工作时间与重症监护病房护士的警和执行职能之间的关联
Meng-Juan Jing1, Hao Li1, Chun-Peng Li1
1Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan Key Laboratory for Nursing, Zhengzhou Key Laboratory of Critical Care Nursing, Zhengzhou, Henan, China.
Journal of nursing management
|April 14, 2025
概括
长时间的12小时班次会对ICU护士的警和执行功能产生负面影响,增加错误. 建议减少班次长度或整合休息时间,以提高患者安全和护士福祉.
科学领域:
- 护理 护理 护理
- 认知心理学 认知心理学
- 职业健康 职业健康 职业健康
背景情况:
- 警和执行功能对于安全的护理实践至关重要.
- 护士长时间工作与疲劳和错误的增加有关.
- 工作时间对ICU护士认知功能的具体影响仍未得到充分研究.
研究的目的:
- 调查ICU护士工作轮班的持续时间与他们的警和执行功能之间的联系.
- 为了确定与延长工作时间相关的ICU护士的潜在认知下降.
主要方法:
- 进行了一项横截面研究,其中51名ICU护士工作12小时班次.
- 使用E-prime软件评估认知表现,在班次期间的不同时刻测量警和执行功能.
- 任务包括警测试和执行功能评估,如Flanker和2-back任务.
主要成果:
- 在工作8小时和12小时后,警时间显著增加.
- 执行功能,特别是抑制控制 (Flanker效应) 和工作记忆 (2回任务准确性),随着工作时间的延长而显著受损.
- 在工作时间之间没有发现警响应时间或任务切换性能的显著差异.
结论:
- 长时间工作,特别是12小时班次,会对ICU护士的警和执行功能产生负面影响,包括抑制控制和工作记忆.
- 这些发现表明,长时间的工作时间有助于认知负载和在重症监护机构的潜在绩效缺陷.
- 护理管理人员应考虑缩短班次或安排休息时间,以减轻疲劳和增强认知功能,从而提高患者的安全性.
相关概念视频
01:16Nurses' Legal Responsibilities III
637
Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
637
01:23Nurses' Legal Responsibilities II
675
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
675
01:27Nurses' Legal Responsibilities I
683
In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
The legal responsibilities of a nurse regarding informed consent include the following:
683
01:19Management of Insomnia
223
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
223
01:15Nursing Evaluation
3.1K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.1K
01:08Obedience
32.6K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.6K