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1.
J Nurs Manag ; 29(5): 1220-1227, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33480121

RESUMO

AIM: To understand the impact of COVID-19 on isolation bed capacity requirements, nursing workforce requirements and nurse:patient ratios. BACKGROUND: COVID-19 created an increased demand for isolation beds and nursing workforce globally. METHODS: This was a retrospective review of bed capacity, bed occupancy and nursing workforce data from the isolation units of a tertiary hospital in Singapore from 23 January 2020 to 31 May 2020. R v4.0.1 and Tidyverse 1.3.0 library were used for data cleaning and plotly 4.9.2.1 library for data visualization. RESULTS: In January to March 2020, isolation bed capacity was low (=<203 beds). A sharp increase in bed capacity was seen from 195 to 487 beds during 25 March to 29 April 2020, after which it plateaued. Bed occupancy remained lower than bed capacity throughout January to May 2020. After 16 April 2020, we experienced a shortage of 1.1 to 70.2 nurses in isolation wards. Due to low occupancy rates, nurse:patient ratio remained acceptable (minimum nurse:patient ratio = 0.26). CONCLUSION: COVID-19 caused drastic changes in isolation bed capacity and nursing workforce requirements. IMPLICATIONS FOR NURSING MANAGEMENT: Building a model to predict nursing workforce requirements during pandemic surges may be helpful for planning and adequate staffing.


Assuntos
COVID-19 , Recursos Humanos de Enfermagem Hospitalar , Humanos , Admissão e Escalonamento de Pessoal , Estudos Retrospectivos , SARS-CoV-2 , Singapura , Recursos Humanos
2.
BMJ Open Qual ; 10(1)2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33408099

RESUMO

Patients admitted to the isolation ward during the COVID-19 outbreak face multiple psychosocial stressors including the disruptive experience of being in quarantine, anxiety over contracting a newly emerging infectious disease and limited access to their healthcare team. This quality improvement project aims to leverage on technology to improve patients' access to, and experience of, care while in isolation.Patients admitted to two isolation wards in Singapore General Hospital (SGH) between 28 February and 19 March 2020 were each provided an iPad loaded with the MyCare application (app), curated materials and mobile games. During this period, 83 of them accessed the device and the app. MyCare app is an app developed by the nursing team in SGH as part of an existing interprofessional collaboration to help patients navigate their care during their inpatient stay. In response to COVID-19, MyCare app was supplemented with materials to address affected patients' informational and psychosocial needs. These materials included an information sheet on COVID-19, interviews with previous severe acute respiratory syndrome survivors, psychosocial support materials, and uplifting literature, illustrated storybooks and artwork.This paper describes the process of planning for, and executing, the intervention and reports the initial results of its effect. Initial feedback indicated a positive response to the intervention. 9 out of 10 respondents (90%) rated their hospital experience with a maximum of five stars and all 10 respondents (100%) rated the psychosocial support materials with five stars. Doctors managing the patients also observed a reduction in the number of commonly asked questions following the deployment of the iPad.This quality improvement project is ongoing with plans for further research to determine how to better support the psychosocial needs of patients in isolation during a novel disease outbreak. This report is written based on the Standards for Quality Improvement Reporting Excellence guidelines.


Assuntos
Acesso à Informação , COVID-19/psicologia , Comportamento do Consumidor , Acessibilidade aos Serviços de Saúde , Hospitalização , Aplicativos Móveis , Quarentena/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Criança , Surtos de Doenças , Empoderamento , Feminino , Hospitais , Humanos , Masculino , Pessoa de Meia-Idade , Intervenção Psicossocial/métodos , SARS-CoV-2 , Singapura , Estresse Psicológico/etiologia , Estresse Psicológico/prevenção & controle , Adulto Jovem
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