在重症监护病房实施AACN健康工作环境框架的纵向评估
Philip Parker1, Heather Pena2, Jason Stokes3
1Philip Parker is nurse manager of operations, Duke University Hospital, Durham, North Carolina.
概括
实施美国重症护理护士协会 (AACN) 的健康工作环境框架提高了护士的满意度和留守率. 有针对性的干预措施是减少护士流动和改善工作环境的关键.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 在美国,床边护士的高周转率 (22.5%) 与糟糕的工作环境有关,这会对护士的满意度,保养和患者的结果产生负面影响.
- 健康的工作环境对于培养积极的护士体验和提高患者护理质量至关重要.
研究的目的:
- 评估美国重症护理护士协会 (AACN) 健康工作环境框架对工作环境评分,护士流动和任期的影响.
- 在重症监护病房6年的时间内评估这些影响.
主要方法:
- 在一个大型学术医疗机构的重症监护病房中,采用了前性的纵向研究设计.
- 干预措施的实施是基于AACN的六个健康工作环境标准.
- AACN健康工作环境评估工具衡量了2017年,2019年,2021年和2023年的进展情况.
主要成果:
- 每个健康工作环境标准的总分和综合分数从2017年到2023年显著改善.
- 在COVID-19大流行期间,护士周转率暂时增加,但在两年内恢复到基线水平.
- 在研究队列之间没有观察到统计学上显著的差异.
结论:
- 符合健康工作环境标准的有针对性的干预措施与提高员工满意度和减少护士流动性有关.
- AACN健康工作环境框架对于改善护士保留和培养积极的工作环境是有价值的.
相关概念视频
01:15Nursing Implementation
4.7K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.7K
01:30National Nursing Organizations II
1.1K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
1.1K
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
01:18Interdisciplinary Care: The Health Care Team-II
1.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.3K
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
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...
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...
1.6K
01:27Nursing Ethical Principles II
888
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
888