Despins Laurel A, Kim Jung H, Deroche Chelsea, Song Xuefei
University of Missouri, Columbia, USA.
West J Nurs Res. 2019 Nov;41(11):1551-1575. doi: 10.1177/0193945918824070. Epub 2019 Jan 11.
Spending time with the patient is essential for intensive care unit (ICU) nurses to detect clinical change. This article reports on an examination of factors influencing nurses' activity time allocation. Data were analyzed from a prospective time and motion study of medical ICU nurses. Nurse demographic data and observation, electronic locator technology, and electronic medical record log data were collected over 12 days from 11 registered nurses. Charlson Co-Morbidity Index and Sequential Organ Failure Assessment scores were calculated for patient assignments. Nurses averaged 78.04 ( = 47.85) min per patient on activities in the patient room. Years of ICU nursing experience and the patient's Charlson Co-Morbidity Index was significantly associated with time spent in the patient's room. Neither nursing education nor specialty certification was found to influence time spent in a patient's room. Using technology can advance understanding of nurses' time allocation leading to interventions optimizing time spent with the patient.
对于重症监护病房（ICU）护士而言，与患者相处的时间对于发现临床变化至关重要。本文报告了一项对影响护士活动时间分配因素的调查。数据来自对医学ICU护士进行的一项前瞻性时间与动作研究的分析。在12天内从11名注册护士处收集了护士人口统计学数据以及观察数据、电子定位技术和电子病历日志数据。为患者分配计算了查尔森合并症指数和序贯器官衰竭评估分数。护士在患者病房内为每位患者进行活动的平均时间为78.04（= 47.85）分钟。ICU护理经验年限以及患者的查尔森合并症指数与在患者病房内花费的时间显著相关。未发现护理教育和专业认证会影响在患者病房内花费的时间。使用技术有助于增进对护士时间分配的理解，从而采取干预措施优化与患者相处的时间。
