创伤重症监护病房中的护理干扰：一项前瞻性观察研究。
Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study.
作者信息
Craker Nicole C, Myers Robert A, Eid Jessy, Parikh Priti, McCarthy Mary C, Zink Kathy, Parikh Pratik J
机构信息
Author Affiliations: Former Medical Student (Dr Craker), Adjunct Faculty and Researcher (Dr Myers), Research Assistant (Ms Eid), Research Director (Dr Priti Parikh), and Chair, Surgery (Dr McCarthy), Wright State University; Nurse Manager (Ms Zink), Miami Valley Hospital; and Associate Professor (Dr Pratik Parikh), Wright State University, Dayton, Ohio.
出版信息
J Nurs Adm. 2017 Apr;47(4):205-211. doi: 10.1097/NNA.0000000000000466.
OBJECTIVE
The aims of this study were to identify and analyze elements that affect duration of an interruption and likelihood of activity switch as experienced by nurses in an ICU.
BACKGROUND
Although interruptions in the ICU impact patient safety, little is known regarding the complex situations that drive them.
METHODS
RNs were observed in a 23-bed surgical ICU. We observed 206 interruptions, and analyzed for duration and activity switch.
RESULTS
RNs were interrupted on the average every 21.8 minutes. Attending physicians/residents caused fewer, but longer, interruptions to the RN. Longer interruptions were more likely to result in an activity switch. During complex situations such as when an RN is documenting, interruptions by a physician led to longer durations. Interruptions by a device led to higher switches.
CONCLUSIONS
A deeper understanding of individual factors and their complex interactions related to interruptions experienced by ICU RNs are vital to understanding the clinical significance of these interruptions and intervention design.
目的
本研究的目的是识别和分析影响重症监护病房（ICU）护士工作中断时长以及活动转换可能性的因素。
背景
尽管ICU中的工作中断会影响患者安全，但对于导致这些中断的复杂情况却知之甚少。
方法
在一个拥有23张床位的外科ICU中观察注册护士（RN）。我们观察了206次工作中断，并分析了其时长和活动转换情况。
结果
RN平均每21.8分钟就会被打断一次。主治医生/住院医师造成的中断次数较少，但持续时间较长。较长时间的中断更有可能导致活动转换。在诸如RN正在记录等复杂情况下，医生的中断会导致更长的持续时间。设备引起的中断导致更高的活动转换率。
结论
深入了解与ICU护士所经历的工作中断相关的个体因素及其复杂相互作用，对于理解这些中断的临床意义和干预设计至关重要。
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