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Nursing Surge Capacity Strategies for Management of Critically Ill Adults with COVID-19

机译:与Covid-19批评性成年人管理的宣传能力策略

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Background: There is a vital need to develop strategies to improve nursing surge capacity for caring of patients with coronavirus (COVID-19) in critical care settings. COVID-19 has spread rapidly, affecting thousands of patients and hundreds of territories. Hospitals, through anticipation and planning, can serve patients and staff by developing strategies to cope with the complications that a surge of COVID-19 places on the provision of adequate intensive care unit (ICU) nursing staff—both in numbers and in training. Aims: The aim is to provide an evidence-based starting point from which to build expanding staffing models dealing with these additional demands. Design/Method: In order to address and develop nursing surge capacity strategies, a five-member expert panel was formed. Multiple questions directed towards nursing surge capacity strategies were posed by the assembled expert panel. Literature review was conducted through accessing various databases including MEDLINE, CINAHL, Cochrane Central, and EMBASE. All studies were appraised by at least two reviewers independently using the Joanna Briggs Institute JBI Critical Appraisal Tools. Results: The expert panel has issued strategies and recommendation statements. These proposals, supported by evidence-based resources in regard to nursing staff augmentation strategies, have had prior success when implemented during the COVID-19 pandemic. Conclusion: The proposed guidelines are intended to provide a basis for the provision of best practice nursing care during times of diminished intensive care unit (ICU) nursing staff capacity and resources due to a surge in critically ill patients. The recommendations and strategies issued are intended to specifically support critical care nurses incorporating COVID-19 patients. As new knowledge evidence becomes available, updates can be issued and strategies, guidelines and/or policies revised. Relevance to Clinical Practice: Through discussion and condensing research, healthcare professionals can create a starting point from which to synergistically develop strategies to combat crises that a pandemic like COVID-19 produces.
机译:背景:在关键护理环境中,有一个重要的需要制定改善冠状病毒(Covid-19)患者的护理护理患者的策略。 Covid-19迅速传播,影响了数千名患者和数百个领土。通过预期和规划,医院可以通过制定应对患者和工作人员来应对Covid-19在提供足够的重症监护股(ICU)护理人员 - 既有数量和培训的地方的并发症。目的:目的是提供一种以证据为基础的起点,从中建立扩大的人员配置案件处理这些额外需求。设计/方法:为了解决和开发护理浪涌能力策略,形成了五个成员专家小组。针对护理浪涌能力策略的多个问题被组装的专家面板提出。通过访问各种数据库进行文献综述,包括Medline,Cinahl,Cochrane Central和Embase。所有研究均由至少两位审稿人批准,独立地使用Joanna Briggs Institute JBI关键评估工具。结果:专家小组已发布策略和推荐陈述。这些提案,通过证据的资源支持护理人员的增长战略,在Covid-19流行期间实施的情况下,已经取得了成功。结论:拟议的指导方针旨在为在重症监护单位(ICU)护理员工(ICU)的次数减少时提供最佳实践护理的基础,这是由于危重病患者的激增。发布的建议和策略旨在特别支持包含Covid-19患者的关键护理护理。随着新知识证据可用,可以发出更新,并修订策略,指南和/或政策。与临床实践的相关性:通过讨论和冷凝研究,医疗保健专业人员可以创造一个起点,从中协同发展战略,以便打击大流行像Covid-19产生的危机。

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