“1+2+4+X”护理人力应急管理模式在新型冠状病毒感染患者救治中的应用及效果  

Application and effect of“1+2+4+X”nursing manpower emergency management model during coronavirus disease 2019 pandemic

作　　者：胡紫宜 刘珊珊 张瑞雪 朱红 蒋艳 HU Ziyi;LIU Shanshan;ZHANG Ruixue;ZHU Hong;JIANG Yan(Nursing Department,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Evidence-Based Nursing Center,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院护理部/四川大学华西护理学院,成都610041 [2]四川大学华西医院循证护理研究室/四川大学华西护理学院,成都610041

出　　处：《华西医学》2024年第11期1778-1782,共5页West China Medical Journal

基　　金：国家自然科学基金(72174135)。

摘　　要：新型冠状病毒疫情防控“新十条”颁布后,四川大学华西医院护理部及时分析疫情发展变化与护理人力应急管理重点难点,构建了涵盖成立专项管理小组、评估人力需求、构建护理人力管理模式、在位+在线培训、动态监控与调整的新型冠状病毒感染患者“1+2+4+X”护理人力应急管理模式。2022年12月7日-2023年2月1日,护理部累计调配护士693人次,涉及临时重症监护病房4个、临时综合病房30个。全院临时综合病房患者气道湿化管理合格率达94.9%,人工气道固定合格率达97.9%,床头抬高依从性达100.0%。所构建的“1+2+4+X”护理人力应急管理模式有助于疫情流行期间护理人力合理调度,为今后大型医疗机构传染病疫情救治的护理人力紧急调配提供参考。After the promulgation of the“Ten New Measures”for coronavirus disease 2019(COVID-19)pandemic,the Nursing Department of West China Hospital of Sichuan University promptly analyzed the development and changes of the epidemic situation and the key and difficult points of nursing manpower emergency management,and constructed a“1+2+4+X”nursing manpower emergency management model for COVID-19 patients,including establishing a dedicated management team,assessing manpower needs,constructing a nursing manpower management model,on-site and online training,and dynamic monitoring and adjustment.From December 7th,2022 to February 1st,2023,the Nursing Department mobilized a total of 693 nurses,covering 4 temporary intensive care units and 30 temporary general wards.The hospital-wide qualification rate of airway humidification management for patients in temporary general wards was 94.9%,the qualification rate of artificial airway fixation was 97.9%,and the compliance of bed head elevation was 100.0%.The“1+2+4+X”nursing manpower emergency management model constructed is helpful for the reasonable scheduling of nursing manpower during the epidemic period and provides a reference for the emergency deployment of nursing manpower for the treatment of infectious disease epidemics in large medical institutions in the future.

关 键 词：新型冠状病毒感染 护理人力配置 人力资源 护理管理 

分 类 号：R473.5[医药卫生—护理学]