Willis Eileen, Harvey Clare, Thompson Shona, Pearson Maria, Meyer Alannah
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia (Dr Willis); School of Nursing and Midwifery, Central Queensland University, Queensland, Australia (Dr Harvey); and School of Nursing (Dr Thompson and Ms Meyer) and School of Recreation and Sport and School of Nursing (Ms Pearson), Eastern Institute of Technology, Taradale, Hawke's Bay, New Zealand.
J Nurs Care Qual. 2018 Apr/Jun;33(2):E10-E16. doi: 10.1097/NCQ.0000000000000277.
This article examines nurses' commentaries from a survey conducted in New Zealand that studied contradictions between quality assurance and work intensification in nursing care. Nurse managers were blamed for either avoiding or not recognizing work intensification affecting quality care delivery. However, the data illustrate key structural issues resulting in missed care that impact on patient safety, rather than a problem directly attributable to managers. Until these structural issues are addressed, missed care and adverse events will continue to affect the quality of care.
本文探讨了在新西兰进行的一项调查中护士们的评论,该调查研究了护理质量保证与工作强度加大之间的矛盾。护士长被指责要么回避要么未认识到工作强度加大对优质护理服务的影响。然而,数据表明导致护理缺失的关键结构性问题影响了患者安全,而非直接归因于护士长的问题。在这些结构性问题得到解决之前,护理缺失和不良事件将继续影响护理质量。