荷兰紧急护理工作负担的感知和如何影响:一项定性研究
Ties Eikendal1, Naomi Prudon2, Rudolf Bertijn Kool2
1Department of Emergency Medicine, Radboud University Medical Center, Nijmegen, Netherlands. ties.eikendal@radboudumc.nl.
BMC emergency medicine
|September 2, 2025
概括
紧急服务部门的高工作量源于患者流入,吞吐量问题和人员短缺,导致压力和工作满意度下降. 解决方案包括公共教育,更好的护理协调,以及提高效率和福祉的技术.
科学领域:
- 紧急医疗
- 医疗保健管理
- 职业健康问题
背景情况:
- 紧急服务部门的高工作量威胁着护理质量和劳动力可持续性.
- 增加的患者需求和人员短缺加剧了工作量问题和医院拥挤.
- 了解医疗保健专业人员对工作负担的看法对于政策和劳动力保留至关重要.
研究的目的:
- 探索荷兰ED专业人员的感知工作量.
- 了解ED专业人员对影响和减轻工作负担的看法.
- 评估医疗保健工作者对荷兰医疗保健改革的看法.
主要方法:
- 这项定性研究涉及33名ED医疗保健专业人员 (医生,医生助理,护士) 的半结构面试.
- 在大学医疗中心和三个普通医院进行的采访 (2023年3月至7月).
- 转录面试的诱导性内容分析,以确定工作负载原因,后果和解决方案的主题.
主要成果:
- 确定了主要的工作负载原因:增加患者流入,吞吐量障碍和人员短缺.
- 结果包括增加时间压力,心理需求,压力和工作满意度下降.
- 建议解决方案:公众教育,改善护理协调,技术创新和加强医院间合作.
结论:
- 应对感知的工作量对于保持紧急护理质量和可访问性至关重要.
- 荷兰的ED专业人员报告工作负担很高,导致工作压力和工作满意度下降.
- 让医疗保健专业人员参与决策并建立适当的先决条件对于成功的改变至关重要.
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