在急症护理中,护理人员提供移动辅助的观察性研究
Sandra F Simmons1, Emily K Hollingsworth2, Jason M Slagle3
1Center for Quality Aging, Vanderbilt University Medical Center, Nashville, TN, USA; Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN, USA; Geriatric Research Education and Clinical Center, VA Tennessee Valley Healthcare System, Nashville, TN, USA.
Journal of the American Medical Directors Association
|August 11, 2025
概括
大多数医院患者需要移动辅助,主要来自护理人员. 在床上重新定位患者是最常见的,但耗时最少的,突出了在提供全面的移动性护理方面面临的潜在挑战.
科学领域:
- 护理 护理 护理
- 患者护理 患者护理
- 医院管理 医院管理
背景情况:
- 早期和频繁的流动性是医院推的最佳实践.
- 有证据表明,移动性对患者有显著的好处.
研究的目的:
- 观察和记录护理人员在患者移动性护理上花费的时间.
- 分析患者所需和工作人员提供的移动性辅助类型.
主要方法:
- 在9个医院单位进行了一项观察性研究.
- 研究人员观察了845个小时的护理人员 (RN和NA) 并抽象了EHR数据.
- 患者移动辅助被分类 (独立,1-2人,重新定位).
主要成果:
- 在1677名患者中,75.5%的患者需要1-2名员工提供移动辅助.
- 在床上重新定位是最常见的辅助 (59.7%),而步行辅助花费了最多的时间 (8.51分钟/集).
- 护理人员 (RNs/NAs) 提供了90.7%的观察到的移动性护理事件.
结论:
- 大多数医院患者需要移动辅助,主要来自护理人员.
- 重定位,虽然很常见,但最不耗时,这表明潜在的低效率.
- 医院可能需要非专业人员的支持来实施有效的流动性计划.
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