一个初级医疗保健中心的护理工作的强度:一个观察性研究
1Faculty of Health Sciences, University of Primorska, Slovenia.
International journal of nursing sciences
|December 19, 2024
概括
护士的工作强度很高,经常切换任务和最小的休息时间. 建议转向以患者为中心的护理和改进的信息系统,以减少护士疲劳并提高工作满意度.
科学领域:
- 职业健康 职业健康 职业健康
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 护士是公认的高要求和快速完成任务的职业.
- 评估职业强度对于了解护士福祉和医疗保健系统效率至关重要.
研究的目的:
- 评估在初级医疗保健机构内护理工作强度的水平.
- 分析护理活动的频率和持续时间,任务重叠和休息时间.
主要方法:
- 采用了一种描述性研究设计.
- 对6名护士进行直接非参与观察,每个护士进行37.5小时的观察.
- 为了分类活动,利用玛丽博尔护理量测量系统来测量护理量.
主要成果:
- 护士花了41.5%的时间直接照顾病人,38.2%的时间间接照顾病人,大量时间用于行政任务 (16.9%用于纸质文件).
- 任务转换大约每3分钟发生一次,休息时间有限.
- 观察到高水平的工作强度,护士经常同时管理多项活动.
结论:
- 目前以任务为中心的方法导致护士疲劳和不满.
- 转向以患者为中心的护理是必要的.
- 建议重新定义护士的角色,并实施综合计算机信息系统.
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