报警负担和护理环境:213家医院的横截面研究
Halley Ruppel1,2,3, Maura Dougherty3,4, Christopher P Bonafide2,5,6
1Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA hruppel@upenn.edu.
医疗器械报警的高率使护士们感到压倒,影响了患者的安全. 不良的医院条件加剧了警报负担,突出了警报管理和工作流程的系统性改进的需要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 护理信息学 护理信息学
背景情况:
- 医疗器械报警的高率对医院的患者安全构成重大威胁.
- 对于影响护士对警报负担的经验的组织因素的理解有限.
研究的目的:
- 评估护士报告的警报负担与他们对患者安全,护理质量和医院特征的看法之间的关系.
- 确定与医院护士警报负担相关的组织特征.
主要方法:
- 对来自纽约和伊利诺伊州213家急症医院的3986名注册护士的横截面调查数据的二次分析.
- 使用千二测试进行统计评估,以检查警报负担,患者安全,护理质量和医院属性 (工作环境,人员,规模,教学状态) 之间的关联.
主要成果:
- 大多数护士 (83%) 感到被警报所压倒,而76%的护士由于其他患者护理需求而延迟了反应.
- 55%的护士报告说,在紧急患者需求期间,警报没有得到响应.
- 报警负担与护士报告的较差的患者安全,护理质量,人员充足性和工作环境显著相关.
结论:
- 大多数护士都会经历严重的警报负担,感到压倒,面临护理延误.
- 研究结果表明,警报负担在工作条件不佳,质量不佳和安全不佳的医院更为明显.
- 建议进行进一步的研究,以探索因果关系,并确定可修改的系统因素,以减少报警负担.
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