Omondi Gregory B, Murphy Georgina A V, Jackson Debra, Brownie Sharon, English Mike, Gathara David
KEMRI-Wellcome Trust Research Programme Nairobi Kenya.
Nuffield Department of Medicine University of Oxford Oxford UK.
Nurs Open. 2020 Feb 27;7(3):869-878. doi: 10.1002/nop2.463. eCollection 2020 May.
To describe the complexity and criticality of neonatal nursing tasks and existing task-sharing practices to identify tasks that might be safely shared in inpatient neonatal settings.
We conducted a cross-sectional study in a large geographically dispersed sample using the STROBE guidelines.
We used a task analysis approach to describe the complexity/criticality of neonatal nursing tasks and to explore the nature of task sharing using data from structured, self-administered questionnaires. Data was collected between 26th April and 22nd August 2017.
Thirty-two facilities were surveyed between 26th April and 22nd August, 2017. Nearly half (42%, 6/14) of the "moderately critical" and "not critical" (41%, 5/11) tasks were ranked as consuming most of the nurses' time and reported as shared with mothers respectively. Most tasks were reported as shared in the public sector than in the private-not-for-profit facilities. This may largely be a response to inadequate nurse staffing, as such, there may be space for considering the future role of health care assistants.
描述新生儿护理任务的复杂性和关键性以及现有的任务分担做法，以确定在新生儿住院环境中可以安全分担的任务。
我们使用STROBE指南，对一个地域分布广泛的大样本进行了横断面研究。
我们采用任务分析方法，利用结构化的自填式问卷数据来描述新生儿护理任务的复杂性/关键性，并探讨任务分担的性质。数据收集于2017年4月26日至8月22日期间。
在2017年4月26日至8月22日期间对32家机构进行了调查。近一半（42%，6/14）的“中度关键”任务和“非关键”任务（41%，5/11）被列为消耗护士大部分时间的任务，且分别报告为与母亲分担。与私立非营利性机构相比，大多数任务在公共部门被报告为是分担的。这可能很大程度上是对护士人员配备不足的一种应对措施，因此，可能有空间考虑医疗保健助理未来的作用。
