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为患者挤出时间:对急性精神科环境中护士时间分配的探索

Finding time for patients: an exploration of nurses' time allocation in an acute psychiatric setting.

作者信息

Whittington D, McLaughlin C

机构信息

School of Health Sciences, University of Ulster, Jordanstown, Shore Road, Whiteabbey, Co. Antrim, N. Ireland, BT37 0QB.

出版信息

J Psychiatr Ment Health Nurs. 2000 Jun;7(3):259-68. doi: 10.1046/j.1365-2850.2000.00291.x.

DOI:10.1046/j.1365-2850.2000.00291.x
PMID:11249320
Abstract

This article explores the proportion of work time psychiatric nurses spend in potentially psychotherapeutic one-to-one communication with patients. Twenty staff nurses from three acute admission wards in a psychiatric hospital in Northern Ireland were observed. The time spent in a selection of routine activities was recorded using a specially developed observation system Nurses' Daily Activity Recording System (NURDARS). The main findings were: (i) less than half of the working day (42.7%) was spent in patient contact, and (ii) the proportion of work time which was devoted to potentially psychotherapeutic interaction with patients was very small (6.75%). The implications and limitations of the study are discussed and suggestions are made for the management and practice of psychiatric nursing, for the education of psychiatric nurses, and for further research.

摘要

本文探讨了精神科护士在与患者进行潜在心理治疗性一对一沟通中所花费的工作时间比例。对北爱尔兰一家精神病医院三个急性入院病房的20名注册护士进行了观察。使用专门开发的观察系统——护士日常活动记录系统(NURDARS)记录了在一系列常规活动中所花费的时间。主要研究结果如下:(i)工作日中用于与患者接触的时间不到一半(42.7%),以及(ii)用于与患者进行潜在心理治疗性互动的工作时间比例非常小(6.75%)。讨论了该研究的意义和局限性,并对精神科护理的管理与实践、精神科护士的教育以及进一步的研究提出了建议。

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