国家紧急情况部门的拥挤规模和员工工作负担:在儿科环境中构建有效性的证据
Kenneth W McKinley1, Joan S Bregstein2, Rimma Perotte3
1From the Emergency Department, Children's National Hospital, Washington, DC.
Pediatric emergency care
|November 19, 2024
概括
儿科急救部门的工作人员工作负担的感知与国家急救部门过度拥挤量表 (NEDOCS) 的相关性很弱. 然而,在高峰时段分析时,工作量测量可能会预测严重的拥挤.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健操作 医疗保健操作
- 工作负载评估工作负载评估
背景情况:
- 儿科急诊室 (ED) 面临着过度拥挤的挑战.
- 衡量员工工作量对于了解ED的运营效率至关重要.
- 国家紧急情况部门拥挤量表 (NEDOCS) 和美国宇航局任务负载指数 (TLX) 是用来评估这些因素的工具.
研究的目的:
- 调查在儿科ED中感知员工工作量 (使用NASA任务负载指数-TLX) 和国家紧急情况部门过度拥挤量表 (NEDOCS) 之间的相关性.
- 确定TLX是否可以预测NEDOCS定义的严重过度拥挤.
主要方法:
- 收集了儿科ED的401名员工问卷,以使用NASA任务负载指数 (TLX) 来评估感知的工作量.
- 评估了个人和子组TLX响应与NEDOCS之间的相关性.
- 分析了每小时平均TLX响应和NEDOCS之间的相关性.
- 开发了一种使用TLX的后勤回归模型,以根据NEDOCS.CS预测"严重拥挤"状态.
主要成果:
- 在个别TLX响应和NEDOCS.之间发现了较差的整体相关性 (R2 0.096).
- 像研究员 (R2 0.96) 和患者财务顾问 (R2 0.58) 这样的子组显示出更高的相关性.
- 在高NEDOCS (>60) 期间,平均TLX响应与较好相关 (R2 0.638).
- 在物流回归中,TLX预测"严重拥挤"状态,在0.731的曲线下面的区域.
结论:
- 在儿童EDS中,NEDOCS与个别员工感知的工作量没有很强的相关性.
- 在极为繁忙的时期或被分类评估时,NEDOCS可能与感知到的工作负载更好地相关.
- TLX显示出作为严重过度拥挤事件的预测因素的潜力.
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