重症监护室患者与药剂师的比例:一个前性的多中心时间运动研究
Mitchell S Buckley1, Susan E Smith2, Barbara Birriel3
1Buckley Group Enterprises LLC, Phoenix, AZ.
Critical care medicine
|February 26, 2025
概括
理想的重症监护室 (ICU) 患者与药剂师的比例是16:1到19:1,优化了患者护理质量,减少了药剂师的倦怠. 这一发现支持在重症监护机构更好的人员配置模式.
科学领域:
- 药房实践 在药房实践中
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
背景情况:
- 临床护理药剂师的角色对于患者的安全和结果至关重要.
- 不一致的患者分配模型和时间分配会影响药剂师的工作量和幸福感.
- 了解最佳的患者和药剂师比率对于有效的重症监护药房服务至关重要.
研究的目的:
- 调查重症监护室 (ICU) 患者与药剂师的比例,患者对护理质量的感知和药剂师倦怠之间的相关性.
- 为了确定最佳的ICU患者与药剂师的比例,以支持高质量的护理和减轻燃烧.
主要方法:
- 一项前性的多中心时间运动研究在10个月内进行,涉及128名ICU临床药剂师.
- 收集的数据包括在患者护理活动上花费的时间,倦怠得分 (Maslach Burnout Inventory) 和对护理质量的感知.
- 统计分析检查了患者比例,倦怠和护理质量之间的关联.
主要成果:
- 药剂师倦怠发生在38.1%的参与者中,并且与更高的患者负担和加班时间有关.
- 较高的护理质量与较少的ICU患者和更直接的患者护理时间相关.
- 16:1到19:1的ICU患者与药剂师比率与最高感知的护理质量和综合患者评估率有关.
结论:
- 目前的重症监护药剂师实践模型显示患者分配和时间分配的变化.
- 在ICU患者和药剂师的比例在16:1和19:1之间,可能代表一个最佳的平衡,以提高护理质量和减少倦怠风险.
- 这些发现表明,需要在学术机构制定标准化人员配置模型,以改善重症监护药房的实践.
相关概念视频
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