一种客观的方法来确定急性护理老年人 (ACE) 医院单位的护士人员:离散事件模拟
Sandra F Simmons1,2,3, Emily K Hollingsworth1,2, Jason M Slagle4
1Vanderbilt University Medical Center, Center for Quality Aging, Nashville, Tennessee, USA.
Journal of the American Geriatrics Society
|May 9, 2025
概括
离散事件模拟 (DES) 可以客观地评估老年急症护理 (ACE) 单位的护士人员. 最佳的人员配置减少了工作量和护理疏忽,改善了老年住院护理.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 护理科学 护理科学
背景情况:
- 老年急性护理 (ACE) 单位很常见,但客观的护士人员配置模型被低估.
- 老年住院患者往往有复杂的需求,包括移动性和认知辅助.
研究的目的:
- 客观地评估注册护士 (RN) 和护士助理 (NA) 在ACE单位的人员配置,使用离散事件模拟 (DES).
- 评估不同人员配置模式对护理工作量,护理质量和效率的影响.
主要方法:
- 应用离散事件模拟 (DES) 来建模ACE单位的临床护理环境.
- 收集了关于护理任务和时间要求的标准化数据,以模拟不同的RN和NA人员配置水平.
主要成果:
- 最常见的人员配置模式 (4名RN,1名NA) 导致工作量高 (89%的RN,88%的NA) 和预测的护理疏忽 (6.2%).
- 执业护士经常协助NA任务 (83%用于所/流动性).
- 替代人员配置 (4名RN/3名NA或5名RN/2名NA) 显示工作量较低,缺失较少,并减少了RN对NA任务的依赖.
结论:
- DES提供了一种客观的方法来确定ACE单位的护士人员需求.
- 这种模拟方法可以安全地评估护士人员变化的影响.
- 该DES模型可适用于照顾老年患者的其他医院单位.
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