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探討COVID-19流行期間各國政府政策及醫療機構對第一線護理師之支持策略

To explore the support strategies by governments and institution policies for frontline nurses during the COVID-19 pandemic

摘要


研究背景:2019年12月底中國爆發冠狀病毒疾病(coronavirus disease-2019, COVID-19),世界衛生組織(World Health Organization, WHO)於2020年3月20日,宣布此新興傳染病在全球爆發,新冠肺炎(COVID-19)不斷地衝擊人們的健康,全球的醫療系統因而全面起動對抗病毒措施。其中,身為第一線的護理師,常因於照護新冠肺炎病人而感到恐懼、壓力和焦慮,進而擔心在工作過程中被感染、生病、甚至因而喪命,同時害怕將此病毒進而傳染給周遭親朋好友。因此,各國政府及醫院機構的管理階層,提供第一線護理師相關政策與配套措施,有效給予第一線的護理師適當且具體的正向支持。研究目的:探討COVID-19流行期間各國政府政策及醫療機構對第一線的護理師支持策略。研究方法:本研究利用文獻搜尋各國衛生政策(台灣及疫情控制較佳的七個國家,如:丹麥、加拿大、新加坡、澳洲、日本、荷蘭、紐西蘭)及相關COVID-19流行期間對第一線護理師提供相關防疫支持政策,同時運用限制(limit)的檢索功能,限定文章檢索之語言為中英文(English)、以人類(Humans)為主題、年齡大於18歲、發行年限為2021年01月~2022年12月、搜尋範圍為關鍵詞需出現於標題/摘要中(search field tags: Title/Abstract)…等來確立檢索範圍。研究結果:透過文獻資料查證,探討COVID-19流行期間,台灣與丹麥、美國、加拿大、新加坡、澳洲、日本、荷蘭、紐西蘭等國,政府/機構提供護理相關防疫政策,發現台灣在防疫津貼、出國限制補償補助、輔助人力及保險補助四部份優於其他國家。研究結論與建議:各國在防疫政策支持及補助各有特色,台灣較其他國家增加在防疫津貼、出國限制補償、輔助人力及保險補助等四方面之防疫政策支持。

並列摘要


Background: In mid-May 2021, the COVID-19 pandemic broke out in Taiwan. The frontline nurses often feel fear, stress and anxiety in the process of caring for COVID-19 patients, and fear that they will be infected, sick or die at work. They also afraid of spreading diseases to their family. Therefore, the management department of government and hospital institutions should understand situational stress, demands and expectations faced by frontline nurses before they can formulate relevant policies and supporting measures to provide them with appropriate and specific positive support. Purposes: This study was purposes to explore the support strategies of government and institution policies on frontline nurses during the COVID-19 pandemic. Methods: This study utilizes a literature search to investigate the health policies of various countries, focusing on Taiwan and seven other nations with effective pandemic control (e.g., Denmark, Canada, Singapore, Australia, Japan, the Netherlands, and New Zealand). The research aims to identify the COVID-19-related support policies provided to frontline nurses during the pandemic. The search was conducted using limits to refine the results, including the language restriction to Chinese and English, focusing on human subjects aged over 18 years, with publication dates between January 2021 and December 2022. The search scope was further narrowed by requiring the keywords to appear in the title or abstract. Results: Compare the epidemic prevention related to nursing care provided by governments/institutions in Taiwan, Denmark, Canada, Singapore, Australia, Japan, the Netherlands, New Zealand during the COVID-19 epidemic Policies, found that Taiwan is superior to other countries in four parts: epidemic prevention allowances, compensation subsidies for restrictions on going abroad, auxiliary manpower, and insurance subsidies. Conclusions: Taiwan' s epidemic policy support in four areas, including epidemic prevention allowances, limited compensation subsidies for going abroad, auxiliary manpower, and insurance subsidies, is superior to the seven countries; government/institutional policy support during the epidemic prevention period, it is considered to be in epidemic prevention insurance, stress relief activities, and spiritual support.

參考文獻


全國法規資料庫( 2021/5/31 ) ‧ 嚴重特殊傳染性肺炎防治及紓困振興特別條例 ‧ https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=L0050039.
衛生福利部疾病管制署(2021/1/12)・生物病原災害防救業務計畫‧https://www.cdc.gov.tw/File/Get/tyZNoV4jlX3D6_HMrTZJ3w
衛生福利部疾病管制署(2021/7/22)‧「公費支付 COVID-19 檢驗費用」申報核付作業討論會議紀錄‧https://www.nhi.gov.tw/DL.aspx?sitessn=292&u=LzAwMS9VcGxvYWQvMjkyL3JlbGZpbGUvMC8xNDY4NzYv55ar5oOF5oyH5o%2Bu5Lit5b%2BDMTEwMDcyMuiojuirlmNvdmlkLTE55qqi6amX6LK75pyD6K2w57SA6YyELnBkZg%3D%3D&n=55ar5oOF5oyH5o%2Bu5Lit5b%2BDMTEwMDcyMuiojuirlkNPVklELTE55qqi6amX6LK75pyD6K2w57SA6YyELnBkZg%3D%3D&ico%20=.pdf
衛生福利部疾病管制署( 2021/7/22 ) ‧ 生物病原災害防救業務計畫(第六版)第 43 次會報核定 ‧ https://www.cdc.gov.tw/File/Get/tyZNoV4jlX3D6_HMrTZJ3w
衛生福利部疾病管制署(2023/09/07)‧COVID-19 本土確定病例數及死亡數統計‧https://sites.google.com/cdc.gov.tw/2023ncov/Taiwan

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