阐明了大流行期间和后的护理如何优先,适应和错过的洞察力
Lianne Jeffs1,2, Jacqueline Limoges3, Tracey DasGupta4
1Science of Care Institute, Sinai Health, Toronto, Ontario, Canada.
PloS one
|July 17, 2025
概括
医疗保健领导者必须制定适应性策略,以管理系统容量和患者复杂性. 在COVID-19大流行期间调整护理导致延误和道德困境,突出了主动劳动力弹性规划的必要性.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 全球卫生保健系统面临持续的压力,COVID-19大流行加剧了这种压力.
- 了解疫情引起的医疗保健服务适应性对于未来的规划至关重要.
- 卫生系统领导者需要了解护理模式的变化,贡献因素和影响.
研究的目的:
- 探索COVID-19大流行期间和之后医疗保健护理模式的变化.
- 确定导致这些护理模式调整的因素.
- 评估这些变化对医疗保健提供和专业人员的影响.
主要方法:
- 一个探索性的,解释性的,描述性的定性研究.
- 对118名医疗保健专业人员和领导人的采访数据进行了感应性主题分析.
- 数据来自安大略省的五个医疗机构和不列颠哥伦比亚省的一个医疗机构.
主要成果:
- 出现了三个关键主题:根据能力优先考虑护理,通过创新和捷径调整护理,以及这些变化的影响.
- 护理优先级和适应导致错过或延迟患者护理.
- 医疗保健专业人员由于与流行病相关的护理调整而经历了道德困扰.
结论:
- 调查结果强调需要组织层面的预测性适应性策略.
- 这些策略应减轻系统容量和患者数量/复杂性的压力.
- 积极的计划对于管理临床任务,工作量和需求至关重要,以确保患者安全和员工弹性.
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