期刊
RESEARCH IN NURSING & HEALTH
卷 36, 期 6, 页码 554-566出版社
WILEY
DOI: 10.1002/nur.21565
关键词
patient turnover; interruptions; nursing workload; health care quality; quality; patient safety; ethnography
类别
资金
- postdoctoral fellowship in Health care Quality and Patient Outcomes
- National Institute of Nursing research/National Institutes of Health [2T32NR008856]
The impact on nursing work of patient turnover (admissions, discharges, and transfers) became evident in an ethnographic study of turbulence. The patient turnover data were generated from extensive observations, 21 formal interviews, and a year of admission and discharge records on one medical and one surgical unit. Timing of turnover events on the two units differed, but on both units admissions typically interrupted workflow more than did discharges, clustered admissions were more disruptive than staggered admissions, and patient turnover during change of shift was more disruptive than during medication administration. Understanding the complexity of patient turnover will elucidate the work involved and improve the evidence base for nurse staffing, a key determinant of quality and safety of care. (c) 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 554-556, 2013
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据