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[西班牙加泰罗尼亚地区麻醉学、术后恢复护理及疼痛管理中护理角色的调查:现状分析]

[Survey of nursing roles in anesthesiology, postoperative recovery care and pain management in Catalonia, Spain: analysis of the current situation].

作者信息

Canet J, Gomar C, Castro A, Montero A

机构信息

Servicio de Anestesiología, Hospital Universitari Germans Trias i Pujol, Barcelona.

出版信息

Rev Esp Anestesiol Reanim. 2006 Jun-Jul;53(6):337-45.

Abstract

OBJECTIVE

To determine nursing functions in anesthesiology, postoperative recovery care, and pain management in Catalan hospitals and to analyze the roles of nurses in this specialty.

METHODS

Development of a mail questionnaire sent to 70 public and private hospitals in Catalonia, to be filled in and returned separately by the nursing supervisor and by the anesthesiology department of each hospital. The survey included questions on whether tasks were or were not carried out by nurses.

RESULTS

Responses were received from 31% of nursing supervisors and 45% of anesthesiology departments. Only 22% of the hospitals employed nursing staff with duties exclusively in the anesthesiology department. Nurses took on more responsibilities in major outpatient surgery services and postanesthetic recovery care units than in other areas. Significant discrepancies were found between answers given by nursing supervisors and those returned by anesthesiology departments regarding tasks of nurses in this specialty. Items with the greatest agreement were those related to maintenance of material. Those with the lowest agreement were related to drug management.

CONCLUSIONS

Although responses came from only a third of the target population, the information obtained suggests a lack of definition in Spain of nursing tasks in the field of anesthesiology. This situation is different from that of most European countries and of the United States of America.

摘要

目的

确定加泰罗尼亚医院麻醉学、术后恢复护理和疼痛管理中的护理职能,并分析护士在该专业中的作用。

方法

编制一份邮寄问卷,发送给加泰罗尼亚的70家公立和私立医院,由各医院的护理主管和麻醉科分别填写并返回。调查包括关于护士是否执行某些任务的问题。

结果

收到了31%的护理主管和45%的麻醉科的回复。只有22%的医院雇佣了专门负责麻醉科工作的护理人员。与其他领域相比,护士在大型门诊手术服务和麻醉后恢复护理单元承担了更多责任。护理主管给出的答案与麻醉科返回的答案在护士在该专业的任务方面存在显著差异。达成最大共识的项目是与物资维护相关的项目。达成最低共识的项目与药物管理有关。

结论

尽管回复仅来自三分之一的目标人群,但所获得的信息表明,西班牙麻醉学领域的护理任务缺乏明确界定。这种情况与大多数欧洲国家和美利坚合众国不同。

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