運用多元策略提升護理人員照護COVID-19病人的意願

2020年初COVID-19疫情爆發，病房單位再次臨危受命轉型為專責隔離病房，然而有意願投入照護護理人員僅28.6%，故成立專案小組深入探討進行改善。經現況分析後確立問題：（一）COVID-19疾病認知不足；（二）缺乏COVID-19照護標準；（三）擔心防疫物資及裝備不足；（四）缺乏防疫照護經驗；（五）不清楚病房防疫安全規劃及動線。改善策略首重舉辦疾病在職教育、穿脫防護裝備訓練及稽核，另制定COVID-19照護標準作業書供依循。並執行多項措施，包括實名制物資管理登錄、公開透明資訊，後續人員關懷及病房動線視覺化區隔標示。專案實施後護理人員照護COVID-19意願率由28.6%提升至85.7%，並將此經驗平行推展至第二區專責病房，以提升人員安全及照護品質。

關鍵字

COVID-19照護；多元策略；意願率

並列摘要

When COVID-19 outbroke in early 2020, our unit was assigned to transform into a dedicated isolation ward again. However, only 28.6% of nursing staff were willing to provide nursing care. Therefore, a task force was set up to exploit and improve the condition. After analyzing the current situation, the problems were established: (1) insufficiency of understanding on COVID-19 disease; (2) lack of care standards related to COVID-19 disease; (3) worried the deficiency of epidemic prevention materials and types of equipment; (4) lack of experience in caring for COVID-19 disease; (5) unclear about the ward epidemic prevention safety plan and moving line. The implementation of the improvement strategy focuses on organizing continuing education, training, and auditing of wearing and removing protective equipment. Also, COVID-19 care standard operating protocol, real-name registration for material management, open and transparency information, follow-up employee care, visualizable ward movement lines were implemented. After implementing the project, the willingness of nursing staff to care for COVID-19 patients increased from 28.6% to 85.7%, and we extended this experience to other special wards in the second dedicated isolation ward parallelly to improve the safety of the staff and the quality of care.

並列關鍵字

COVID-19 care ； multiple strategies ； willingness rate

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