高与低遗漏护理的患者护理单元比较。
A comparison of patient care units with high versus low levels of missed nursing care.
机构信息
Titus Distinguished Professor of Nursing and Director, Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
出版信息
Health Care Manage Rev. 2012 Oct-Dec;37(4):320-8. doi: 10.1097/HMR.0b013e318249727e.
BACKGROUND
In a previous study, the nursing staff on 110 patient care units in 10 hospitals participated in a quantitative study of missed nursing care.
PURPOSE
The aim of this study was to gain an understanding of the differences in patient care units that had the most missed nursing care with those with the least missed nursing care.
METHODOLOGY
Focus groups were conducted with the registered nurse staff on the 5 units with the most missed nursing care and 5 units with the least missed care.
FINDINGS
Ten themes were identified: (a) staffing levels, (b) communication, (c) collective orientation, (d) backup, (e) monitoring, (f) leadership, (g) long tenure, (h) unit size, (i) trust, and (j) accountability. Taken together, the predominant difference found was that units with the least missed care had higher teamwork.
PRACTICE IMPLICATIONS
Strategies for developing interventions to decrease missed care and increase teamwork are presented.
背景
在之前的一项研究中，10 家医院的 110 个患者护理单元的护理人员参与了一项关于遗漏护理的定量研究。
目的
本研究旨在了解遗漏护理最多的护理单元与遗漏护理最少的护理单元之间的差异。
方法
对遗漏护理最多的 5 个护理单元和遗漏护理最少的 5 个护理单元的注册护士进行了焦点小组讨论。
结果
确定了 10 个主题：（a）人员配置水平，（b）沟通，（c）集体定位，（d）备份，（e）监测，（f）领导力，（g）长期任职，（h）单元规模，（i）信任，和（j）问责制。总的来说，发现的主要差异是，遗漏护理最少的护理单元具有更高的团队合作精神。
实践意义
提出了制定干预措施以减少遗漏护理和增加团队合作的策略。
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