麻醉护士的排班模式影响麻醉后护理单元的效率：中国单中心回顾性研究。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.11.015

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引用次数: 0

摘要

目的：麻醉护士在麻醉恢复期扮演着重要的术后角色，而麻醉恢复期的特点是麻醉和手术相关并发症的高发期。因此，加强麻醉后护理病房（PACU）的人员分配和技能管理对于控制住院时间尤为重要。我们旨在研究麻醉护士的两种排班模式对 PACU 效率的影响：设计：回顾性观察队列研究：我们在一家大型三级学术医疗中心开展了一项回顾性研究。2018 年，PACU 采用传统排班方式运行，护士与患者的比例为 1.2:1。PACU 实施了强化排班，2019 年通过调整麻醉护士分配方案将这一比例调整为 1:1。我们比较了两种模式下的入院患者人数、PACU住院时间、麻醉相关并发症发生率和护士满意度：2018 年收治病人总数为 10531 人，2019 年为 10914 人。PACU 在 2019 年比 2018 年多收治了 401 名患者，即使每天减少两名护士。尽管如此，2019 年 PACU 住院时间的中位数在统计学上明显短于 2018 年（29 [22-40] vs 28 [21-39]，P .091）。与 2018 年实施的传统排班方式相比，2019 年实施的强化排班方式获得了更多护士的满意（P 结论：2019 年实施的强化排班方式获得了更多护士的满意：麻醉护士的排班会影响 PACU 的效率。与传统排班模式相比，2019年实施的强化排班模式使入院患者数量相当，护理质量更好，护士满意度更高。

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The Scheduling Mode of Anesthesia Nurses Affects Postanesthesia Care Unit Efficiency: A Single-Center Retrospective Study From China

Purpose

Anesthesia nurses play an important postsurgical role during the anesthesia recovery period, which is characterized by a high incidence of complications related to anesthesia and surgery. Strengthening staff allocation and skill management in the postanesthesia care unit (PACU) is therefore particularly important in managing length of stay. We aimed to investigate the effect of two schedule modes for anesthesia nurses on PACU efficiency.

Design

A retrospective observational cohort study.

Methods

We conducted a retrospective study in a large tertiary academic medical center. In 2018, the PACU operated with traditional scheduling and the nurse-to-patient ratio was 1.2:1. The PACU implemented intensive scheduling and this ratio was adjusted to 1:1 in 2019 by adjusting the anesthesia nurse allocation scheme. We compared the number of admitted patients, length of PACU stay, the incidence of anesthesia-related complications, and nurse satisfaction with the two modes.

Findings

The total number of admitted patients was 10,531 in 2018 and 10,914 in 2019. PACU admitted 401 more patients in 2019 than in 2018, even with two fewer nurses per day. Nevertheless, the median length of PACU stay in 2019 was statistically significantly shorter than in 2018 (29 [22-40] vs 28 [21-39], P < .001], while the incidence of anesthesia-related complications including postoperative pain, nausea and vomiting, hypertension, and shivering were comparable in the 2 years (P > .091). The intensive scheduling implemented in 2019 received more satisfaction from nurses than the traditional scheduling applied in 2018 (P < .01).

Conclusions

The scheduling of anesthesia nurses affects PACU efficiency. The intensive scheduling mode implemented in 2019 resulted in a comparable number of admitted patients, a better quality of care, and higher nurse satisfaction than those under the traditional scheduling mode.

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.