重症监护病房护理文件书写中断的影响因素：一项横断面调查
Factors Influencing the Interruption of Nursing Document Writing in the Intensive Care Unit: A Cross-Sectional Survey.
作者信息
Ma Jun-Hong, Bai Yuan, Xie De-Shun, Yang Gui-Fang
机构信息
Neurology Department, Heze Municipal Hospital, Heze, Shandong Province, 274000, People's Republic of China.
Vascular Surgery Department, Shanxi Bethune Hospital, Taiyuan, People's Republic of China.
出版信息
J Multidiscip Healthc. 2023 Feb 14;16:419-427. doi: 10.2147/JMDH.S394817. eCollection 2023.
OBJECTIVE
To explore the current status of interruption events in nursing document writing in the intensive care unit (ICU) using a cross-sectional survey.
METHODS
Between May and October 2021, the convenience sampling method was used to observe the interruption events in nursing document writing in the ICU. A total of 54 nurses and 7 indicators were observed: the start time, end time, interruption period, source, type, duration and outcome of interruption events.
RESULTS
A total of 438 interruption events in nursing document writing occurred in 85.955 hours, with a frequency of 5.093 times/hour and a duration of 4787.00 (1152.00, 13,109.00) seconds. The frequency of interruption events in nursing document writing was the highest (11 times/hour) and the duration was the longest (9581.50 seconds) from 08:00 to 12:00. The main sources of interruptions for nurses with 10 or more years of service or with the professional title of nurse are nurses themselves and their colleagues. The main sources of interruptions for nurses who have been in charge for 10 years or over are the working environment and doctors. This intervention in work continuity occurs unexpectedly; however, if adjustments are made to nursing procedures, the interruption can be terminated rapidly or adverse consequences can be avoided. Years of working experience, seniority level, interruption time periods and professional titles were independent factors influencing the number of interruption events, and they were all positively correlated. The results of this study show that there were statistically significant differences in the incidence of negative outcomes among ICU nurses with varying years of working experience and professional titles.
CONCLUSION
Interruptions in nursing document writing have high frequency, complex sources and multiple types. For senior nurses, the outcome was predominantly positive, while for junior nurses, it was predominantly negative.
目的
采用横断面调查法探讨重症监护病房（ICU）护理文件书写中断事件的现状。
方法
2021年5月至10月，采用便利抽样法观察ICU护理文件书写中的中断事件。共观察54名护士和7项指标：中断事件的开始时间、结束时间、中断时间段、来源、类型、持续时间和结果。
结果
在85.955小时内共发生438次护理文件书写中断事件，频率为5.093次/小时，持续时间为4787.00（1152.00，13109.00）秒。护理文件书写中断事件的频率在08:00至12:00最高（11次/小时），持续时间最长（9581.50秒）。工作10年及以上或具有护士职称的护士的主要中断来源是护士自身及其同事。任职10年及以上的护士的主要中断来源是工作环境和医生。这种对工作连续性的干预是意外发生的；然而，如果对护理程序进行调整，中断可以迅速终止或避免不良后果。工作年限、资历水平、中断时间段和职称是影响中断事件数量的独立因素，且均呈正相关。本研究结果表明，不同工作年限和职称的ICU护士负面结果的发生率存在统计学差异。
结论
护理文件书写中断频率高、来源复杂、类型多样。对于资深护士，结果主要为阳性，而对于初级护士，结果主要为阴性。
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