轮班安排与倦怠,失眠和重症监护护士的福祉之间的关联
Rachel R Geraghty1, Claire Crossfield1, Laura Brooks1
1Deakin University, School of Nursing and Midwifery, Centre for Quality and Patient Safety, Research, Institute for Health Transformation, Faculty of Health, Geelong, VIC, 3220, Australia.
概括
关键护理护士的快速回报 (QR) 与增加的倦怠和失眠有关. 减少QRs可能会改善护士福祉和患者护理安全.
科学领域:
- 护理 护理 护理
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 重症护理护士面临着高压环境,每天24小时,每天24小时的轮班工作.
- 轮班间的休息不足,称为快速返回 (QR) (<11小时),可能会对护士的健康和患者的结果产生负面影响.
- 关键护理护士对关键护理护士福祉的QRs的具体影响仍未得到充分研究.
研究的目的:
- 调查轮班安排,特别是QRs与澳大利亚重症监护护士的倦怠,失眠和幸福感之间的联系.
- 确定QR频率与护士心理健康和工作满意度的验证措施之间的关系.
主要方法:
- 采用了一种描述性和关联性研究设计.
- 一项在线调查对532名澳大利亚重症监护护士进行了调查.
- 收集的数据包括社会人口统计学,班次模式,倦怠评估工具 (BAT) 和伯根失眠量表 (BIS).
主要成果:
- 报告QRs的护士在BAT和BIS的所有维度上表现出明显更高的得分.
- 具体发现包括疲劳增加 (p=0.003),精神距离 (p=0.016),认知障碍 (p=0.001),情绪障碍 (p=0.007),次要症状 (p=0.039),以及失眠症状 (p=0.035).
- 质量反突出了人们对个人健康,疲劳以及QRs对患者安全的潜在风险的担忧.
结论:
- 重症护理护士经历了重要的职业压力因素,QR可能会加剧倦怠和失眠.
- 从调度中减少或消除QR可以显著提高护士的幸福感.
- 护士健康和福祉的改善可能会对患者护理的安全性和质量产生积极影响.
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