《COVID-19 定点医院重症监护病房护理人力配置：一项全国性横断面调查》。
Nursing workforce allocation in the intensive care units of COVID-19-designated hospitals: A nationwide cross-sectional survey in China.
机构信息
Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Department of Operating Room, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University/Nursing Key Laboratory of Sichuan Province, Chengdu, China.
出版信息
Nurs Open. 2023 Sep;10(9):6091-6100. doi: 10.1002/nop2.1830. Epub 2023 May 29.
AIM
To explore the nursing workforce allocation in intensive care units (ICUs) of COVID-19-designated hospitals during the epidemic peak in China.
DESIGN
A nationwide cross-sectional online survey.
METHODS
A total of 37 head nurses and 262 frontline nurses in 37 ICUs of COVID-19-designated tertiary hospitals located in 22 cities of China were surveyed. The self-reported human resource allocation questionnaire was used to assess the nursing workforce allocation.
RESULTS
The average patient-to-nurse ratio was 1.89 ± 1.14, and the median working hours per shift was 5 h. The top four majors of front-line nurses in ICUs were respiratory (31.30%), lemology (27.86%), intensive care (21.76%) and emergency (17.18%). We also found that a smaller average patient-to-nurse ratio (odds ratio [OR]: 0.328, 95% CI: 0.108, 1.000), longer average weekly rest time per person (OR: 0.193, 95% CI: 0.051, 0.729) and larger proportion of 6-9 working years (OR: 0.002, 95% CI: 0.001, 1.121) decreased the occurrence of nursing adverse events.
目的
探讨中国疫情高峰期 COVID-19 定点医院重症监护病房（ICU）的护理人力配置情况。
设计
全国性横断面在线调查。
方法
对中国 22 个城市 37 家三级 COVID-19 定点医院 37 个 ICU 的 37 名护士长和 262 名一线护士进行调查。采用自我报告的人力资源配置问卷评估护理人力配置情况。
结果
平均患者与护士比例为 1.89±1.14，每班平均工作时间为 5 小时。ICU 一线护士前四名专业为呼吸（31.30%）、传染病（27.86%）、重症监护（21.76%）和急诊（17.18%）。我们还发现，较小的平均患者与护士比例（比值比[OR]：0.328，95%可信区间[CI]：0.108，1.000）、人均每周平均休息时间较长（OR：0.193，95% CI：0.051，0.729）和 6-9 年工作经验比例较大（OR：0.002，95% CI：0.001，1.121）降低了护理不良事件的发生。
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