在第三级医院的围产产妇护理需求:时间序列分析
Luisa C Eggenschwiler1,2, Giusi Moffa3, Valerie Smith4
1Department Public Health (DPH), Institute of Nursing Science (INS), University of Basel, Basel, Switzerland.
International journal of nursing studies advances
|February 10, 2025
概括
产科人员短缺是一个全球性问题. 这项研究发现,分娩病房面临着严重的助产士缺口,特别是当考虑到患者的复杂性时,这突出了需要灵活的人员的需求.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 孕产妇健康 孕产妇健康
背景情况:
- 全球注册助产士和护士短缺是一个重大挑战.
- 现有的人员配置建议未能应对波动的护理需求.
- 运营上的困难源于产科内患者需求的变化.
研究的目的:
- 描述第三级医院产科的轮班级护理需求.
- 评估可用的人力资源与护理需求的对比.
- 发现助产士和护理人员分配中的差异.
主要方法:
- 一个单一中心的回顾性纵向研究 (2019-2022).
- 包括所有注册助产士和护士在一个三班模式.
- 对护理需求评估的新方法,考虑到患者人数和复杂性.
- 基于预先指定的护士与患者比率计算未满足的护理需求.
主要成果:
- 分析了17558个病例和13149个班次.
- 产前和产后单位通常满足护理需求.
- 产后病房在32%的班次中经历了助产士短缺,当调整为护理复杂性时,这一数字上升到55%.
结论:
- 平均人员数量掩盖了未满足的护理需求的真实程度.
- 护理复杂性必须纳入需求评估.
- 产阶级病房的人员需要更大的灵活性来管理出生聚类.
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