基于护士职责角度的护理中断事件现况调查
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Investigation on nursing interruptions from the facet of nurses′ roles
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    摘要:

    目的 调查不同职责护士护理中断事件发生情况,分析护士应对护理中断事件的特点与规律,为针对性的干预提供数据支 持。方法 采用自制调查表进行跟班调查,调查全院5个科室15名护士共30个工作日的中断事件发生情况。结果 护理中断时间 的发生频率为7.17次/h;中断事件来源前3位分别为护士同事290次、本人287次、环境285次;中断的当前事务排前3位的是 处理医嘱377次、用药工作356次、记录类工作202次;不同职责护士上述项目分布存在统计学差异(均 P<0.01)。护士对中断 事件的主要应对措施排前3位的是交流835次、取送物品142次、操作135次,不良事件结局为积极型护理中断事件222次,消极 型护理中断事件中,暂停当前事务909次,丢失当前记忆48次,增加工作量153次,不良事件隐患30次。结论 护理中断事件来源 广泛、发生率高,可针对护理中断事件高发来源及当前事务采取积极性干预措施。管理者应将护理中断事件纳入系统管理,注重 护理中断事件管理文化的形成,提高护士对护理中断的应对能力、优化中断发生时护士当前事务,为护理质量提升及患者安全提 供保障。

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    Objective To investigate the occurrence and characteristics of clinical nursing interruptions among nurses with different responsibilities, to analyze the patterns of nurses′ response to nursing interruption events, and provide data support for targeted intervention. Methods A self-made questionnaire was used to investigate the interruption events of 15 nurses in 5 departments for 30 work days. Results The frequency of nursing interruption events was 7.17 counts per hour.The top three sources of interruption events were other nurses (290 counts), self (287 counts) and environment (285 counts); the top three interruptions were dealing with doctor′s orders (377 counts), administering drugs (356 counts),documentation works (202 counts).There were statistical differences in the above-mentioned categories among nurses with different responsibilities (all P<0.01). The main coping mea-sures of nurses for interruptions were exchanges of thoughts (835 counts), deliveries of goods(142 counts) and continuation of nursing procedures (135 counts).As for the outcomes of interruption events, there were 222 counts of positive nursing interruptions; among the negative interruption events, there were 909 counts of work deferral, 48 counts of losing current memory and 153 counts of increased workload and 30 counts of potential adverse events. Conclusion Nursing interruption has a wide range of sources and a high incidence.Active intervention measures should be taken to avoid and reduce the occurrence of interruption, improve nurses′ ability to cope with nursing interruption, and optimize nurses′ work, in an effort to guarantee clinical nursing safty.

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陈慧敏,王艳,戴晓婧.基于护士职责角度的护理中断事件现况调查[J].护理学杂志,2019,34(19):1-4

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  • 收稿日期:2019-05-26
  • 最后修改日期:2019-07-23
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  • 在线发布日期: 2022-08-09