了解急性和亚急性病房护士的工作流程:一项时间和运动研究
Sharon Kramer1,2, Melissa J Raymond3, Peter Hunter3
1Department of Neuroscience, Monash University, Melbourne, Victoria, Australia.
Journal of clinical nursing
|July 25, 2023
概括
护士将大约三分之一的时间用于直接照顾患者,在急性和亚急性环境中,任务持续时间相似. 在文档和药物任务中频繁的中断突出了改善工作流程策略的需要,以提高患者安全.
科学领域:
- 护理研究研究护理研究
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 精确量化护理护理对于优化患者治疗结果和资源配置至关重要.
- 了解护理的时间分配对于有效的医疗保健服务至关重要.
研究的目的:
- 量化护士在急性和亚急性医院环境中直接和间接照顾患者的时间.
- 分析不同医院环境中的护士之间的任务分配,中断和多任务处理.
主要方法:
- 一个横截面的观测研究,使用工作观察方法按活动时间 (WOMBAT) 工具.
- 实时收集护士活动的数据,包括直接护理,间接护理,文档和通信.
- 记录任务中断和多任务实例.
主要成果:
- 护士花费了大约三分之一的时间直接照顾病人 (27%的直接照顾,3%的药物治疗).
- 任务持续时间在急性和亚急性环境中是一致的,尽管任务分配有所不同.
- 记录了大量的中断 (556) 和多任务实例 (1385),主要是在文档和药物相关任务期间.
结论:
- 护理任务时间在急性和亚急性环境中是相似的,与先前的研究保持一致.
- 设置之间日常任务分配的变化可能会影响员工计划.
- 关键任务中断需要地方策略来减轻风险和防止错误,强调持续关注观察和教育.
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