芬兰和希腊 ICU 责任护士的关键信息需求。

Crucial information needs of ICU charge nurses in Finland and Greece.

机构信息

Department of Nursing Science, University of Turku, Turku, Finland.

出版信息

Nurs Crit Care. 2013 May;18(3):142-53. doi: 10.1111/nicc.12004. Epub 2013 Feb 6.

DOI:10.1111/nicc.12004

PMID:23577949

Abstract

AIMS

To describe crucial information needs of ICU charge nurses, and to compare these needs in two countries in Europe.

BACKGROUND

ICU charge nurses are on the front line for ensuring that the activities of their units are running smoothly. They are accountable for making sure that the right tasks are performed under the right circumstances, with the right people, at the right time.

DESIGN AND PARTICIPANTS

An online survey based on a previous observation study regarding the ad hoc decision-making of ICU shift leaders. A total of 257 Finnish and 50 Greek ICU charge nurses participated in this study, from 17 Finnish and 16 Greece ICUs for adults.

METHODS

Our survey incorporated 122 statements divided into six dimensions (patient admission, organization and management of work, allocation of staff, allocation of material, special treatments and patient discharge) with a rating scale from 0 to 10. Analysis involved descriptive statistics. Mann-Whitney U and Kruskal-Wallis tests were used to compare the answers of the two countries. Validity was verified with confirmatory factor analysis and the reliability was tested with Cronbach's α values.

RESULTS

The most crucial information needs of ICU charge nurses concerned the overall organization and management of work. Both staff-related and individual patient-related information was needed. Information needs of Finnish and Greek charge nurses concerned similar kinds of situations in ICUs. However, there were some differences that might depend on the cultural differences between the countries.

CONCLUSIONS

Accurate and real-time information is a prerequisite for ICU charge nurses' ad hoc decision-making during daily care management. Identification of the most crucial information is needed when tools for information management are developed.

RELEVANCE TO CLINICAL PRACTICE

The results of this study indicated that a major portion of immediate information needs of ICU charge nurses are internationally common in similar settings.

摘要

目的

描述 ICU 护士长的关键信息需求，并比较欧洲两个国家的这些需求。

背景

ICU 护士长处于确保其单位活动顺利进行的第一线。他们有责任确保在适当的情况下，由适当的人员在适当的时间执行正确的任务。

设计和参与者

这是一项基于先前关于 ICU 轮班领导临时决策的观察研究的在线调查。共有 257 名芬兰和 50 名希腊 ICU 护士长参加了这项研究，来自 17 家芬兰和 16 家希腊成人 ICU。

方法

我们的调查纳入了 122 项陈述，分为六个维度（患者入院、工作组织和管理、人员分配、物资分配、特殊治疗和患者出院），评分范围为 0 到 10。分析采用描述性统计。采用 Mann-Whitney U 和 Kruskal-Wallis 检验比较两国的答案。通过验证性因子分析验证了有效性，并通过 Cronbach's α 值检验了可靠性。