超过12小时:对新生儿护士从业人员对轮班长度和专业实践的看法进行全国调查
Tracey R Bell1, Jacqueline Hoffman2, Meredith L Farmer3
1University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania.
Journal of the American Association of Nurse Practitioners
|October 3, 2025
概括
新生儿护士执业人员 (NNP) 喜欢长班,尽管有疲劳风险. 许多人报告说,在轮班超过16小时后,他们感到驾驶不安全,这凸显了需要更好的健康策略的需要.
科学领域:
- 医疗保健专业人员 医疗保健专业人员
- 护理 护理 护理
- 关键护理医学 关键护理医学
背景情况:
- 新生儿护士执业人员 (NNP) 在新生儿重症监护室 (NICU) 中至关重要.
- 无线电信供应商经常工作超过16小时的班次,以确保在高频率环境中连续覆盖.
- 长时间班次对NNP疲劳,表现和幸福感的影响尚不清楚.
研究的目的:
- 调查新生儿护士从业人员关于延长班次长度的经验和看法.
- 评估NNP中长时间班次,疲劳和自我报告的安全问题之间的关系.
主要方法:
- 对经过董事会认证的NNP进行了一项混合方法调查,使用明信片上的QR码.
- 该调查收集了有关人口统计,轮班习惯和与超过16小时轮班相关的疲劳感知数据.
主要成果:
- 大多数参与者都是经验丰富的NNP在III级NICU中,他们更喜欢24小时或12小时的日班.
- 显著多数 (73%) 知道国家新生儿护士协会 (NANNP) 关于轮班长度的立场声明,76% 赞同其建议.
- 近一半 (49%) 报告说,在超过16小时的班次后,他们觉得驾驶不安全,60%的人否认自己无法履行职责,尽管那些确实报告说这种情况发生的时间约为17.4%.
结论:
- 许多NNP表示他们更喜欢延长班次,即使他们意识到潜在的疲劳和安全问题.
- 调查结果突出了轮班长度对NNP福利和安全的主观影响,特别是在轮班后驾驶方面.
- 需要进一步的客观数据和定性研究,以制定基于证据的战略,以优化NICU的提供者福利和患者安全.
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