住院医师对夜间轮班制的看法。
Residents' perceptions of a night float system.
机构信息
Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
出版信息
BMC Med Educ. 2009 Aug 3;9:52. doi: 10.1186/1472-6920-9-52.
BACKGROUND
A Night Float (NF) system has been implemented by many institutions to address increasing concerns about residents' work hours. The purpose of our study was to examine the perceptions of residents towards a NF system.
METHODS
A 115-item questionnaire was developed to assess residents' perceptions of the NF rotation as compared with a regular call month. The categories included patient care, education, medical errors, and overall satisfaction. Internal Medicine housestaff (post-graduate years 1-3) from three hospital settings at the University of Pittsburgh completed the questionnaire.
RESULTS
The response rate was 90% (n = 149). Of these, 74 had completed the NF rotation. The housestaff felt that the quality of patient care was improved because of NF (41% agreed and 18% disagreed). A majority also felt that better care was provided by a rested physician in spite of being less familiar with the patient (46% agreed and 21% disagreed). Most felt that there was less emphasis on education (65%) and more emphasis on service (52%) during NF. Overall, the residents felt more rested during their call months (83%) and strongly supported the 80-hour workweek requirement (77%).
CONCLUSION
Housestaff felt that the overall quality of patient care was improved by a NF system. The perceived improved quality of care by a rested physician coupled with a perceived decrease in the emphasis on education may have significant implications in housestaff training.
背景
许多机构已经实施了夜班轮岗（NF）制度，以解决人们对住院医师工作时间过长的担忧。我们的研究目的是调查住院医师对 NF 系统的看法。
方法
我们开发了一个 115 项的问卷，以评估住院医师对 NF 轮班与常规值班月的看法。类别包括患者护理、教育、医疗错误和整体满意度。匹兹堡大学的三个医院环境中的内科住院医师（住院医师 1-3 年）完成了问卷。
结果
回复率为 90%（n=149）。其中，74 人完成了 NF 轮班。住院医师认为 NF 提高了患者护理的质量（41%的人同意，18%的人不同意）。大多数人还认为，尽管对患者不太熟悉，但休息好的医生提供的护理更好（46%的人同意，21%的人不同意）。大多数人认为 NF 期间教育的重视程度降低（65%），服务的重视程度提高（52%）。总体而言，住院医师在值班月感觉更休息（83%），并强烈支持每周 80 小时的工作时间要求（77%）。
结论
住院医师认为 NF 系统提高了整体患者护理质量。由休息好的医生提供的护理质量提高的看法，加上对教育重视程度降低的看法，可能对住院医师培训产生重大影响。
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