背景:在2020年COVID-19大流行的静止期,我们实施了一项周末安排的儿科手术计划,以减少与COVID-19相关的积压。从麻醉师到护士的100多名工作人员,外科医生,行政和支持人员报名参加额外的周末工作,作为一项新的周末择期儿科手术计划的一部分,以减少与COVID-19相关的积压:COVID-19锁定结束后的手术室斜坡增加-额外清单(ORRACLE-Xtra)。
目的:在本研究中,我们试图在ORRACLE-Xtra3个月试验阶段结束时评估工作人员的看法,以及他们对周末额外择期手术病例的满意度和经验,并确定参与的关键因素.
方法:在ORRACLE-Xtra试点之后,我们邀请所有至少工作1个周末的围手术期工作人员完成一项在线调查,该调查是在分配前制定和测试的.调查收集了有关工作周末对幸福感的影响的信息,总体满意度,以及未来周末工作的可能性和偏好列表。Logistic回归用于估计幸福感与满意度和未来周末工作意愿的关系列表。
结果:118名符合条件的员工中,共有82人对调查做出了回应,回应率为69%。工作人员的工作中位数为2个周末名单(IQR1-9)。在82名工作人员中,65(79%)对额外的周末选修名单感到满意或非常满意,外科医生和外科学员报告的满意度最高。大多数受访者(72/82,88%)将继续工作周末名单。成就感与周末工作满意度相关(比值比[OR]19.97,95%CI1.79-222.63;P=.02)和参加未来周末列表的意愿(OR17.74,95%CI1.50-200.70;P=.02)。许多人(56/82,68%)愿意在周末工作,包括更长的时间,更复杂的案件,这与社区意识相关(OR0.12,95%CI0.02-0.63;P=0.01)。
结论:参加ORRACLE-Xtra计划的前3个月的工作人员报告说,他们对周末的工作感到满意,并愿意继续该计划。包括做更长的时间,更复杂的案件。计划实施COVID-19手术积压工作的机构可能会从其工作人员那里收集关键信息中受益。
BACKGROUND: During the quiescent periods of the COVID-19 pandemic in 2020, we implemented a weekend-scheduled pediatric surgery program to reduce COVID-19-related backlogs. Over 100 staff members from anesthesiologists to nurses, surgeons, and administrative and supporting personnel signed up to work extra weekends as part of a novel weekend elective pediatric surgery program to reduce COVID-19-related backlog: Operating Room Ramp-Up After COVID-19 Lockdown Ends-Extra Lists (ORRACLE-Xtra).
OBJECTIVE: In this study, we sought to evaluate staff perceptions and their level of satisfaction and experiences with working extra scheduled weekend elective surgical cases at the end of the 3-month pilot phase of ORRACLE-Xtra and identify key factors for participation.
METHODS: Following the pilot of ORRACLE-Xtra, all perioperative staff who worked at least 1 weekend list were invited to complete an online survey that was developed and tested prior to distribution. The survey collected information on the impact of working weekends on well-being, overall satisfaction, and likelihood of and preferences for working future weekend lists. Logistic regression was used to estimate the association of well-being with satisfaction and willingness to work future weekend lists.
RESULTS: A total of 82 out of 118 eligible staff responded to the survey for a response rate of 69%. Staff worked a median of 2 weekend lists (IQR 1-9). Of 82 staff members, 65 (79%) were satisfied or very satisfied with working the extra weekend elective lists, with surgeons and surgical trainees reporting the highest levels of satisfaction. Most respondents (72/82, 88%) would continue working weekend lists. A sense of accomplishment was associated with satisfaction with working on the weekend (odds ratio [OR] 19.97, 95% CI 1.79-222.63; P=.02) and willingness to participate in future weekend lists (OR 17.74, 95% CI 1.50-200.70; P=.02). Many (56/82, 68%) were willing to work weekend lists that included longer, more complex cases, which was associated with a sense of community (OR 0.12, 95% CI 0.02-0.63; P=.01).
CONCLUSIONS: Staff participating in the first 3 months of the ORRACLE-Xtra program reported satisfaction with working weekends and a willingness to continue with the program, including doing longer, more complex cases. Institutions planning on implementing COVID-19 surgical backlog work may benefit from gathering key information from their staff.