新冠肺炎疫情衝擊下護理人力運籌之挑戰

Challenges of Nurse Staffing Requirement and Accordance during the COVID-19 Pandemic in CCH

2020年新冠肺炎感染病例不斷攀升，帶給第一線護理人員巨大的心理壓力。身為護理主管應強化職場安全、提供充足設備和人員的訓練需要，讓護理人員安心堅守崗位；護理人力管理包含層面甚廣，其中人力管理與緊急調整即為一大挑戰。本篇分享彰化基督教醫院護理團隊面臨新冠肺炎疫情衝擊下，如何執行人力的運籌策略，包括：急診人力分流規劃，成立戶外篩檢及快速採檢區；視疫情整合門診業務，調整人力；啟動成人加護單位服務降載及人力備援計畫；滾動式檢討專責病房床位運用及人力安排；適時調度輔助人力和社區健康促進中心人員支援前線單位。此外，運用成人心理壓力量表進行員工防疫心理壓力評估，提供個別化的關懷，使人員能在安全的執業環境中安心工作。我們都是肩負重責的護理主管，應與所有同仁堅守防疫工作，守護生命，共同為這片土地盡一份心力。

In 2020, the number of COVID-19 cases have continued to rise, which has brought lots of pressure to front-line nursing staff. As nursing supervisors, we should strengthen safety workplace, provide adequate personal protective equipment and personnel training education, so that nursing staff can stand to their posts with peace of mind. Nursing manpower management includes a wide range of aspects, among which manpower management and deployment are a major challenge. This article shares how the nursing team is facing the impact of COVID-19 pandemic in Changhua Christian Hospital (CCH), how to implement the manpower strategies, including: emergency manpower diversion planning, setting up outdoor screening and instant sample collection areas; integrating outpatient services and adjusting manpower according to the epidemic situation; starting adult Intensive Care Units service load reduction and manpower backup plan; dynamic plans of bed utilization in isolated wards and manpower arrangements; timely dispatch of auxiliary manpower and Center for Health Promotion personnel to support frontline units. Moreover, the Adult Mental Health Scale (AMHS) is used to assess the psychological stress of employees in epidemic prevention and provide individualized care, so that employees can work with peace of mind in a safe environment. The nursing supervisors have fulfilled its responsibilities, we should stand to the epidemic prevention with all employees, guard lives, and do our best for this land.