新型冠状病毒肺炎整建制救治模式下的护理协同管理实践

Nursing Collaborative Management under Mode of Whole Construction System in Fighting COVID-19

目的探讨新型冠状病毒肺炎定点医院在整建制救治模式下的护理协同管理实践。方法分析疫情突发后整建制救治模式下护理工作面临的挑战,从完善护理组织架构、科学设置护理岗位、合理调配人力资源、规范排班模式、落实工作例会制度、落实质量管理、开展全员全方位培训等方面统筹、协调护理管理工作。结果我院光谷院区被确定为新冠肺炎患者定点救治医院后,24 h内与17支国家援鄂医疗队有效对接,协助其整建制接管隔离病区并顺利开展救治工作,未发生护理不良事件,同时实现医务人员"零感染"。截至2020年3月31日24:00,累计收治患者1462例,治愈出院患者1282例,治愈率87.68%。根据疫情防控指挥部统一部署,光谷院区隔离病区全部关舱,需进一步治疗的患者按要求转至其他救治医院继续治疗。结论新冠肺炎整建制救治模式下的护理协同管理实践,可为突发公共卫生事件救治中的护理管理提供参考与借鉴。

Objective To explore the effect of nursing collaborative management in designated hospital under the mode of whole construction system in fighting COVID-19.Methods We analyzed the challenges in clinical nursing under the whole construction system mode after the outbreak of the epidemic,and coordinated nursing management from the following aspects:improving nursing organization structure,setting up nursing posts scientifically,allocating human resources reasonably,standardizing scheduling mode,implementing regular meeting system,implementing quality management,and carrying out all-round training for all staff.Results Within 24 hours after Optics Valley Branch of our hospital was identified as the designated hospital for the treatment of patients with COVID-19,effective handing over with 17 national medical teams supporting Wuhan for fighting COVID-19 was realized.Whole construction system was established for the management of isolation ward and medical treatment was conducted smoothly.No adverse nursing events occurred and no infection among medical staff was reported.As of 24:00 on March 31,2020,a total of 1,462 patients with COVID-19 were treated,and 1,282 cured and discharged,with a cure rate of was 87.68%.According to the unified deployment of the epidemic prevention and control headquarters,the isolation wards of the Optics Valley Branch were all closed,and patients who require further treatment are transferred to other hospitals for treatment as required.Conclusion Nursing collaborative management under the whole construction system mode in fighting COVID-19 provides reference for nursing management in the treatment of public health emergencies.