探索位护理工作负载的变化:来自多中心观测研究的见解
Arian Zaboli1, Francesco Brigo1, Gloria Brigiari2
1Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano, Italy.
Journal of advanced nursing
|November 12, 2024
概括
三级护士的工作量因急诊室患者数量和季节而异. 高流量部门每名护士的患者数量要多得多,这凸显出需要公平的护士人员配置和工作负载分配.
科学领域:
- 紧急医疗 紧急医疗
- 护理工作负载分析
- 医疗保健管理的管理
背景情况:
- 有限的研究存在于紧急部门 (ED) 预选护士的具体工作量.
- 了解分拣护士的工作量对于患者安全和高效的急救操作至关重要.
研究的目的:
- 评估不同ED的分拣护士的工作负载波动.
- 检查ED访问量和季节性变化如何影响分拣护士的工作量.
主要方法:
- 在七个意大利EDS进行的回顾性多中心观察研究 (2019-2023年).
- 收集的数据患者分拣评估和护士每班的工作人员.
- 根据每年患者流入量 (高,中,低) 分类ED.
主要成果:
- 分析了超过120万个分拣评估.
- 每名护士的白天患者中位数:74 (高),63 (中),32 (低) 流入EDS.
- 每名护士的夜间患者中位数:26个 (高),14个 (中),5个 (低) 流入EDS.
- 观察到工作量有显著的季节性变化.
结论:
- 在分拣护士患者负载方面存在实质性的差异,受ED体积和季节性的影响.
- 需要在分拣护士之间进行标准化,公平的工作负载分配.
- 未来的研究应该专注于系统的护士人员配置模型进行分选,以确保可管理的工作量和患者安全.
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