在重症监护病房使用护理活动得分来评估工作量:法国全国前性观察性研究
Jérôme E Dauvergne1, Arnaud Bruyneel2, Anaëlle Caillet3
1Nantes Université, CHU Nantes, Department of Anesthesiology and Critical Care, Laënnec Hospital, F-44000 Nantes, France; Nantes Université, CHU Nantes, CNRS, INSERM, l'Institut du Thorax, F-44000 Nantes, France.
法国重症监护室 (ICU) 的护士面临着很大的工作负载,特别是在中等或混合护理水平. 建议对护士与患者的比例和护理水平的物理分离进行审查,以减少这种负担.
科学领域:
- 关键护理医学 关键护理医学
- 护理管理 护理管理
- 医疗保健政策 医疗保健政策
背景情况:
- 法国重症监护病房 (ICU) 在重症监护和中级监护水平上使用不同的护士与患者比例.
- 了解与这些护理水平相关的护理工作量对于有效的资源配置和患者安全至关重要.
研究的目的:
- 为了比较法国ICU的重症监护和中级护理水平之间的护理工作量.
- 评估不同级别护理对护士人员和工作量的影响.
主要方法:
- 从2023年4月到7月,在法国105个重症监护室进行了一项全国性的前性观察研究.
- 护理活动得分 (NAS) 是由护士在每个班次收集的,以量化工作量.
- 数据包括每位患者的NAS,每位护士的NAS以及患者与护士的比率.
主要成果:
- 每位成年患者的中位数NAS在重症监护 (61%) 与中级护理 (47%) 相比显著更高.
- 在71.4%的病例中,每个护士的中位数NAS超过了100%,这表明工作量很大,特别是管理混合护理水平的护士 (164%).
- 与仅提供重症监护的护士相比,提供中级或混合护理的护士的工作量显著增加.
结论:
- 法国ICU的护士工作量很大,特别是在中间和混合护理环境中.
- 对目前的护士与患者的比例进行审查是有必要的,以减轻护理负担.
- 物理分离重症监护和中等监护病房可能是优化工作负载分配的实际策略.
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