检查护士疲劳,警和药物错误之间的关系
Amany Farag1, Jacob Gallagher2, Lucas Carr2
1College of Nursing, The University of Iowa, Iowa City, IA, USA.
Western journal of nursing research
|March 8, 2024
概括
护士疲劳会显著降低警觉,增加药物错误. 实施中班疲劳干预措施,特别是在夜班,对于患者安全至关重要.
科学领域:
- 护理科学 护理科学
- 职业健康 职业健康 职业健康
- 患者安全研究 患者安全研究
背景情况:
- 由于工作时间要求苛刻,护士面临职业疲劳.
- 有限的研究存在于护士疲劳,轮班期间的警觉性变化,以及它们与药物错误的联系.
研究的目的:
- 评估护士疲劳和警觉之间的关系.
- 为了评估整个班次护士疲劳和警觉度的变化.
- 检查护士疲劳,警觉和药物错误/差点错误之间的联系.
主要方法:
- 使用90名护士的方便样本进行前性研究.
- 穿戴式动态图测量了警觉性;通过短信测量了疲劳,通过短信测量了生态瞬间评估 (EMA).
- 在14个工作日和非工作日收集的数据.
主要成果:
- 疲劳增加与警觉性降低相关 (β = -1.06,p < .01).
- 夜班护士在工作期间的警觉性下降了31个点.
- 护士疲劳,而不是警觉,与药物错误和近乎失误有关 (OR = 1.26,p = .01).
结论:
- 减轻中班疲劳,特别是对于夜班护士来说,可以减少疲劳,提高警觉,提高患者的安全.
- 经EMA检测的疲劳是药物错误的更强的预测因素,而不是设备测量的警觉性.
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