护士在肯尼亚新生儿病房的干预加强技能混合的经验护士在肯尼亚新生儿病房的干预提高技能混合严重的劳动力赤字:一个定性研究
Nancy Odinga1, Caroline Waithira1, Justinah Maluni1
1KEMRI-Wellcome Trust Research Program, Nairobi, Kenya.
在肯尼亚新生儿病房增加护士和病房助理,通过减少工作量和加强团队合作,提高了护士的动力和幸福感. 足够的人员是最佳新生儿护理质量至关重要的.
科学领域:
- 医疗保健劳动力研究 医疗保健劳动力研究
- 新生儿护理新生儿护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肯尼亚新生儿病房持续存在的护士短缺,阻碍了最佳的新生儿护理.
- 高工作量和错过的护理负面影响护士的动力和幸福感.
- 低收入和中等收入国家的护士采用任务优先级和非正式任务转移等策略来管理工作量.
研究的目的:
- 调查劳动力干预措施对肯尼亚医院新生儿护理支持的影响.
- 为了探索护士的经验,以人事干预,旨在缓解短缺.
- 收集有关人员配置策略对护士福利和护理服务的影响的证据.
主要方法:
- 在四个肯尼亚新生儿病房中使用了民族学方法.
- 数据是通过超过1000小时的非参与者观察和112次深入采访收集的.
- 数据收集发生在三个阶段:基线,增加护士后,增加病房助理后.
主要成果:
- 额外的护士和病房助理被认为可以提高护士的动力和幸福感.
- 增加的护理人员改善了团队合作,任务共享和任务完成.
- 病房助理使非技术任务的委托成为可能,减少了护士的工作量,并允许专注于重症监护.
结论:
- 足够的人员是高质量的新生儿护理和护士福祉的关键.
- 在新生儿病房增加护士人员是急需的.
- 精心设计的非技术任务共享角色可以进一步支持护士.
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