de Magalhães Ana Maria Müller, Dall'Agnol Clarice Maria, Marck Patricia Beryl
Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Brazil.
Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:146-54. doi: 10.1590/s0104-11692013000700019.
The aim of this study was to analyze the potential association between nursing workload and patient safety in the medical and surgical inpatient units of a teaching hospital.
a mixed method strategy (sequential explanatory design).
the initial quantitative stage of the study suggest that increases in the number of patients assigned to each nursing team lead to increased rates of bed-related falls, central line-associated bloodstream infections, nursing staff turnover, and absenteeism. During the subsequent qualitative stage of the research, the nursing team stressed medication administration, bed baths, and patient transport as the aspects of care that have the greatest impact on workload and pose the greatest hazards to patient, provider, and environment safety.
The findings demonstrated significant associations between nursing workload and patient safety. We observed that nursing staff with fewer patients presented best results of care-related and management-related patient safety indicators. In addition, the tenets of ecological and restorative thinking contributed to the understanding of some of the aspects in this intricate relationship from the standpoint of nursing providers. They also promoted a participatory approach in this study.
本研究旨在分析一家教学医院内科和外科住院病房护理工作量与患者安全之间的潜在关联。
采用混合方法策略（序列解释性设计）。
研究的初始定量阶段表明，分配给每个护理团队的患者数量增加会导致与床位相关的跌倒、中心静脉导管相关血流感染、护理人员流动率和缺勤率上升。在随后的定性研究阶段，护理团队强调给药、床上擦浴和患者转运是对工作量影响最大且对患者、医护人员和环境安全构成最大危害的护理环节。
研究结果表明护理工作量与患者安全之间存在显著关联。我们观察到，护理患者较少的护理人员在护理相关和管理相关的患者安全指标方面表现最佳。此外，生态和恢复性思维原则有助于从护理人员的角度理解这种复杂关系的某些方面。它们还促进了本研究中的参与式方法。
