管理干预方案对El Menshawy医院重症监护室护士换班过程的影响

Lamiaa Souma, Foauda Shaaban, W. Eid
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摘要

背景:换班是一个护理过程,沟通是这个过程尤其是信息传递过程中的核心要素。换班过程的步骤包括识别、情况、背景、评估和推荐,在将患者护理的责任和问责从出班转移到入班方面发挥着重要作用。不幸的是,换班换班教育仍然不存在或不足。目的:探讨干预管理方案对El Menshawy医院icu护士换班过程的影响。方法:设计采用准实验研究设计。设置本研究在El Menshawy总医院所有重症监护病房(icu)进行。对象:全部(n=164)名icu护士。工具:使用两种工具收集数据(1)结构知识问卷(2)护士对轮班流程绩效的感知。结果:95.1%的护理人员对轮班流程绩效的认知水平较低,72.0%的护理人员对轮班流程绩效的认知水平较低。岗后管理干预项目护士长中70%、83.5%对换班绩效表现出全面了解和高水平感知。护理人员对换班过程各维度的认知与换班前和换班后各维度的认知存在显著正相关(p=0.001)。除任务管理外,各维度间无显著相关。结论:护理人员需要准确、简明地传达信息,使出院护士和入院护士都能容易理解,以确保患者护理的连续性和安全性。建议:护士长在换班过程中需要限制护士长的监督和激励。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Management Intervention Program on Intensive Care Unit Staff Nurses’ Shift Change Process at El Menshawy Hospital
Background: Shift change is a nursing care process, and communication core element in this process especially during the transfer of information. Steps of shift change process include identification, situation, background, assessment and recommendation play an important role in transferring responsibility and accountability in patient care from outgoing shifts to incoming shifts. Unfortunately shift change shift change education still nonexistent or inadequate. Objective: The aim of study was to determine effect of intervention management program on ICUs staff nurses’ shift change process at El Menshawy Hospital. Method: Design Quasi-experimental research design was used Setting The study was conducted in all intensive care units (ICUs) of El Menshawy General Hospital. Subject: consisted of all (n=164) nurses working in ICUs. Tools: Two tools were used for collecting data (1) Structure Knowledge Questionnaire (2) Staff Nurses Perception about Shift Change Process Performance. Results: staff nurses 95.1% had poor level of knowledge and 72.0% of staff nurses had low level of perception about shift change process performance. Post management intervention program staff nurses 70 %, 83.5% showed overall knowledge and high level of perception about performance of shift change respectively. There was statistically significant positive correlation between staff nurse total knowledge and perception of all dimensions of shift change process preprogram and post program at (p=0.001). Except task management dimensions showed no significant correlation. Conclusion: Staff nurses required to communicate accurate and concise information, which can be easily understood by both the outgoing nurse and the incoming to ensure the continuity and safety of patient care. Recommendation: Staff nurses need restrict supervision and motivation by head nurses for performing shift change process.
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