包括模拟在内的多模式计划对在重症监护室工作的护士工作压力的影响:一项随机临床试验
Radia El Khamali1,2, Atika Mouaci1,2, Sabine Valera1,2
1Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Réanimation des Détresses Respiratoires et des Infections Sévères, Marseille, France.
JAMA
|October 26, 2018
概括
一个基于模拟的程序显著减少了重症监护室 (ICU) 护士的工作压力,缺勤率和轮流. 这种干预措施有望改善重症监护人员的福祉.
科学领域:
- 护理工作
- 职业健康问题
- 医疗模拟
背景情况:
- 在重症监护室 (ICU) 的护士面临着严重的职业压力.
- 这些压力因素可能导致负面的结果,如压力反应,缺勤率和高的流动率.
研究的目的:
- 评估基于模拟的计划在减少与工作相关的压力和改善ICU护士与工作相关的结果方面的有效性.
- 评估干预对工作压力,缺勤率和营业额的影响.
主要方法:
- 一项多中心随机临床试验,涉及法国198名重症监护护士.
- 干预小组接受了为期5天的护理理论课程,模拟场景和报告.
- 对照组没有接受干预. 结果在6个月后进行评估.
主要成果:
- 在6个月后,干预组 (13%) 与对照组 (67%) 的工作压力的患病率明显较低 (P < .001).
- 与对照组 (8%) 相比,干预组的缺勤率有所降低 (P = .03).
- 与对照组 (12%) 相比,干预组的护士流动率也较低 (P = .04).
结论:
- 基于模拟的干预包括教育,角色扮演和汇报,有效地减少了ICU护士的工作压力.
- 该计划还对减少缺勤率和营业额产生了积极影响.
- 建议进行进一步的研究,以确定具体的贡献因素,并评估成本效益.
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