Implementation of the Admission Process of Patients Under the Public Crisis Situation of COVID-19 Pandemic: A Real-World Case Study

Abstract

Xiaohong Zhang,1 Ziyan Yang,2 Jiaqi Chen,1 Cuiling Zhang,3 Junyan Zhang4 1Nursing Department of Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, People’s Republic of China; 2The School of Nursing, Shanxi Medical University, Taiyuan, People’s Republic of China; 3Department of Digestive Oncology of Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, People’s Republic of China; 4Department of Science and Education of Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, People’s Republic of ChinaCorrespondence: Cuiling Zhang, Department of Digestive Oncology of Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, NO. 99, Longcheng Street, Xiaodian District, Taiyuan, 030032, People’s Republic of China, Tel [phone], Email [email protected]: To clarify the implementation of the admission process under the public crisis of COVID-19 pandemic.Methods: A real-world study was conducted to collect data on the normal and public crisis situations at a tertiary hospital in China and understand the views of 18 head nurses on the necessity of the admission process in public crisis situations. Independent t-test and chi-square test were used to analyze the work data in two situations; Spearman correlation analysis was performed to determine the correlation of work data with two situations of process implementation, and differences between the head nurses’ views of necessity of the admission process and actual implementation under public crisis situations were analyzed.Results: Significant differences were observed in the working data between the normal and public crisis situations (P < 0.05), and the implementation of the admission process was not in place. The number of nurses on duty was positively correlated with each item of admission process (P < 0.05), the rest of work data were negatively correlated with each item in the admission process (P < 0.05), and there was a significant difference between the necessity of each item in the admission process and the actual implementation results (P < 0.05).Conclusion: Public crisis leads to the lack of implementation of admission process, and the original admission process and quality control standards are not applicable during the public crisis situation.Keywords: public crisis, COVID-19 infection, admission process, nursing management, process reengineering, real-world study

Keywords

• public crisis
• covid-19 infection
• admission process
• nursing management
• process reengineering
• real-world study