Herbertson Rebecca, Blundell Adrian, Bowman Christine
Oncology, Weston Park Hospital, Sheffield, UK.
J Eval Clin Pract. 2007 Jun;13(3):449-52. doi: 10.1111/j.1365-2753.2006.00739.x.
The aim of the study was to see if the introduction of Clinical Support Workers (CSWs) at a teaching hospital could reduce the medical work intensity for junior doctors without compromising the quality of patient care.
The 'New Deal' and 'European Working Time Directive' have prompted hospitals to take a close look at junior doctors' hours and work intensity in order to make posts compliant. Following the Department of Health's publication 'reducing junior doctors' hours', it was felt that certain clinical duties could be shared with nursing staff.
Two audits were undertaken 8 months apart. The first was to determine the areas where the introduction of CSW would make the biggest impact. The second was to determine if this impact had had an effect on the intensity of work carried out by the junior doctors.
The CSW greatly reduced the number of cannulations and venepunctures performed by the doctors without any compromise to patient care.
This study shows that other allied health professionals can be trained to carry out certain tasks that previously were only performed by doctors. This not only reduces the impact on junior doctors' hours but can also improve patient care, with fewer delays encountered when patients are waiting for a procedure.
本研究旨在探讨在一家教学医院引入临床支持工作者（CSW）是否能在不影响患者护理质量的前提下，减轻初级医生的医疗工作强度。
“新政”和“欧洲工作时间指令”促使医院密切关注初级医生的工作时长和工作强度，以使岗位符合要求。在卫生部发布“减少初级医生工作时长”后，人们认为某些临床职责可以由护理人员分担。
相隔8个月进行了两次审计。第一次是确定引入CSW能产生最大影响的领域。第二次是确定这种影响是否对初级医生的工作强度产生了作用。
CSW极大地减少了医生进行的插管和静脉穿刺次数，且未对患者护理造成任何影响。
本研究表明，其他专职医疗专业人员可以接受培训，以执行某些以前仅由医生执行的任务。这不仅减少了对初级医生工作时长的影响，还能改善患者护理，减少患者等待治疗时遇到的延误。
