Hazard vulnerability analysis and management strategies of nursing management during the coronavirus disease 2019

doi:10.3761/j.issn.0254-1769.2020.06.006

Chinese Journal of Nursing ›› 2020, Vol. 55 ›› Issue (6): 832-836.DOI: 10.3761/j.issn.0254-1769.2020.06.006

• Special Planning—Coronavirus Disease 2019 Nursing • Previous Articles Next Articles

Hazard vulnerability analysis and management strategies of nursing management during the coronavirus disease 2019

WANG Xia,WANG Zhenhui,SUN Chao(),ZHANG Yinghui,YUAN Xiaoning,LI Minmin,ZHAO Peiyu,MIAO Miao

Received:2020-03-02 Online:2020-06-15 Published:2020-06-05
Contact: Chao SUN

新型冠状病毒肺炎防控护理管理灾害脆弱性分析与应对策略

王霞,王贞慧,孙超(),张颖惠,袁晓宁,李敏敏,赵培玉,苗苗

100730 北京市北京医院护理部/国家老年医学中心/中国医学科学院老年医学研究院（王霞,王贞慧,孙超）,保健医疗部（苗苗）; 山西医科大学第二医院护理部（张颖惠）; 北京大学第三医院医院感染管理科（袁晓宁）; 山东第一医科大学附属省立医院东院新生儿重症监护病房（李敏敏）; 中日友好医院护理部（赵培玉）

通讯作者: 孙超
作者简介:王霞：女,本科（硕士在读）,主管护师,护理部副主任,E-mail：wangxiagreat@sina.com
基金资助:
北京医院“科技新星”(BJ-2018-129)

Abstract

Abstract:

Objective To analyze the risks in a temporarily renovated ICU at Tongji Hospital in Wuhan using the Hazard Vulnerability Analysis based on the Kaiser Model,and to propose strategies to respond and manage the risks. Methods The risk management index evaluation system for nursing management was developed based on the Kaiser Model and the status of the temporarily renovated ICU at Tongji Hospital. It was surveyed via web questionnaires during Feb 21st to 25th,2020 among the medical teams in the ICU,and the index risk value and matrix distribution were analyzed. Results The top 13 risk events perceived by the medical team were listed as following.C8 nurses needle stick injury（0.447 6）,B1 patients need to be rescued （0.413 0）,C10 nurses being infected （0.411 0）,B2 patients’ psychological problems（0.407 4）,C9 doctors being infected（0.359 8）,E3 insufficient or interrupted oxygen supply（0.329 1）,D9 drug shortage（0.324 2）,E2 insufficient protective equipment（0.317 9）;C12 doctors and nurses’ absence from work due to emergency illness（0.309 1）,C7 doctors needle stick injury（0.298 2）,E1 insufficient supporting staff in the hospital（0.293 5）,B6 adverse drug reactions in patients（0.292 4）,C6 nurses’ psychological maladjustment（0.289 1）. Conclusion Managers should pay attention to the risk assessment on the status of the temporarily renovated ICU at Tongji Hospital,and then guide the problem solving; at the same time,they should attach great importance to the occupational protection and physical and mental health of medical staff.

Key words: Coronavirus Disease 2019, Nursing Management, Kaiser Model, Hazard Vulnerability Analysis

摘要：

目的对同济医院中法新城院区某重症病区进行护理管理灾害脆弱性分析,了解新型冠状病毒肺炎疫情下护理管理现存的风险,明确应急管理方向。方法以基于Kaiser模型的灾害脆弱性分析为指导,结合整建制接管的重症病区实际运行管理情况,制订护理管理风险事件指标评价体系,于2020年2月21日—25日通过网络问卷进行调查,并对指标风险值和矩阵分布进行分析。结果风险值提示,以下事件需重点关注：C8护士发生针刺伤（0.447 6）、B1患者突发病情变化需抢救（0.413 0）、C10护士被感染（0.411 0）、B2患者不良的心理状态（0.407 4）、C9医生被感染（0.359 8）、E3氧气压力不足或中断（0.329 1）、D9药品供应短缺（0.324 2）、E2职业防护装备不足（0.317 9）、C12医护人员因急患疾病导致无法正常工作（0.309 1）、C7医生发生针刺伤（0.298 2）、E1工勤人员不足（0.293 5）、B6患者发生药物不良反应（0.292 4）、C6护士心理调适不良（0.289 1）。结论护理管理者要对新型冠状病毒肺炎重症病区的风险指标进行风险评价,进而指导分类施策;同时,要高度重视医护人员的职业防护和身心健康。

关键词: 新型冠状病毒肺炎, 护理管理, Kaiser模型, 灾害脆弱性分析

WANG Xia, WANG Zhenhui, SUN Chao, ZHANG Yinghui, YUAN Xiaoning, LI Minmin, ZHAO Peiyu, MIAO Miao. Hazard vulnerability analysis and management strategies of nursing management during the coronavirus disease 2019[J]. Chinese Journal of Nursing, 2020, 55(6): 832-836.

王霞, 王贞慧, 孙超, 张颖惠, 袁晓宁, 李敏敏, 赵培玉, 苗苗. 新型冠状病毒肺炎防控护理管理灾害脆弱性分析与应对策略[J]. 中华护理杂志, 2020, 55(6): 832-836.

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Hazard vulnerability analysis and management strategies of nursing management during the coronavirus disease 2019

新型冠状病毒肺炎防控护理管理灾害脆弱性分析与应对策略

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