外科护士对低价值护理和非护理任务的看法:一个跨部门研究
Wilmieke Bahlman-van Ooijen1, Cariline Roosen2, Djoeke de Jong3
1Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Journal of clinical nursing
|September 8, 2025
概括
低价值的护理服务在手术环境中很普遍,护士们执行常规的手术前禁食和其他非必要的任务. 重组护理任务和取消低价值护理对于改善患者护理和减少劳动力压力至关重要.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 低价值的护理提供了最小的患者利益,或构成的风险超过潜在的优势.
- 非护理任务是护士在职业范围以下执行的职责.
- 全球护理人员短缺需要识别和解决这些问题,以确保提供基本护理.
研究的目的:
- 确定手术环境中低价值护理和非护理任务的普遍性.
- 确定影响这些做法及其关联的因素.
- 探索改善护理效率和护理质量的潜在解决方案.
主要方法:
- 采用了横截面研究设计.
- 用自主开发的问卷来收集数据.
- 该调查对荷兰四家医院外科病房的护士进行了调查.
主要成果:
- 302名护士回应,揭示了常见的低价值做法,如常规的手术前禁食 (84.8%) 和不必要的静脉导管维护 (42.1%).
- 习惯性实践,协议和医生要求是低价值护理的主要驱动因素.
- 护士经常执行行政职责和房间清洁,其中85.8%报告每日非护理任务.
结论:
- 低价值护理在外科实践中很常见,需要有针对性的撤销策略.
- 非护理任务的高普及率表明需要在护理角色内进行任务重组.
- 缺乏领导责任有助于维持低价值的护理和非护理任务.
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