对护理工作活动的现状评估:一项观察性研究
Zachary Perpetua1, Jennifer Lennon, Judith A Shovel
1Health Services Division (Ms Minnier), Center for Quality Improvement and Innovation, Wolff Center (Mss Lennon, Shovel, Appell, Patterson, and Martin and Drs Zapf and Kip); ICU Service Center (Dr Sackrowitz); Department of Critical Care Medicine (Dr Sackrowitz); and Department of Nursing (Ms McLaughlin), University of Pittsburgh Medical Center; Department of Acute and Tertiary Care (Dr Perpetua), University of Pittsburgh, Pittsburgh, Pennsylvania.
注册护士 (RN) 在间接护理上花费的时间比直接的病人护理多,这表明工作流程效率低下. 解决这些问题对于提高效率和减少短缺期间的护理倦怠至关重要.
科学领域:
- 医疗保健管理的管理
- 护理工作流分析分析
- 临床操作 临床操作
背景情况:
- 全国范围内的护理人员短缺加剧了患者与护士的比例,并导致了倦怠.
- 护理质量下降是当前人事挑战的重要后果.
研究的目的:
- 评估注册护士 (RN) 和未经许可的辅助人员 (UAP) 目前的工作流程和工作负载的低效率.
- 找出优化资源利用的机会,以应对人事挑战和护理倦怠.
主要方法:
- 直接观察 医疗外科单位进行的当前状态评估.
- 分析RN和UAP执行的工作活动.
主要成果:
- 与直接的患者护理相比,注册护理师花费更多时间进行间接护理活动,例如文件处理.
- 干扰和解决问题占RN工作时间的很大一部分 (分别为17.4%和5.6%).
- 统一医疗计划提供了更直接的患者护理,但停机时间更长;RN未经授权进行非临床任务.
结论:
- 直接观察提供了对工作流程和工作负载低效率的关键见解.
- 可以制定基于证据的建议,以提高患者护理模式的效率.
- 解决这些效率低下问题至关重要,以减轻护理负担和在关键的人员短缺期间的倦怠.
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