测量儿科心血管手术室的专业间健康工作环境
Jason M Thornton1, Jean A Connor2, Patricia A Dwyer3
1From the Nursing/Patient Services, Cardiac Intensive Care Unit & Cardiovascular Operating Rooms, Cardiovascular and Critical Care, Patient Services, Boston Children's Hospital, Boston, Mass.
这项研究评估了使用健康工作环境评估工具 (HWEAT) 的儿科心血管手术室 (CVOR) 工作环境. 建立了3.50的基准分数,以改善专业间合作和患者护理.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 专业间合作 专业间合作
背景情况:
- 儿童心脏外科手术需要复杂的团队合作,以获得最佳的患者结果.
- 不健康的工作环境与不良患者事件和员工流动有关.
- 评估儿科心血管手术室 (CVOR) 环境的跨专业健康至关重要.
研究的目的:
- 描述美国儿科CVOR工作环境的专业间健康状况.
- 为这些设置建立健康的工作环境 (HWE) 基准分数.
- 确定儿科CVOR需要改进的领域.
主要方法:
- 调查了11个美国儿科CVOR的跨专业人员,使用美国重症护理护士协会健康工作环境评估工具 (HWEAT).
- 按角色分类汇总,总结和分层调查答复.
- 利用e-Delphi方法,在一个基准目标上达成专家共识.
主要成果:
- 在11个中心分析了179项调查 (60%的响应率).
- 总体的专业间平均HWEAT得分为3.55 (范围:2.65-4.34),所有标准得分都在"好"范围内.
- 有效的决策得到了最高的平均得分 (3.69),而有意义的认可得分最低 (3.26). 外科医生报告得分 (3.79) 比护士 (3.41) 高.
结论:
- 这是第一个在美国儿科CVOR中使用AACN HWEAT的研究.
- 建立的3.50基准得分可以指导改进策略.
- 培养HWE对于高质量的患者结果和儿科心脏外科手术的临床卓越至关重要.
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