国家援鄂医疗队对新型冠状病毒肺炎ICU的护理人力管理

Nursing human resources management in intensive care units of coronavirus disease 2019 by the national medical aid team

目的探讨新型冠状病毒肺炎疫情期间国家援鄂医疗队护理人力管理策略,提升护理管理效率。方法借鉴突发事件卫生应急指挥决策系统,以"应急保障-应急基础-应急行动"为护理人力管理思路,构建科学有效且实用性强的ICU护理人力管理模式。结果国家援鄂ICU护理团队共135人,建立7个护理小组,实施弹性管理;开展递进式培训、临床教学30次。共收治新型冠状病毒肺炎危重症患者109例,其中机械通气患者75例。结论国家医疗队为应对突发的新型冠状病毒肺炎疫情,迅速组建ICU护理团队,形成了"应急保障-应急基础-应急行动"护理人力管理模式,通过采取"集权式"和"小组式"相结合的网格式管理,保证了新型冠状病毒肺炎危重症患者救治工作的顺利开展。

Objective To explore the nursing human resources management strategies of the medical aid team to Hubei during the coronavirus disease 2019(COVID-19) epidemic and to improve the efficiency of nursing management. Methods Drawing on the command and decision-making system of health emergencies,and taking "emergency support-basis-action" as the conceptual model of nursing manpower management,we constructed a scientific,effective and practical ICU nursing manpower management model. Results There were 135 members in nursing aid team with 7 nursing groups being established to implement flexible management. Progressive trainings were carried out and clinical teaching was conducted for 30 times. A total of 109 critically ill patients with COVID-19 were admitted,including 75 patients with mechanical ventilation. Conclusion In response to the outbreak of COVID-19,the national medical aid team quickly established ICU nursing team,and formed a management model of nursing manpower based on "emergency support-basis-action" model to protect the critically ill patients with COVID-19 and to ensure the patients treatment and care being carried out smoothly.