The University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, 400 North Ingalls, Room 4156, Ann Arbor, MI 48109, USA.
BMC Health Serv Res. 2010 Feb 26;10:52. doi: 10.1186/1472-6963-10-52.
Little research has been done on patient call light use and staff response time, which were found to be associated with inpatient falls and satisfaction. Nurses' perspectives may moderate or mediate the aforementioned relationships. This exploratory study intended to understand staff's perspectives about call lights, staff responsiveness, and the reasons for and the nature of call light use. It also explored differences among hospitals and identified significant predictors of the nature of call light use.
This cross-sectional, multihospital survey study was conducted from September 2008 to January 2009 in four hospitals located in the Midwestern region of the United States. A brief survey was used. All 2309 licensed and unlicensed nursing staff members who provide direct patient care in 27 adult care units were invited to participate. A total of 808 completed surveys were retrieved for an overall response rate of 35%. The SPSS 16.0 Window version was used. Descriptive and binary logistic regression analyses were conducted.
The primary reasons for patient-initiated calls were for toileting assistance, pain medication, and intravenous problems. Toileting assistance was the leading reason. Each staff responded to 6 to 7 calls per hour and a call was answered within 4 minutes (estimated). 49% of staff perceived that patient-initiated calls mattered to patient safety. 77% agreed that that these calls were meaningful. 52% thought that these calls required the attention of nursing staff. 53% thought that answering calls prevented them from doing the critical aspects of their role. Staff's perceptions about the nature of calls varied across hospitals. Junior staff tended to overlook the importance of answering calls. A nurse participant tended to perceive calls as more likely requiring nursing staff's attention than a nurse aide participant.
If answering calls was a high priority among nursing tasks, staff would perceive calls as being important, requiring nursing staff's attention, and being meaningful. Therefore, answering calls should not be perceived as preventing staff from doing the critical aspects of their role. Additional efforts are necessary to reach the ideal or even a reasonable level of patient safety-first practice in current hospital environments.
对于患者呼叫灯的使用和医护人员响应时间的研究较少，但这两者与住院患者跌倒和满意度相关。护士的观点可能会调节或介导上述关系。本探索性研究旨在了解工作人员对呼叫灯、工作人员响应能力以及呼叫灯使用的原因和性质的看法。它还探讨了医院之间的差异，并确定了呼叫灯使用性质的重要预测因素。
这是一项于 2008 年 9 月至 2009 年 1 月在美国中西部四个医院进行的跨医院调查研究。采用了简短的问卷调查。邀请了 27 个成人护理病房中直接护理患者的 2309 名有执照和无执照的护理人员参加。共收回 808 份完整的调查问卷，总体应答率为 35%。使用 SPSS 16.0 窗口版本。进行了描述性和二元逻辑回归分析。
患者发起呼叫的主要原因是协助上厕所、止痛药和静脉问题。协助上厕所是主要原因。每位工作人员每小时响应 6 到 7 次呼叫，呼叫在 4 分钟内（估计）得到回复。49%的工作人员认为患者发起的呼叫对患者安全很重要。77%的工作人员认为这些呼叫有意义。52%的工作人员认为这些呼叫需要护理人员的关注。53%的工作人员认为接听电话会妨碍他们完成护理工作的重要方面。工作人员对呼叫性质的看法因医院而异。初级工作人员往往忽略了接听电话的重要性。与护士助理参与者相比，护士参与者更倾向于认为呼叫更有可能需要护理人员的关注。
如果接听电话是护理任务的重中之重，工作人员将认为呼叫很重要，需要护理人员的关注，并且有意义。因此，不应将接听电话视为妨碍工作人员完成其关键角色的工作。在当前医院环境中，需要做出更多努力来实现理想甚至合理的以患者安全为优先的实践水平。
