在COVID-19期间在ICU中的间歇性:团队护理和倦怠
Simon Kitto1, Janet Alexanian2, Brandi Vanderspank-Wright3
1Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
概括
COVID-19大流行暴露了安大略省医院的现有弱点,特别影响了重症监护室 (ICU) 护理人员. 反复发生的灾难可能会导致医疗保健能力的永久丧失,需要新的灾难恢复计划.
科学领域:
- 医疗保健管理的管理
- 灾难医学 灾难医学
- 关键护理护理 关键护理护理
背景情况:
- 随着COVID-19的爆发,医院容量已经出现了系统性漏洞.
- 重症监护病房 (ICU) 面临着持续的需求激增,需要修改护理标准.
研究的目的:
- 分析COVID-19大流行对安大略省医院的影响,使用间歇作为框架.
- 检查反复发生的灾难对医疗保健系统恢复能力的累积影响.
主要方法:
- 进行了一项定性工具案例研究.
- 在医疗外科重症监护室 (ICU) 的12名医疗保健专业人员进行了深入的半结构面试.
主要成果:
- 采访显示,系统已经承受着压力,COVID-19不成比例地影响了ICU护理工作人员.
- 之前存在的倦怠和同情伤害被流行病的需求所加剧.
结论:
- 持续的ICU重新配置可能会导致间歇性,即恢复能力下降的状态.
- 灾难恢复计划必须解决事件和系统现有的病态状态之间的相互作用,以减轻纵向问题.
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