Application and effect of “1+2+4+X” nursing manpower emergency management model during coronavirus disease 2019 pandemic_West China Medical Journal

Authors：

HU Ziyi ¹ , LIU Shanshan ² , ZHANG Ruixue ¹ , ZHU Hong ¹ ,  JIANG Yan ^1,2

1. Nursing Department, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Evidence-Based Nursing Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

JIANG Yan, Email: hxhljy2018@163.com

Keywords：

COVID-19; nursing manpower allocation; human resources; nursing management

DOI：

10.7507/1002-0179.202305089

Video：

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After the promulgation of the “Ten New Measures” for coronavirus disease 2019 (COVID-19) pandemic, the Nursing Department of West China Hospital of Sichuan University promptly analyzed the development and changes of the epidemic situation and the key and difficult points of nursing manpower emergency management, and constructed a “1+2+4+X” nursing manpower emergency management model for COVID-19 patients, including establishing a dedicated management team, assessing manpower needs, constructing a nursing manpower management model, on-site and online training, and dynamic monitoring and adjustment. From December 7th, 2022 to February 1st, 2023, the Nursing Department mobilized a total of 693 nurses, covering 4 temporary intensive care units and 30 temporary general wards. The hospital-wide qualification rate of airway humidification management for patients in temporary general wards was 94.9%, the qualification rate of artificial airway fixation was 97.9%, and the compliance of bed head elevation was 100.0%. The “1+2+4+X” nursing manpower emergency management model constructed is helpful for the reasonable scheduling of nursing manpower during the epidemic period and provides a reference for the emergency deployment of nursing manpower for the treatment of infectious disease epidemics in large medical institutions in the future.

Citation： HU Ziyi, LIU Shanshan, ZHANG Ruixue, ZHU Hong, JIANG Yan. Application and effect of “1+2+4+X” nursing manpower emergency management model during coronavirus disease 2019 pandemic. West China Medical Journal, 2024, 39(11): 1778-1782. doi: 10.7507/1002-0179.202305089 Copy

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9.	周士萍, 吴秀菊, 程倩秋, 等. 某三级甲等医院住院总护士岗位设置实践. 护理学报, 2018, 25(7): 16-18.
10.	王芸芸, 周谊霞, 石贞仙, 等. 综合性医院机动护士岗位说明书的构建. 中国实用护理杂志, 2015, 31(24): 1860-1863.
11.	Zheng R, Zhou Y, Fu Y, et al. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: a cross-sectional study. Int J Nurs Stud, 2021, 114: 103809.
12.	龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版(DASS-21)在中国大学生中的测试报告. 中国临床心理学杂志, 2010, 18(4): 443-446.
13.	Wang K, Shi HS, Geng FL, et al. Cross-cultural validation of the Depression Anxiety Stress Scale-21 in China. Psychol Assess, 2016, 28(5): e88-e100.
14.	Tuominen OA, Rantalainen T, Löyttyniemi E, et al. Investigation of the causes and effects of stress in nurses working 'floating shifts'. Nurs Manag (Harrow), 2022.

1. 黄勋, 吴安华. “新十条”后医务人员新型冠状病毒感染管理、居家治疗及返岗建议. 中国感染控制杂志, 2022, 21(12): 1157-1160.
2. 徐敖, 张雨曦, 王妍, 等. “新十条”政策发布后医院上呼吸道感染用药趋势分析与应对策略探讨. 中国药业, 2023, 32(19): 50-52.
3. 陈蕾, 谢俊刚. 《新型冠状病毒感染诊疗方案(试行第十版)》解读. 医药导报, 2023, 42(3): 308-310.
4. 陈永亮, 田丽丽, 王化勇, 等. 2022 年 11 月至 2023 年 1 月北京市密云区居民新型冠状病毒感染状况调查分析. 中国病毒病杂志, 2023, 13(5): 348-352.
5. 姜金贵, 梁静国. 突发事件网格化管理的应急管理机制构建. 现代管理科学, 2008(6): 86-87.
6. 钟淑馨, 曹晓翼, 蒋艳, 等. 新型冠状病毒肺炎紧急救治下护理人力资源调配方案实施及效果. 中国护理管理, 2020, 20(2): 226-229.
7. 冯梅, 刘闻捷, 杜亮, 等. 新冠肺炎护理应急管理双循环体系的构建与实施. 中国卫生质量管理, 2021, 28(5): 65-67, 71.
8. 申艳玲, 陈静, 杨静, 等. 内科 ICU 住院总护士岗位设置的探索. 中华现代护理杂志, 2016, 22(33): 4869-4871, 4872.
9. 周士萍, 吴秀菊, 程倩秋, 等. 某三级甲等医院住院总护士岗位设置实践. 护理学报, 2018, 25(7): 16-18.
10. 王芸芸, 周谊霞, 石贞仙, 等. 综合性医院机动护士岗位说明书的构建. 中国实用护理杂志, 2015, 31(24): 1860-1863.
11. Zheng R, Zhou Y, Fu Y, et al. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: a cross-sectional study. Int J Nurs Stud, 2021, 114: 103809.
12. 龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版(DASS-21)在中国大学生中的测试报告. 中国临床心理学杂志, 2010, 18(4): 443-446.
13. Wang K, Shi HS, Geng FL, et al. Cross-cultural validation of the Depression Anxiety Stress Scale-21 in China. Psychol Assess, 2016, 28(5): e88-e100.
14. Tuominen OA, Rantalainen T, Löyttyniemi E, et al. Investigation of the causes and effects of stress in nurses working 'floating shifts'. Nurs Manag (Harrow), 2022.

West China Medical Journal

Application and effect of “1+2+4+X” nursing manpower emergency management model during coronavirus disease 2019 pandemic

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