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World J Clin Cases. Nov 26, 2020; 8(22): 5513-5517
Published online Nov 26, 2020. doi: 10.12998/wjcc.v8.i22.5513
Holistic care model of time-sharing management for severe and critical COVID-19 patients
Bo Yang, Yang Gao, Kai Kang, Jing Li, Lei Wang, Hui Wang, Ying Bi, Qing-Qing Dai, Ming-Yan Zhao, Kai-Jiang Yu
Bo Yang, Yang Gao, Kai Kang, Jing Li, Lei Wang, Hui Wang, Ying Bi, Ming-Yan Zhao, Kai-Jiang Yu, Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China
Qing-Qing Dai, Department of Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Kai-Jiang Yu, Institute of Critical Care Medicine, The Sino Russian Medical Research Center of Harbin Medical University, Harbin 150081, Heilongjiang Province, China
Author contributions: Yang B, Gao Y, and Yu KJ contributed to the conception of the study; Yang B, Gao Y, Kang K, Li J, Wang L, Wang H, Bi Y, Dai QQ, and Zhao MY performed the experiment; Yang B, Gao Y, and Yu KJ contributed significantly to data analysis and manuscript preparation; Yang B performed data analyses and wrote the manuscript; Yang B and Gao Y equally contributed to this work.
Supported by The National Natural Science Foundation of China, No. 81770276; and Nn10 Program of Harbin Medical University Cancer Hospital and Scientific Research Project of Heilongjiang Health and Family Planning Commission, No. 2018086.
Conflict-of-interest statement: All authors declare that they have no any conflicts of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kai-Jiang Yu, MD, Doctor, Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China. yukaijiang002@sina.com
Received: August 31, 2020
Peer-review started: August 31, 2020
First decision: September 13, 2020
Revised: September 17, 2020
Accepted: September 25, 2020
Article in press: September 25, 2020
Published online: November 26, 2020
Abstract

The rapid global outbreak of coronavirus disease 2019 (COVID-19) and the surge of infected patients have led to the verge of exhaustion of critical care medicine resources worldwide, especially with regard to critical care staff. A holistic care model on time-sharing management for severe and critical COVID-19 patients is proposed, which includes formulation of individualized care objectives and plans, identification of care tasks in each shift and making detailed checklist, and management of quality of care. This study was conducted in the COVID-19 treatment center of Harbin, Heilongjiang Province. The data collected from the treatment center were recorded and analyzed. From the results we can deduce that it is especially suitable for non-intensive care unit (non-ICU) nurses to adapt care management mode of ICU as soon as possible and ensure the quality and efficiency of care during the epidemic. The holistic care model on time-sharing management for severe and critical cases with COVID-19 proposed based on our daily work experiences can assist in improving the quality and efficiency of care, thus reducing the mortality rate of patients in ICU.

Keywords: Holistic care model, Time-sharing management, COVID-19, Quality of care, Efficiency of care, Hierarchical management

Core Tip: The rapid global outbreak of coronavirus disease 2019 and the surge of infected patients have made critical care medicine resource on the verge of exhaustion around the world, especially critical care nurses. Therefore, a large number of non-intensive care unit (non-ICU) nurses play the role of professional ICU nurses after short-term specialized training. We propose a holistic care model of time-sharing management for severe and critical cases from our daily work experiences in this article, which will be conductive to improving the quality and efficiency of care and thus reducing mortality in ICU.