优化奥地利一家医院的电子呼叫灯系统。第一阶段:现状分析现状分析

IF 1 Q4 HEALTH POLICY & SERVICES
Michael Klösch, Christoph Klösch, Maria Reiter, Eva Pfeiffer, Christine von Reibnitz
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引用次数: 0

摘要

电子呼叫灯系统为临床环境中的病人护理提供了重要的信息和协调工具。护理人员的主观印象以及对沟通和工作流程的影响有助于可持续的优化理念。奥地利尚未就此进行过研究。研究的主要目的是评估护士对现有呼叫灯系统的主观态度和看法以及情绪反应。为了全面记录对日常病房生活中护理交流、工作流程和财务影响的影响,应展示与技能和职级组合的联系。本研究采用了混合方法。本研究在奥地利一家医院进行。通过信息传单招募护士进行访谈。用于开放式非结构化参与观察的病房由护理主任选定。访谈的纳入标准是护士自愿参与研究,并具备良好的德语或英语知识。共进行了 7 次护士简短访谈和 129 个观察单元。没有一名护士退出。与病房和员工相关的关键数据/特征由护理管理部门提供。在观察过程中,记录了护士的情绪反应和时间测量(行走距离、启动呼叫灯后的活动持续时间)。通过结构化简短访谈获得主观印象。研究在 2020 年 6 月至 8 月期间进行。使用 MAXQDA® 对访谈进行了数据分析。观察结果被转入 excel 电子表格,并根据奥地利的法律要求进行分析。从结果中可以发现结构、技术和财务方面的积压问题。事实证明,现有的呼叫灯系统概念对护理质量、护理人员的工作满意度和医院融资都有负面影响。今后还需要进一步研究,以便对各项研究结果进行更详细的分析。这也意味着要将护理管理者和患者作为目标群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimisation of an Electronic Call Light System in an Austrian Hospital. Phase I: Current State Analysis
Electronic call light systems provide important information and coordination instruments for patient care in the clinical setting. Subjective impressions and impacts on communication and work processes of nursing staff can contribute to a sustainable optimisation of concepts. Studies have not yet been conducted on this topic in Austria. The main objective was to assess subjective attitudes and perceptions as well as emotional reactions of nurses towards an existing call light system. Connections with skill and grade mix should be demonstrated in order to comprehensively record the effects on nursing communication, work processes and financial impact in everyday ward life. For this study a mixed-methods approach was used. The present study was conducted in an Austrian hospital. Nurses for interviews were recruited by using information leaflets. The ward for the open unstructured participant observation was chosen by the nursing director. Inclusion criteria for the interviews refer to the willingness of nurses to participate in the study on a voluntary basis and a good knowledge of German or English. A total of seven short interviews with nurses and 129 observational units were conducted. None of the nurses dropped out. Ward- and staff-related key figures/characteristics were provided by the nursing management. Emotional reactions of nurses and time measurements (distance covered, duration of activity after activation of a call light) were recorded during observations. Subjective impressions were obtained by using structured short interviews. The study took place between June and August 2020. Data analysis of the interviews was carried out by using MAXQDA®. Results of the observations were transferred to excel spreadsheets and analysed in accordance with legal requirements in Austria. Structural, technical, and financial backlogs can be identified from the results. The existing call light system concept has proven to have a negative impact on the quality of care, job satisfaction of nursing staff, and hospital financing. In future, further studies are needed to provide a more detailed analysis of the individual findings. This also implies integrating nursing managers and patients as target groups.
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来源期刊
Journal of Health Management
Journal of Health Management HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
84
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