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在新冠疫情期间及疫情后,人员配置策略是如何变化的?一项定性研究。

How did staffing strategies change amid COVID-19 and post pandemic? A qualitative study.

作者信息

Jeffs Lianne, Limoges Jacqueline, Das Gupta Tracey, Di Prospero Lisa, Harris Alexandra, Merkley Jane, Rosen Benjamin, Reid Morgann, Rao Megha, Black Agnes, Zeng Rui Lin, McGillis Hall Linda

机构信息

Science of Care Institute, Sinai Health, Toronto, Ontario, Canada

University of Toronto, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2025 Jun 26;15(6):e091922. doi: 10.1136/bmjopen-2024-091922.


DOI:10.1136/bmjopen-2024-091922
PMID:40578857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12207134/
Abstract

OBJECTIVES AND DESIGN: A qualitative study was undertaken to explore the nature of staffing strategies from the perspectives of nursing, medicine and health disciplines employed in a hospital setting. SETTING: Interviews were conducted in six hospitals in Canada between November 2022 and September 2023. RESULTS: 118 healthcare professionals and leaders who experience changes in staffing strategies participated in this study. Three themes emerged to describe new or adaptive staffing strategies: (1) valuing new roles and teams; (2) being redeployed; and (3) enhancing coverage. CONCLUSIONS: Our study elucidates the staffing strategies that were employed during the COVID-19 pandemic that included creating new and adapting existing roles and teams; redeploying healthcare professionals; and enhancing coverage. Study findings can be used to guide leaders to use a proactive systematic approach to staffing models that includes adaptable and flexible staffing models within local contexts.

摘要

目的与设计:开展了一项定性研究,以从医院环境中护理、医学和健康学科人员的角度探讨人员配置策略的本质。 地点:2022年11月至2023年9月期间在加拿大的六家医院进行了访谈。 结果:118名经历人员配置策略变化的医疗保健专业人员和领导者参与了本研究。出现了三个主题来描述新的或适应性的人员配置策略:(1)重视新角色和团队;(2)被重新部署;(3)加强覆盖范围。 结论:我们的研究阐明了在新冠疫情期间采用的人员配置策略,包括创建新的和调整现有的角色和团队;重新部署医疗保健专业人员;以及加强覆盖范围。研究结果可用于指导领导者采用积极主动的系统方法来制定人员配置模式,包括在当地背景下采用适应性强和灵活的人员配置模式。

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本文引用的文献

[1]
Interventions Targeting Resistance and Resilience Among Emergency Medical Service Clinicians: A Systematic Review.

Prehosp Emerg Care. 2025-2-21

[2]
Redeployment Among Primary Care Nurses During the COVID-19 Pandemic: A Qualitative Study.

SAGE Open Nurs. 2024-6-14

[3]
Managing nurse redeployment during the Covid-19 pandemic, lessons for future redeployment: A qualitative study.

Int J Nurs Stud. 2024-9

[4]
Changing Roles and Responsibilities of Dietitians from Diverse Settings During the First Three Waves of the COVID-19 Pandemic in Nova Scotia.

Can J Diet Pract Res. 2024-3-1

[5]
Examining adaptive models of care implemented in hospital ICUs during the COVID-19 pandemic: a qualitative study.

BMJ Open Qual. 2023-12-21

[6]
Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies.

BMJ Qual Saf. 2024-10-18

[7]
Resilience perspective on healthcare professionals' adaptations to changes and challenges resulting from the COVID-19 pandemic: a meta-synthesis.

BMJ Open. 2023-9-20

[8]
The impact of a three-tiered model of nursing redeployment during the COVID-19 pandemic: A cross-sectional study.

Intensive Crit Care Nurs. 2023-8

[9]
Nursing workforce deployment and intensive care unit strain during the COVID-19 pandemic in Victoria, Australia.

Aust Crit Care. 2023-1

[10]
Reconfiguring the social organization of work in the intensive care unit: Changed relationships and new roles during COVID-19.

Soc Sci Med. 2023-1

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