Perin Giordano, Ching Rosanna C, Anwar Mohammad U
Burns and Plastic Surgery Department, Pinderfields Hospital, Aberford Road, Wakefield, West Yorkshire WF1 4DG, United Kingdom.
Burns and Plastic Surgery Department, Pinderfields Hospital, Aberford Road, Wakefield, West Yorkshire WF1 4DG, United Kingdom.
Burns. 2016 Dec;42(8):1699-1703. doi: 10.1016/j.burns.2016.09.004. Epub 2016 Oct 1.
The aim of this study was to evaluate the impact of outpatient care on activities at the Adults' Regional Burns Centre and the Children's Regional Burns Unit, Mid Yorkshire Hospitals NHS Trust UK, where outpatient and inpatient responsibilities are shared between the nursing staff. Data for all inpatient and outpatient interactions (all care related activities with the presence of a Registered Nurse (RN)) was collected prospectively by the attending RN for two consecutive months (October and November 2014). We also retrospectively collected data related to daily RN staffing levels, and Centre/Unit admissions and discharges. We compared our results with the staffing standard recommended by the National Burn Care Review 2001 and the National Burn Care Standards 2013. In the two months analysed we recorded a total number of 1232 interactions: 240 for the adult inpatient service, 385 for the adult outpatient service, 155 for the paediatric inpatient service, 452 for the paediatric outpatient service. Considering this burden and collating it with daily RN staffing levels, we highlighted an understaffing in 42.6% (26/61) of the days for the Adult Regional Burn Centre and in 100% (61/61) of the days and nights for the Children Regional Burn Unit. The impact of outpatients on the activities of a Burns Centre/Unit is a factor that should be taken into account when evaluating staffing needs and planning services. This is a variable not currently considered in any guideline for safe staffing.
本研究的目的是评估门诊护理对英国北约克郡医院国民保健服务信托基金下属的成人区域烧伤中心和儿童区域烧伤病房工作的影响，在该中心和病房，护理人员需兼顾门诊和住院护理职责。负责护理的注册护士（RN）连续两个月（2014年10月和11月）前瞻性收集了所有住院和门诊互动的数据（所有与注册护士在场相关的护理活动）。我们还回顾性收集了与每日注册护士人员配备水平以及中心/病房的出入院情况相关的数据。我们将研究结果与《2001年国家烧伤护理评估》和《2013年国家烧伤护理标准》推荐的人员配备标准进行了比较。在分析的这两个月中，我们共记录了1232次互动：成人住院服务240次，成人门诊服务385次，儿科住院服务155次，儿科门诊服务452次。考虑到这一负担，并将其与每日注册护士人员配备水平进行对比，我们发现成人区域烧伤中心42.6%（26/61）的日子以及儿童区域烧伤病房100%（61/61）的白天和夜晚存在人员不足的情况。门诊患者对烧伤中心/病房工作的影响是评估人员配备需求和规划服务时应考虑的一个因素。这是目前任何安全人员配备指南中都未考虑的一个变量。
