护士的工作量：间接护理活动/干预措施的观察性研究
Workload of nurses: observational study of indirect care activities/interventions.
作者信息
Campos Mariana Santos de, Oliveira Bruna Andrade de, Perroca Marcia Galan
机构信息
Faculdade de Medicina de São José do Rio Preto, Graduate in Nursing. São José do Rio Preto, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2018 Mar-Apr;71(2):297-305. doi: 10.1590/0034-7167-2016-0561.
OBJECTIVE
Observe the workflow of nurses in hospitalization units identifying indirect care activities/interventions; measure the frequency and average time spent in performing them; and to verify the associations between average time of the activities interventions grouped into categories and per hospitalization unit.
METHOD
Observational exploratory study using the timed technique. It was conducted in medical, surgical and specialized clinic units of a teaching hospital in the northwest of São Paulo Brazil, with 16 attending nurses as participants.
RESULTS
90 hours of observation were performed, of which 58% (52 hours and 10 minutes) were related to indirect care activities of the patients. The most frequent activities/interventions were: "Communication" - 1,852 (44.1%), mean 34.6 (SD = 54); "Walking" - 1,023 (24.3%), mean 22 (SD = 49.2); and "Documentation" - 663 (15.8%), mean 82.7 (SD = 144.4).
CONCLUSION
These findings favor a redesign of the work process and foster the need to update and refine the current workload measurement instruments.
目的
观察住院科室护士识别间接护理活动/干预措施的工作流程；测量开展这些活动/干预措施的频率和平均用时；并验证按类别分组的活动干预措施的平均用时与各住院科室之间的关联。
方法
采用计时技术进行观察性探索性研究。研究在巴西圣保罗西北部一家教学医院的内科、外科和专科门诊科室开展，有16名在职护士参与。
结果
进行了90小时的观察，其中58%（52小时10分钟）与患者的间接护理活动有关。最常见的活动/干预措施为：“沟通”——1852次（44.1%），平均34.6次（标准差=54）；“走动”——1023次（24.3%），平均22次（标准差=49.2）；以及“记录”——663次（15.8%），平均82.7次（标准差=144.4）。
结论
这些研究结果支持重新设计工作流程，并促使有必要更新和完善当前的工作量测量工具。
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