援鄂护理团队错峰弹性工作模式在整建制ICU中的实践  

The practice of flexible off-peak work mode in nursing when assisting Hubei province in ICU

作　　者：叶文秀[1] 宋剑平[1] 王丽竹[2] 金琪[3] YE Wenxiu;SONG Jianping;WANG Lizhu;JIN Qi(Nursing Department,The Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,310009,China)

机构地区：[1]浙江大学医学院附属第二医院护理部,杭州市310009 [2]浙江大学医学院附属第二医院重症监护室,杭州市310009 [3]浙江大学医学院附属第二医院国际医学中心,杭州市310009

出　　处：《中国护理管理》2021年第4期552-554,共3页Chinese Nursing Management

基　　金：2020年浙江省教育厅科研项目立项课题(Y202043234);2019年浙江省医药卫生科技计划立项课题(2019KY076)。

摘　　要：目的:探讨新型冠状病毒肺炎疫情期间援鄂护理团队在整建制ICU的工作模式,以便科学合理地利用护理人力资源,为今后特殊时期进入疫区整建制支援的护理团队提供参考。方法:分析疫情中心地区整建制ICU中护理人力资源管理难点,然后建立管理架构,混编重组团队护理人员,定岗定职,实施错峰弹性工作模式。结果:错峰弹性工作模式满意度调查结果显示,小组制排班满意度为92.55%,6小时上班制满意度为64.89%,错峰上下班满意度为95.75%,弹性排班、备班制满意度为97.88%,自我感觉能适应援鄂工作的护士占84.05%。结论:错峰弹性工作模式有利于确保护士安全,合理分配护理人力资源,规范病区护理工作流程。Objective:To describe and analyze the comprehensive flexible off-peak work mode in nursing when assisting Hubei Province in ICU during the outbreak of the COVID-19,in order to make scientific and rational use of the existing nursing human resources and provide references for future use.Methods:Problems and deficiencies of nursing management in the ICU taken over in the outbreak center were analyzed,on the basis of which the management structure was established.Then nurses from different departments were rounded up and reassigned to specialized positions according to the off-peak work mode.Results:The satisfaction survey showed that the satisfaction towards group scheduling,6-hour working system,off-peak working,and flexible scheduling and shift preparation was 92.55%,64.89%,95.75%and 97.88%,respectively 84.05%of nurses surveyed reported that they were able to adapt to such a working mode.Conclusion:The flexible off-peak working mode is conducive to ensuring the safety of nursing staff,reasonably allocating nursing human resources,and standardizing the nursing work flow in ICU.

关 键 词：新型冠状病毒 重症监护室 排班 护士安全 

分 类 号：R47[医药卫生—护理学]