护士的工作内容：使用国际标准化组织护理行动参考术语模型作为分析重症监护病房护理实践模式的框架。
What nurses do: use of the ISO Reference Terminology Model for Nursing Action as a framework for analyzing MICU nursing practice patterns.
作者信息
Andison Margot, Moss Jacqueline
机构信息
University of Alabama School of Nursing, Birmingham, AL, USA.
出版信息
AMIA Annu Symp Proc. 2007 Oct 11;2007:21-5.
This study utilized the ISO RTM for Nursing Action as a model to decompose nursing actions and as a framework for analyzing the practice patterns of nurses working in a medical intensive care unit (MICU). Observations were made in a 25-bed MICU and nursing actions recorded in terms of model attributes. 1013 actions were observed; decomposed into the ISO RTM categories, they represented 68 distinct actions, 166 targets, 6 recipients of care, 81 means, 16 routes and 115 sites. The most frequent actions were 'assessing' (19.1%) and 'documenting' (10.5%). The most frequent target was 'medication' (8.5%) and the most frequent recipient of care was 'patient' (94.1%). Data revealed nurses perform, yet do not document all actions. Thus in this setting, the existing documentation system does not adequately represent all aspects of nursing practice. The ISO RTM permits evaluation of the depth and breadth of nursing care by identifying all nursing actions.
本研究采用《护理行动国际标准化修订任务模型》（ISO RTM for Nursing Action）作为模型来分解护理行动，并作为分析医学重症监护病房（MICU）护士实践模式的框架。研究在一个拥有25张床位的MICU中进行观察，并根据模型属性记录护理行动。共观察到1013项行动；将其分解为ISO RTM类别后，它们代表了68项不同的行动、166个目标、6个护理对象、81种方法、16条途径和115个部位。最常见的行动是“评估”（19.1%）和“记录”（10.5%）。最常见的目标是“用药”（8.5%），最常见的护理对象是“患者”（94.1%）。数据显示护士实施了护理行动，但并非所有行动都有记录。因此，在这种情况下，现有的记录系统不能充分体现护理实践的所有方面。ISO RTM通过识别所有护理行动，允许对护理的深度和广度进行评估。
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