內科病房轉置COVID-19 專責病房之改善專案

Transforming A Medical Ward to A Dedicated COVID-19 Unit: A Multifaceted Approach to Enhancing Staff Preparedness and Patient Care

本專案目的為提升轉型建置專責病房護理師之認知正確率與完整率，現況分析原因：無SARS照護經驗82.6%、環境及防疫動線規劃未分艙分流、臨床照護模式改變、處置醫材及防護裝備物品分置於各處、護理師COVID-19疾病認知正確率為64.2 %及防護裝備穿脫流程完整率為66.2 %。擬定改善對策：提升轉型建置COVID-19專責病房、設置環境及防疫動線、調整照護模式、調整處置醫材及防護裝備物品擺放集中位置、防護裝備照著穿、運用多元策略包括舉辦數位課程及建置數位平台、製作防疫教育包。經以上改善對策介入後，COVID-19疾病認知正確率由64.2 %提升至100.0 %；防護裝備由66.2 %提升至100.0 %，達專案目標，有效提升轉置專責病房準備度，可提供相關醫療院所設立專責病房之參考。

During the COVID-19 pandemic, specialized wards had to be immediately established and the knowledge and competencies of nursing staff had to be urgently improved. This study described the conversion of a general medical ward into a dedicated COVID-19 quarantine unit. Initial assessments revealed substantial challenges: 82.6% of nursing staff lacked experience in caring for patients with SARS-like illnesses, existing quarantine and patient flow protocols were inadequate, clinical care guidelines required revision, designated areas for medical device and protective equipment disposal were lacking, and staff members demonstrated limited knowledge of COVID-19 (64.2%) and low proficiency in the correct use of personal protective equipment (PPE; 66.2%). To address these deficiencies, a comprehensive improvement strategy was implemented, which included the redesign and upgrade of the specialized ward; development of protocols to reduce environmental contamination; revisions to nursing care guidelines; centralization of medical waste and PPE disposal; intensive training in PPE usage; and various educational initiatives involving digital platforms, online classes, and tailored COVID-19 education packages. Postintervention assessments revealed significant improvements: the percentage of staff who knew about the clinical manifestations and management of COVID-19 improved from 64.2% to 100%, and percentage of staff who were proficient in correct PPE use increased from 66.2% to 100%. These results underscore the efficacy of the multifaceted approach in rapidly enhancing the preparedness of both the ward environment and nursing staff. This project provides valuable insights for health-care facilities facing similar challenges in the efficient establishment of COVID-19 units.