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科学领域:

  • 关键护理医学 关键护理医学
  • 医疗保健劳动力研究 劳动力研究
  • 提供先进实践的提供者.

背景情况:

  • 临床护理高级实践提供者 (APP) 工作人员对于患者护理至关重要.
  • 了解这个劳动力的结构和实践模式对于可持续性至关重要.
  • 在临床护理APP的入职,生产力评估和行政角色方面存在差距.

研究的目的:

  • 分析重症监护医疗APP工作人员的组成和人口统计数据.
  • 识别当前的实践趋势,包括工作量和计费.
  • 调查影响劳动力可持续性的因素,如入职和专业发展.

主要方法:

  • 通过重症监护医学协会电子邮件列表向重症监护APP分发了一项横截面调查.
  • 收集了有关劳动力人口统计,临床实践,入职,生产力测量和行政角色的数据.
  • 进行了统计分析,以确定差异和关联.

主要成果:

  • 该调查包括518个重症监护APP (63.2%的APRN,28.8%的PA,8%的CNS).
  • 超过50%的人每班管理6-10名患者;41.5%的人缺乏正式的生产力测量.
  • 在学术医院 (72.3%),正式的实习更为普遍;行政角色也更为普遍.
  • 22%的人打算离开这个职业,尤其是那些缺乏领导力/成长机会的人.

结论:

  • 在重症监护APP中,工作量,入职,生产力测量和行政角色存在显著差异.
  • 有限的职业成长机会与离开职业的意图密切相关.
  • 医疗保健系统必须投资于结构化支持,领导力发展和专业成长,以提高APP的保留率和生产率.