在LTC中单一站点订单的影响:加剧过度负担的系统
Farinaz Havaei1, Joanie Sims-Gould2, Sabina Staempfli3
1School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T2B5, Canada. farinaz.havaei@ubc.ca.
BMC health services research
|June 20, 2023
概括
根据COVID-19单一地点令,长期护理的注册护士 (RN) 和执照实践护士 (LPN) 的加班时间和营业额增加,使人员短缺情况恶化. 护理助理 (CA) 的营业额有所下降,但整体工作人员仍然工作过度和工作人员不足.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 护理劳动力研究 护理劳动力研究
背景情况:
- 加拿大的长期护理 (LTC) 部门受到COVID-19的严重影响.
- 实施单一站点命令 (SSO) 的目的是为了减轻LTC设施内的病毒传播.
- 了解SSO对LTC员工和领导层的影响对于政策评估至关重要.
研究的目的:
- 评估单一地点条例 (SSO) 对四个不列颠哥伦比亚省长期护理院的人员和经验水平的影响.
- 分析直接护理护理人员的加班,轮流和空缺率的变化.
- 探索领导层和工作人员关于SSO影响的定性经验.
主要方法:
- 一种混合方法方法,结合从2019年4月到2021年3月的行政人员数据 (加班,营业额,空缺) 的定量分析.
- 根据护理指标分层分析数据:注册护士 (RN),执照实践护士 (LPN) 和护理助手 (CA).
- 通过与10名领导人和18名员工进行虚拟访谈进行定性数据收集,并使用专题分析进行分析.
主要成果:
- 在大流行期间,加班率显著增加,在RN中观察到的最急剧的增长.
- 在疫情期间,RN和LPN的自愿周转率增加,而CA的下降率.
- 定性调查结果强调了"人员损失"",心理健康"和"病假"在加班期间,以及"培训新员工"和"性别/种族"问题在人员流动方面,所有这些都与SSO有关.
结论:
- SSO对护理人员的影响在各个职位上是不平等的,加剧了LTC的RN短缺.
- 定量和定性数据都证实了大流行和SSO对LTC部门的重大负面影响.
- LTC员工的工作量增加,导致人力不足问题.
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