护士轮班模式,人员配置及其与感知工作负载的关联:对多中心数据的序列分析
Tania Martins1, Sarah N Musy1, Michael Simon1
1Nursing Science, Department of Public Health, Faculty of Medicine, University of Basel, Basel, Switzerland.
International journal of nursing studies advances
|October 23, 2025
概括
护士的工作量受到轮班模式和人员配置水平的重大影响. 减少加班,缩短班次和改善人员配置可以减少感知的工作量并提高医疗保健绩效.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
背景情况:
- 轮班工作在医院中很常见,但它对护士工作量,健康和患者安全的影响还未得到充分研究.
- 特定的轮班模式和人员配置水平可能会不成比例地影响护士的感知工作量.
研究的目的:
- 描述急症护理医院护士轮班工作模式.
- 调查轮班工作模式,员工数量和护士感知的工作量之间的联系.
主要方法:
- 一项涉及1962名瑞士26家急症护理医院注册护士的横截面多中心研究的二次分析.
- 序列分析和聚类 (最佳匹配) 以确定转移模式.
- 计算患者与护士的比例,并使用NASA-Task Load Index来评估工作负载.
主要成果:
- 在护士中发现了三种不同的轮班模式.
- 员工人数少,加班 (特别是在最后一个班),更长的班次长度和工作日数更多与感知工作量更高有关.
- 往后轮流,快速返回,连续工作超过5天的情况不常见.
结论:
- 人员和安排决策对护士的感知工作量有很大影响.
- 优先考虑人员和调度改进,例如减少加班和班次长度,对于减少工作量和改善医疗保健至关重要.
- 未来的研究应该利用电子名单和实时数据进行更准确的评估.
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