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波兰重症监护病房的护理范围。

Scope of nursing care in Polish intensive care units.

作者信息

Wysokiński Mariusz, Ksykiewicz-Dorota Anna, Fidecki Wiesław

机构信息

Chair of Development in Nursing, Faculty of Nursing and Health Sciences, Medical University, U1. Staszica 4-6, 20-081 Lublin, Poland.

Chair and Department of Management in Nursing, Faculty of Nursing and Health Sciences, Medical University, Lublin, Poland.

出版信息

Biomed Res Int. 2013;2013:463153. doi: 10.1155/2013/463153. Epub 2013 Dec 31.

Abstract

INTRODUCTION

The TISS-28 scale, which may be used for nursing staff scheduling in ICU, does not reflect the complete scope of nursing resulting from varied cultural and organizational conditions of individual systems of health care.

AIM

The objective of the study was an attempt to provide an answer to the question what scope of nursing care provided by Polish nurses in ICU does the TISS-28 scale reflect?

MATERIAL AND METHODS

The methods of working time measurement were used in the study. For the needs of the study, 252 hours of continuous observation (day-long observation) and 3.697 time-schedule measurements were carried out.

RESULTS

The total nursing time was 4125.79 min. (68.76 hours), that is, 60.15% of the total working time of Polish nurses during the period analyzed. Based on the median test, the difference was observed on the level of χ(2) = 16945.8,P < 0.001 between the nurses' workload resulting from performance of activities qualified into the TISS-28 scale and load resulting from performance of interventions within the scopes of care not considered in this scale in Polish ICUs.

CONCLUSIONS

The original version of the TISS-28 scale does not fully reflect the workload among Polish nurses employed in ICUs.

摘要

引言

TISS - 28量表可用于重症监护病房(ICU)的护理人员排班,但它并未反映出因各个医疗保健系统不同的文化和组织条件而产生的护理工作全貌。

目的

本研究的目的是试图回答TISS - 28量表反映了波兰ICU护士提供的护理工作范围的哪些方面这一问题。

材料与方法

本研究采用工作时间测量方法。为满足研究需要,进行了252小时的连续观察(全天观察)和3697次时间安排测量。

结果

总护理时间为4125.79分钟(68.76小时),即在所分析期间波兰护士总工作时间的60.15%。基于中位数检验,在波兰ICU中,符合TISS - 28量表的活动所产生的护士工作量与该量表未考虑的护理范围内的干预措施所产生的工作量之间,观察到χ(2)=16945.8,P < 0.001水平的差异。

结论

TISS - 28量表的原始版本不能完全反映波兰ICU聘用护士的工作量。

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