Doffing in Neurosurgical Operating Room.视频版块-手术细节:一步一步来-神经外科手术室的穿脱。
Neurol India. 2020 Jul-Aug;68(4):796-799. doi: 10.4103/0028-3886.293436.
6
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J Hosp Infect. 2018 Feb;98(2):212-218. doi: 10.1016/j.jhin.2017.07.001. Epub 2017 Jul 6.