在澳大利亚救护车服务中对疲劳框架进行指导性比较分析
Matthew J Ferris1,2, Alexander P Wolkow3,4, Kelly-Ann Bowles1,3
1Department of Paramedicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Frankston, Victoria.
Prehospital emergency care
|July 24, 2024
概括
护理人员疲劳是一个重大问题,目前的救护车服务框架显示出不一致. 为了护理人员的安全,需要对疲劳风险管理系统 (FRMS) 采取更加协作,基于证据的方法.
科学领域:
- 职业健康 职业健康 职业健康
- 紧急医疗服务 紧急医疗服务
- 人类因素工程 人类因素工程
背景情况:
- 护理人员在苛刻的环境中工作,导致有充分记录的疲劳.
- 救护车服务实施内部政策,称为疲劳风险管理系统 (FRMS),以减轻这些风险.
- 了解当前的疲劳管理实践对于改善护理人员福祉至关重要.
研究的目的:
- 在救护车服务中审查现有的疲劳框架.
- 确定这些服务所使用的疲劳监测工具和策略.
- 评估当前框架与已建立的FRMS组件的协调程度.
主要方法:
- 定性文件 疲劳框架的主题内容分析.
- 包括来自澳大利亚,新西兰和巴布亚新几内亚的全部11个法定救护车服务.
- 使用NVivo根据预定义的领域提取数据:疲劳,缓解工具和管理.
主要成果:
- 九个服务提供了文档;确定了七个关键主题 (定义,后果,来源,迹象,事件,监测,缓解).
- 在审查的框架之间发现了显著的不一致.
- 现有框架和已建立的FRMS组件之间观察到不良对齐.
结论:
- 调查结果提供了对当前全地区医护人员疲劳管理的初步见解.
- 不一致性凸显出需要一种更标准化,协作式的方法.
- 建议遵守基于证据的FRMS指南,以提高护理人员的安全性.
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