检查班次长度和疲劳:对新生儿高级实践提供者的全国性研究
Meredith L Farmer1, Jacqueline Hoffman, Ashlee Vance
1Author Affiliations: Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Farmer); School of Nursing, Rush University, Chicago, Illinois (Dr Hoffman); Henry Ford Health, Detroit, Michigan (Dr Vance); Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Li); and School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Bell).
新生儿先进实践提供者 (APP) 在长时间的班次后可能不会经历警觉或知识的下降. 需要进一步的研究来联系APP的班次长度,疲劳和关键决策.
科学领域:
- 新生儿重症监护病房 (NICU) 的护理.
- 高级实践提供商 (APP) 的性能.
- 医疗保健提供者的幸福 医疗保健提供者的幸福
背景情况:
- 在高急性新生儿重症监护室 (NICU) 的新生儿高级实践提供者 (APP) 经常工作长时间的班次.
- 了解疲劳对APP表现和临床决策的影响至关重要.
- 关于轮班长度和疲劳如何影响新生儿工作表现的数据有限.
研究的目的:
- 描述新生儿APP间班次长度的变化.
- 评估基于知识的能力和个人福祉.
- 为了评估新生儿APP的行为警觉性.
主要方法:
- 新生儿APP在临床班次之前和之后进行评估.
- 提供者福祉,心理运动警技能和知识被评估,使用前测试后测试调查.
- 进行了匿名在线问卷和心理运动警觉测试 (PVT).
主要成果:
- 总共完成了61项前调查和42项后调查,共36对对照对.
- 换班后观察到基于知识的分数在统计学上显著增加.
- 在心理运动警觉测试 (PVT) 值中没有发现统计学上显著的差异.
结论:
- 结果表明,轮班长度可能不会影响新生儿APP的精神运动警或基于知识的能力.
- 该研究的小样本规模可能会限制概括性.
- 未来的研究应该调查APP班次长度,疲劳和关键决策之间的关系.
相关概念视频
Current Trends in Nursing I
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...
Current Trends in Nursing II
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Methods of Documentation II: POMR


