量化卫生专业人员的工作模式:使用按活动时间 (WOMBAT) 的工作观察方法进行研究的叙述性综述
Johanna I Westbrook1, Joanna Clive1, Ryan D McMullan1
1Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
International journal of medical informatics
|November 28, 2025
概括
根据活动时间 (WOMBAT) 的工作观察方法可以对医疗保健工作流程进行详细分析. 本综述综合了54项研究,强调了其在理解工作模式,干预和中断方面的用途.
科学领域:
- 医疗保健管理的管理
- 劳动力研究 劳动力研究
- 观测研究方法 观测研究方法
背景情况:
- 按活动时间进行工作观察方法 (WOMBAT) 是直接观察卫生专业人员工作的关键工具.
- 它的使用已扩展超过14年,提供丰富的数据在各种设置的临床工作流程.
研究的目的:
- 使用WOMBAT进行观察性研究的审查和综合.
- 描述和比较卫生专业人员的工作模式.
- 评估干预,中断和多任务处理对工作模式的影响.
主要方法:
- 从2008年1月到2025年7月,搜索了六个数据库 (Scopus,MEDLINE,Embase,PsycINFO,CINAHL,Google Scholar) 进行了搜索.
- 确定了54个使用WOMBAT的英语研究.
- 研究按目标 (描述性,比较性,以干预为重点),环境和专业群体进行分类.
主要成果:
- 沃姆巴特评估了任务分配,合规性以及护理变化和电子健康记录的影响.
- 24项研究比较了不同因素 (角色,环境,班次) 的工作模式.
- 15项研究评估了干预措施 (例如,电子系统,政策改革);30项研究了中断/多任务,将它们与错误联系起来.
- 大多数研究 (43/54) 都是在过去十年发表的.
结论:
- 沃姆巴特促进了从基本的时间运动研究到复杂的工作流分析的转变.
- 它的标准化而又灵活的设计支持对卫生专业工作和干预措施的多样化研究.
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