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优化护士的时间:减少一般护理中的评估频率

Stephanie P Chambers¹, Stephanie M Slack, Marny L Carlson

¹Stephanie P. Chambers and Stephanie M. Slack are instructors in nursing, Marny L. Carlson is an assistant professor in nursing, Kristina J. Masching is manager of nursing, and Michael A. Rysavy is supervisor of nursing, all in the Department of Nursing at Mayo Clinic, Rochester, MN. Contact author: Stephanie P. Chambers, chambers.stephanie@mayo.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American journal of nursing

|July 24, 2025

概括

对于成年普通医疗患者,将综合体检从每天两次减少到每天一次,并没有对患者的安全或护理质量产生负面影响. 护士工作人员报告了对修订的评估频率的高度合规性和积极满意度.

科学领域:

护理实践护理实践
提高质量提高质量
患者安全患者安全

背景情况:

护士是一个有限的医院资源,传统的每天两次从头到脚的评估缺乏证据证明他们的必要性.
梅奥诊所 (Mayo Clinic) 研究了在一般护理环境中减少评估频率的好处.

研究的目的:

确定从每天两次减少综合体检到每天一次是否会影响患者的安全或护理质量.
评估护理人员对评估频率变化的满意度.

主要方法:

一个质量改进项目比较了成年普通医疗患者每天一次的头到脚的评估与每天两次的头到脚的评估.
收集的数据包括患者安全事件,代码蓝事件,快速响应小组的呼叫,停留时间和遵守其他要求的评估.

主要成果:

没有观察到患者安全不良事件或住院时间的显著增加.
符合其他要求的评估保持稳定,压力损伤评估暂时下降,恢复到基线.
护理人员的遵守率很高 (80%),有96%的积极反赞成继续每天一次评估.

结论:

将头到脚的评估频率减少到每天一次,对于成年普通医疗患者来说似乎是安全的.
需要进一步的研究来验证这些发现在其他患者群体和医疗保健机构.

关键词:

一般的护理是一般的.从头到脚的评估.护理评估护理评估

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