- 期刊
- Ahead-of-Print
運用「I'M SAFE」溝通模式提升COVID-19照護團隊安全
Improving the Safety of COVID-19 Care Team Using the 〞I'M SAFE〞 Communication Model
摘要
在面對未知的新冠病毒疫情衝擊下，本單位肩負防疫重責，團隊係因擔心防護措施、疾病認知及照護經驗不足，引發同仁不安及工作氛圍低落；防疫照護期間除了團隊合作研擬共識防護策略外，遂再引用團隊資源管理（Team Resource Management，TRM）手法分二階段執行；第一階段以32題結構式問卷調查中發現團隊成員對防疫照護出現工作負荷及壓力之表徵；第二階段運用I'M SAFE問卷，另新增6項新冠肺炎的症狀評估，於每日三班交班運用自我查檢監測身心狀況及掌握工作負荷，作為照護團隊防疫自我健康監測的重要指標，如有異常則及時介入關懷與工作調整。調查期間由2020年3月01日至5月31日共評估1150人次發現：「我擔心被防疫隔離」由前測57.1％降為25.0％、「我害怕自己被感染」由前測60.7％降為42.8％、「我覺得感控措施等相關資訊常常變動，適應不及」由前測42.9％降為7.1％、「我感覺工作負荷過重」由前測35.7％降為14.3％等四項最有顯著意義；綜上調查結果，顯示建構良好的溝通模式及主動互相關懷，可以增進自我健康管理並提升人員安全，並且可隨時監控團隊成員工作負荷及壓力，並立即作互相調整工作型態及支援，值得推展至他院區專責病房之應用。
並列摘要
Under the impact of the Coronavirus epidemic that we know little about, our unit is charged with the epidemic prevention responsibility. Due to the worry of the lack of protective measures, disease awareness and care experience, the team members were anxious and were of the lower atmosphere. We introduced the two-stage strategy of Team Resource Management (TRM) besides forming the prevention strategy together. In the first stage, a 32-question structured questionnaire survey was conducted to identify the features of overload and stress among the team members in epidemic prevention care. In the second stage, the I'm SAFE questionnaire was used, and six new symptom assessments of COVID-19 were added. Self-examination of physical and mental conditions and the workload on three shifts were conducted every day as essential self-health monitoring indicators. Timely intervention care and work adjustment were made in the case of abnormality. Survey from 1 March to 31 May 2020 in 1150 people found that: 〞I have to worry about epidemic prevention isolation〞 decreased from the pretest of 57.1% to 25.0%, 〞I fear that were infected from the pretest of 60.7% to 42.8%,〞 I think infection control measures and other related information often changes and cannot adapt 〞from the pretest of 42.9% to 7.1%,〞 I feel the work is overloaded 〞from the pretest of 35.7% to 14.3% showed significant changes. Gathering from the above findings, good communication and active mutual care improve self-health management and staff safety, enable instant monitoring of workload and pressure of team members, and provide work style immediate adjustment support. The results are sound and worth promoting to special wards in other hospitals.