可以委托的活动所花费的时间以及急性护理护士不委托的原因:一项混合方法研究
Alessio Conti1, Silvia Gonella1,2, Daniela Berardinelli1
1Department of Public Health and Pediatrics, University of Torino, Turin, Italy.
Journal of advanced nursing
|July 5, 2024
概括
由于人员短缺和组织问题,护士花费大量时间从事可委托的任务. 解决这些因素和改进委托实践对于优化护理服务的提供至关重要.
科学领域:
- 护理实践和医疗保健管理
- 医疗保健运营和工作流程优化
背景情况:
- 护士经常执行可以委托给其他医疗保健人员的任务.
- 了解非委托的范围和原因对于有效的资源分配和护理工作负载管理至关重要.
研究的目的:
- 量化护士在可委托活动上花费的时间.
- 确定影响护士决定不委托这些活动的因素.
- 探索护士对急性护理环境中可委托任务的看法.
主要方法:
- 采用了一种混合方法的解释性顺序设计.
- 意大利27个医疗/外科病房的236名护士参与了一项基于网络的调查.
- 与20名护士进行的半结构面试提供了定性见解,与定量数据相结合.
主要成果:
- 护士花费了大约25%的时间从事可以委托的活动,主要是护士助理或职员.
- 不授权的主要原因包括人员短缺,并发的护理活动和组织/文化因素.
- 护士在可委托的技术/间接护理任务和不可委托的临床评估/决策活动之间进行区分.
结论:
- 护士的大部分时间都被可委托的任务所占用,这往往是由于人力资源不足和组织不足而造成的.
- 解决委托障碍需要在人员管理,组织政策和文化规范方面进行干预.
- 调查结果为决策者,医疗保健经理和教育工作者提供了洞察力,以提高护士的委托技能和改善患者护理.
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