Prodromidis Apostolos D, Kamath Vijay, Charalambous Charalambos P
Orthopaedic Department, Blackpool Victoria Hospital, Blackpool,UK.
Ortop Traumatol Rehabil. 2015 Jul-Aug;17(4):393-7. doi: 10.5604/15093492.1173381.
Various models of hospital in-patient cover arrangements for junior doctors have been utilised in the United Kingdom. Some settings follow a team-based system for junior doctors and some a ward-based system. The aim of this study was to determine staff's satisfaction rates with regard to a ward-based system for Foundation Year 1 (FY1) doctors in relation to continuity of patient care and doctors' training.
The Orthopaedic department of a District Teaching Hospital in the United Kingdom moved to a ward-based system for the FY1s from a previous team-based system. A questionnaire was administered to FY1s, nursing staff and senior doctors asking their satisfaction rates.
42 practitioners were questioned. They included 15 FY1s, 15 ward nurses and 12 senior doctors. 73.3% of FY1s were satisfied with the ward-based system with regard to continuity of patient care and 40% of them were very satisfied/satisfied with it with regard to achieving training objectives. All nurses, 66.7% of FY1s and 66.7% of senior doctors were very satisfied/satisfied with the ward-based system for achieving service provision (p=0.053). All nurses and 60% of FY1s preferred the ward-based system (p=0.017). All nurses and 66.7% of senior doctors rated the ward-based system as being much better/better than team-based at achieving service provision (p-0.028).
英国采用了多种针对初级医生的医院住院覆盖安排模式。一些机构采用基于团队的初级医生系统，一些则采用基于病房的系统。本研究的目的是确定员工对一年级基础医生（FY1）基于病房的系统在患者护理连续性和医生培训方面的满意度。
英国一家地区教学医院的骨科从之前基于团队的系统转变为针对FY1医生的基于病房的系统。向FY1医生、护理人员和高级医生发放了一份问卷，询问他们的满意度。
共询问了42名从业者。其中包括15名FY1医生、15名病房护士和12名高级医生。73.3%的FY1医生对基于病房的系统在患者护理连续性方面感到满意，40%的FY1医生对该系统在实现培训目标方面非常满意/满意。所有护士、66.7%的FY1医生和66.7%的高级医生对基于病房的系统在提供服务方面非常满意/满意（p = 0.053）。所有护士和60%的FY1医生更喜欢基于病房的系统（p = 0.017）。所有护士和66.7%的高级医生认为基于病房的系统在提供服务方面比基于团队的系统好得多/更好（p = 0.028）。
