COVID-19 감염병 전담병원의 위기 대처 사례 : 간호조직 관리 중심으로
A case study of the crisis response in a hospital dedicated to COVID-19: Focusing on nursing organization management
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· 연구 주제: 본 연구는 COVID-19 대유행 기간 동안 민간 의료 수준에서 위기 단계별 대응을 검토하고 메커니즘 이론을 활용하여 간호조직의 경영관리 관점에서 위기 대응 프로세스를 분석한다. 이 조직은 전염병 전담 병원으로 전환된 후 위기 극복을 위해 ser-M 모델을 적용하였다. · 연구 배경: COVID-19 감염병과 같은 위기상황에서 보다 효율적으로 대응하기 위하여 간호 인력 관리, 자원 관리, 감염예방 관리 및 감염병 환자 간호업무 등에 관한 연구가 필요하였다. · 선행 연구와의 차이점: ser-M 모델을 적용하여 다양한 요인들을 종합적으로 고려하였고, 실무적으로 COVID-19 위기상황과 같은 사건의 발생 시 도움이 될 수 있는 현실적 대응방안을 제시하였다. · 연구 방법: 1) 위기관리 이론에 따라, 각 위기 단계에서 COVID-19 위기 대응 프로세스가 어떻게 처리되었는지를 기술하였다. 2) COVID-19 전담병원으로 전환한 후, COVID-19 위기에 대한 간호조직 차원의 위기 대응 프로세스는 ser-M 프레임워크를 사용하여 설명하였다. 3) 위기대응의 영향은 COVID-19 전용 기간 동안의 회복율, 치사율, 입원일수 및 의료제공자의 감염률로 분석하였다. · 연구 결과: COVID-19 감염병 위기에 대응하는 과정에서 발생한 다양한 위기 상황에서 ser-M 모델을 적용하여 주체요인, 환경 요인, 자원요인, 메커니즘 요인(위기 대응 상황별 활동 및 관련 요인, COVID-19 위기 대응에 대한 효과 평가 및 복구 전략수립)을 종합적으로 고려한 간호조직 대응방안을 제시하였다. · 공헌점 및 기대 효과: 갑작스러운 감염병의 위기 상황에서 효율적인 위기 대응을 위해 병원 전체를 코호트 격리하여 운영한 국내 첫 사례로 감염병 환자 관리에 대한 기초자료 및 간호조직 차원의 준비와 대응 과정에 대한 구체적인 사례를 제공함으로써 추후 발생하는 감염병 대응 시 기초자료로 사용될 수 있을 것이다.
Abstract
· Research topics: This study reviews crisis-level responses at the private medical level during the COVID-19 pandemic and analyzes the management-oriented crisis response process of nursing organizations from a mechanism-based perspective. The organization applied the ser-M model to overcome the crisis after switching to a hospital dedicated to infectious diseases. · Research background: Research on nursing manpower management, resource management, infection prevention management, and nursing work for patients with infectious diseases was needed to respond more efficiently in crisis situations such as COVID-19. · Differences from prior research: Various factors were comprehensively considered by applying the ser-M model, and practical countermeasures that could help in the event of an event such as a COVID-19 crisis situation were presented. · Research method: 1) According to the crisis management theory, how the COVID-19 crisis response process was handled at each crisis stage was described. 2) After switching to a dedicated hospital for COVID-19, the crisis response process at the nursing organizational-level for the COVID-19 crisis was explained using the ser-M framework. 3) The impact of crisis response was analyzed by the recovery rate, mortality rate, hospitalization days, and infection rate of medical providers during the COVID-19 exclusive period. · Research results: The ser-M model was applied in various crisis situations in response to the COVID-19 infectious disease crisis to present nursing organizational countermeasures that comprehensively consider subject factors, environmental factors, resource factors, and mechanism factors (activity and related factors, and effectiveness evaluation and recovery strategy for the COVID-19 crisis response). · Contribution points and expected effects: The first case in Korea to cohort quarantine the entire hospital for efficient crisis response in a sudden infectious disease crisis situation, and can be used as basic data for patient management and nursing organization-level preparation and response process.
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