Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Department of Nursing Administration, School of Nursing, Tokyo Women's Medical University, Tokyo, Japan.
J Nurs Manag. 2021 Oct;29(7):2297-2306. doi: 10.1111/jonm.13352. Epub 2021 Jun 22.
To investigate the number of bed transfers (patient transfers within the same ward) and their reasons in acute care wards of mid-sized hospitals with multibed and private rooms.
Bed transfers, even when necessary, are burdensome for patients; however, the reasons for bed transfers in various types of rooms remain unclear.
An observational study was conducted in seven wards in three hospitals in Japan. Nurses completed a questionnaire regarding each bed transfer, which elicited the reasons for the transfer. We classified transfer patterns based on the functions of the patients' rooms and the number of beds in each room and analysed scores.
Overall, 560 responses were analysed. The average number of bed transfers per day was 2.7. In total, 43% of bed transfers were conducted for patients aged over 70. The most frequent bed transfer pattern was 'transfer between patient rooms with the same number of beds', and the most frequent reason was 'patient did not need that bed'.
Unnecessary bed transfers could be reduced by ward designs that reflect nurses' clinical judgement.
Monitoring data for the reason regarding bed transfer contributes to hospital planning and decreases unnecessary bed transfers.
调查中型医院多床和单人病房的急性护理病房中床位转移（同一病房内的患者转移）的次数及其原因。
床位转移即使是必要的，对患者来说也是负担；然而，不同类型病房中床位转移的原因尚不清楚。
在日本的三家医院的七个病房进行了一项观察性研究。护士填写了一份关于每次床位转移的问卷，询问转移的原因。我们根据病房的功能和每个房间的床位数量对转移模式进行分类，并对评分进行分析。
共分析了 560 份回复。每天的平均床位转移次数为 2.7 次。总共，43%的床位转移是为 70 岁以上的患者进行的。最常见的床位转移模式是“在相同床位数量的患者病房之间转移”，最常见的原因是“患者不需要那张床”。
通过反映护士临床判断的病房设计，可以减少不必要的床位转移。
监测床位转移原因的数据有助于医院规划，并减少不必要的床位转移。
