瑞典新生儿护理护士人员技能组合和敏度调整后提供比例:一个队列基准研究
Pernilla Dillner1,2, Katarina E Göransson3, Mikael Norman1,4
1Department of Neonatology, Karolinska University Hospital, Astrid Lindgren Children's Hospital, Stockholm, Sweden.
International journal of nursing studies advances
|January 19, 2026
概括
新生儿重症监护病房经常缺乏足够的注册护士,81.2%的班次低于推的人员水平. 这种缺口影响了安全的婴儿护理,需要改善护士人员,以提高新生儿的结果.
科学领域:
- 新生儿重症监护护理 新生儿重症监护护理
- 医疗保健工作人员比例
- 新生儿护理中的患者安全
背景情况:
- 新生儿重症监护改善了婴儿的生存率,但婴儿仍然很脆弱.
- 适当的护士人员和技能组合对于安全的新生儿护理至关重要.
- 护士与病人比例的国际指导方针已经存在,但尚未得到充分实施.
研究的目的:
- 为了对新生儿重症监护室 (NICU) 的注册护士人数进行敏度调整的基准.
- 为了确定跨班次的护理人员的技能组合和变化.
- 评估现有人员配备与安全人员配备建议的一致性.
主要方法:
- 在2022年16周内对609名新生儿入院的回顾性队列研究.
- 来自医院存储库和瑞典新生儿质量登记册的数据.
- 使用英国围产医学协会指南评估婴儿敏度;根据工作时间和员工类别衡量员工数量.
主要成果:
- 81.2%的班次的注册护士 (RN) 供给比率低于1.0,这表明人员不足.
- 执业护士与护士助理的比例差异很大 (中位数为46.5%).
- 具有专业教育的RN在总RN小时中占73.0%的中位数.
结论:
- 与推水平相比,注册护士人员存在重大短缺.
- 确保充足的RN人员是高质量的新生儿护理的关键.
- 解决人员短缺问题对于改善NICU婴儿结果至关重要.
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