人员不足对错过社区护理类型的后果-一个横截面研究
Michaela Senek1, Steven Robertson1, Bethany Taylor1
1The University of Sheffield, Health Sciences School, 387 Glossop Road, Sheffield S10 2HQ, United Kingdom.
International journal of nursing studies advances
|May 15, 2024
概括
地区和社区护理团队面临着严重的人员短缺,导致错过患者护理的高率. 增加的护士工作量和加班直接与护理质量受损相关,影响基本卫生服务.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 英国初级和社区护理机构的资源局限性因人员短缺和COVID-19流行病而加剧.
- 这些挑战正在损害社区护理服务中的患者护理质量和安全.
研究的目的:
- 调查地区和社区护士的工作条件.
- 为了确定人员不足和错过护理的流行情况.
- 分析人员数量,病例数量和错过护理结果之间的关系.
主要方法:
- 一项采用基于验证的MISSCARE调查的问卷进行的横截面研究.
- 收集的数据包括团队空缺,员工比例,报告的错过护理事件和类型,班次长度和加班时间.
主要成果:
- 只有23%的团队报告没有空缺职位,平均员工比例为60%.
- 错过护理的患病率很高 (约60%),同样影响所有护理类型.
- 错过护理的重要预测因素包括:永久性员工比例较低,病例量较大,注册护士 (RN) 较少,加班时间增加.
结论:
- 受损的护理质量与护理中的人力资源和组织因素有关.
- 执业护士工作更长的时间来管理病例积压增加了错过护理的可能性.
- 社区护理的基本功能,如促进健康和患者教育,正在受到破坏.
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