精益医院实践对护士直接护理活动的影响:时间和运动研究
Zibel Koc1,2, Sule Ecevit Alpar2
1Hisar Hospital Intercontinental, Nursing Services and Patient Services, Istanbul, Turkey.
Journal of evaluation in clinical practice
|December 19, 2024
概括
精益管理实践显著增加了护士直接照顾患者的时间,减少了浪费和中断. 这种方法提高了医疗机构的患者安全和护理质量.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 过程改进 过程改进
背景情况:
- 精益管理被认为可以提高效率和患者护理结果.
- 频繁的中断和高患者负载阻碍护士直接照顾患者,影响安全.
- 优化护理工作流程对于提供高质量的医疗保健至关重要.
研究的目的:
- 评估精益管理实践对护士直接患者护理活动的影响.
- 评估精益管理对护士遇到的中断的影响.
- 识别护理工作流程中的低效率及其对患者护理的影响.
主要方法:
- 从2019年8月到2022年7月进行了一项单中心,观察性,前后时间和运动研究.
- 包括调查,直接观察护士的活动和中断,以及焦点小组.
- 34名来自外科,内科和混合服务的护士参加了观察阶段.
主要成果:
- 直接患者护理时间在瘦身实施后增加 (外科:50.67%,内部:50.09%,混合:44.38%).
- 废物量减少了35.81%,文档处理时间减少了23.55%.
- 整体中断显著减少 (p < 0.05).
结论:
- 精益管理有效地减少浪费,提高直接患者护理时间.
- 实施精益原则可以提高患者的安全性和护理质量.
- 持续改进举措对于护理实践的持续成功至关重要.
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