在照顾老年患者的医院单位,分配给护理任务的时间
Emily K Hollingsworth1,2,3,4,5,6, Jason Slagle1,2,3,4,5,6, Lucy Wilson1,2,3,4,5,6
1Emily Hollingsworth, MSW, is a research Programs Manager within the Vanderbilt Department of Medicine, Division of Geriatrics, Center for Quality Aging, Nashville TN. She is trained as a Social Worker and has nearly 15 years of experience coordinating and managing clinical research studies focused on older adults in long-term care, postacute and acute care settings.
注册护士和护理助理在间接护理上花费了大量时间,日常生活活动 (ADLs) 护理的频率少于老年住院患者的需要. 客观数据对于优化护理人员分配至关重要.
科学领域:
- 护理研究 护理研究
- 医疗保健管理的管理
- 老年医疗护理服务提供者
背景情况:
- 医院需要关于护理任务时间分配的客观数据,特别是对于需要帮助日常生活活动 (ADLs) 的老年住院患者.
- 了解花在直接和间接护理上的时间对于有效的人员配置和患者护理至关重要.
研究的目的:
- 客观地衡量注册护士 (RN) 和护士助理 (NA) 在临床和ADL护理上的时间.
- 为了比较不同类型的护理人员之间的时间分配.
- 提供数据,为老年住院患者的人员配置策略提供信息.
主要方法:
- 进行了一项描述性的时间运动研究.
- 研究人员在三个医院单位完成了277个标准化观察小时.
- 观察的重点是照顾老年患者的RN和NA.
主要成果:
- 专业护理人员和专业护理人员在间接护理方面分别花费了38%和34%的时间,主要是文件处理.
- 两者都在直接护理上花费了34%;药物通行证是RN的最大组成部分,NA的ADL护理.
- 在<25%的遭遇中观察到ADL护理,尽管73-89%的患者需要协助.
结论:
- 客观的护理时间数据对于技能组合调整和人员配置策略至关重要.
- 目前的时间分配可能无法完全满足老年住院患者的ADL需求.
- 进一步的研究可以为基于证据的护理劳动力规划提供信息.
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