在麻醉中探索安全文化,生产压力,职业倦怠和患者安全
Bryan Wilbanks1, Edwin Aroke2, Marjorie Everson3
1Vice Chair and Assistant Professor at the University of Alabama at Birmingham School of Nursing, Birmingham, Alabama and he is also a staff CRNA at Madison Hospital in Huntsville, Alabama.
AANA journal
|February 13, 2025
概括
通过强有力的安全文化和足够的员工,在麻醉中提高患者的安全性,这也减少了护士的倦怠和工作不满. 经验很重要,因为经验较少的员工报告安全得分较低.
科学领域:
- 麻醉学 麻醉学
- 医疗保健管理的管理
- 患者安全研究 患者安全研究
背景情况:
- 与麻醉相关的不良事件经常与人为因素有关.
- 职业倦怠,安全文化和生产压力是麻醉实践中的关键问题.
研究的目的:
- 研究护士麻醉师职业倦怠,安全文化和生产压力之间的相互关系.
- 确定潜在的干预措施,以提高患者安全和麻醉实践.
主要方法:
- 采用电子邮件调查的横截面探索性研究.
- 调查工具包括患者安全调查,马斯拉赫的倦怠清单和NASA任务负载指数.
- 统计分析涉及线性混合回归模型,斯皮尔曼相关性和克伦巴赫α,控制年龄和经验等共变量.
主要成果:
- 医院的安全文化和人员配置模式被确定为患者安全的最强有力的预测因素.
- 充分的人员配置显著减少了职业倦怠和护士麻醉师离开工作的意图.
- 具有较少临床经验的麻醉护士报告了较低的患者安全得分.
结论:
- 针对机构因素的干预措施,得到管理层的支持,并强调开放的沟通,对于持久的变化至关重要.
- 专注于适当的员工,团队培训和弹性培训为改善患者安全和麻醉实践提供了最大的潜力.
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