住院单位的行政任务负担:一项观察性研究,量化对护理人员工作时间的影响
Michela Bottega1, Sandra Migotto1, Savina Casonato1
1Chief Nurse Office, Department of Healthcare Professions, Azienda Unità Locale Socio Sanitaria (AULSS) 2 Marca Trevigiana, via Sant'Ambrogio di Fiera 37, 31021, Treviso, Italy.
Igiene e sanita pubblica
|May 9, 2025
概括
行政任务 (AT) 在医院消耗大量注册护士 (RN) 的时间,影响直接的病人护理. 重组工作流程可以提高效率和护士留守率.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 管理任务 (AT) 被医疗保健工作者认为是过度消耗注册护士 (RN) 的时间,限制了直接的患者护理.
- 了解AT的性质和分配对于优化护士技能和组织流程至关重要,特别是在人员短缺期间.
- 一些AT,如记录管理和临床数据输入,是必要的间接患者护理,而另一些可以被授权.
研究的目的:
- 识别和量化急性医院单位的RN执行的行政任务 (AT).
- 为了确定RN在各种AT的频率和时间.
主要方法:
- 在住院医疗,外科,老年和重症监护病房使用实时,重复测量设计.
- 数据采集使用网格图记录AT,工人档案,花费时间 (分钟),活动频率.
- 分析的重点是确定医疗保健每周工作时间和AT频率.
主要成果:
- 辅助医生被分为医疗记录管理,诊断/实验室测试管理,等待列表管理和单位功能.
- 医疗记录管理每天消耗大量的RN时间:23.58小时 (医疗),17.35小时 (外科),4.44小时 (老年病) 和3.29小时 (ICU).
- 诊断和实验室测试管理也占据了相当大的RN时间:每天29.49小时 (医疗),15.45小时 (外科) 和3.45小时 (ICU).
结论:
- 该研究提供了详细的了解,在住院医院的RNs执行的ATs.
- 研究结果表明,有机会进行组织干预,以提高工作流程的效率,并可能提高护士的留守率.
- 未来的研究应该测试旨在减少不适当的AT的干预措施,并评估它们对直接护理时间和患者结果的影响.
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