Damico Vincenzo, Murano Liana, Cazzaniga Flavia
RN,MNS, Rianimazione Gene- rale, Azienda Socio Sanitaria Territoriale di Lecco.
RN,MNS,Rsa M. Della Neve, Premana.
Prof Inferm. 2018 Jan-Mar;71(1):11-18. doi: 10.7429/pi.2018.711011.
the purpose of this study is to investigate interruptions as they occur during the nursing handover in an Italian Intensive Care Unit.
prospective observational study carried out in the Lecco hospital's Department of Anaesthesiology and Critical Care Service (formerly A. Manzoni Hospital) from 15th July 2016 to 30th December 2016. To capture and understand the causes and occurences of interruptions, data were collected through participating observa- tion.
the mean handover time was 7.31 (standard deviation [SD] ±3.27) min with a range of 3-25 min. A total of 422 nursing handovers and 352 interruptions were collected with a mean of interruptions for handover of 0.83 (standard deviation [SD] =+0.66). The first author of the interruptions was detected to be the nursing department staff. The interruptions were observed indepentenly of the place of handover.
Nurses interrupt and allow themselves to be interrupted by collabora- tors, primarily by their nurse collegues and the frequency of interruptions are particu- rarly worrying. After our results, further studies are needed to gather information and data in setting more heterogeneous.
本研究旨在调查意大利重症监护病房护理交接班过程中出现的干扰情况。
2016年7月15日至2016年12月30日在莱科医院麻醉与重症监护科(原A.曼佐尼医院)进行前瞻性观察研究。为了捕捉并理解干扰的原因及发生情况,通过参与观察收集数据。
平均交接班时间为7.31(标准差[SD]±3.27)分钟,范围为3 - 25分钟。共收集到422次护理交接班和352次干扰,平均每次交接班的干扰次数为0.83(标准差[SD]= +0.66)。发现干扰的首要发起者是护理部门工作人员。干扰的发生与交接班地点无关。
护士会打断并允许自己被同事打断,主要是被护士同事打断,且干扰频率尤其令人担忧。基于我们的研究结果,需要进一步开展研究以收集更多不同环境中的信息和数据。