Patient transfers in Australia: implications for nursing workload and patient outcomes
Patient transfers in Australia: implications for nursing workload and patient outcomes
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DOI：
10.1111/j.1365-2834.2011.01279.x
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发表时间：
2012-04-01
影响因子：
5.5
通讯作者：
Gallagher, Robyn
中科院分区：
文献类型：
--
作者：
Blay, Nicole;Duffield, Christine M.;Gallagher, Robyn
blay n.，达菲尔德公司&加拉格尔河（2012）护理管理杂志20，302310？患者在澳大利亚的转移：目的探讨病人转运对病人预后和护理工作量的影响。背景许多患者转移是必要的，并发生在响应患者的临床变化。然而，在澳大利亚，越来越多的转移是为了应对床位数量的减少，导致床位阻塞。评估：讨论与住院患者转移、护理工作量和患者安全相关的文献。增加病人流量的措施，如短期住宿单位，可能会导致病人转移和护理工作量的增加。频繁的患者转移也可能增加药物事件、医疗获得性感染和患者福尔斯跌倒的风险。结论：对医疗保健的持续需求导致了一个反动的床位管理系统，试图容纳病人，导致病房之间的转移增加。这可能会对护理工作量产生负面影响，并影响患者的预后。护理管理的影响高护理工作量被认为是护士离开这个行业的原因之一。减少非必要的转移可以减少护士的工作量，改善病人的治疗效果，并提高病人护理的连续性。
blay n., duffield c.m. & gallagher r. (2012) Journal of Nursing Management 20, 302310 ?Patient transfers in Australia: implications for nursing workload and patient outcomes Aim To discuss the impact of patient transfers on patient outcomes and nursing workload. Background Many patient transfers are essential and occur in response to patients clinical changes. However, increasingly within Australia transfers are performed in response to reductions in bed numbers, resulting in bed block. Evaluation A discussion of the literature related to inpatient transfers, nursing workload and patient safety. Key issues Measures to increase patient flow such as short-stay units may result in an increase in patient transfers and nursing workload. Frequent patient transfers may also increase the risk of medication incidents, health-care acquired infections and patient falls. Conclusions The continuing demand for health care has led to a reactionary bed management system that, in an attempt to accommodate patients, has resulted in increased transfers between wards. This can have a negative effect on nursing workload and affect patient outcomes. Implications for nursing management High nursing workload is cited as one reason for nurses leaving the profession. Reductions in non-essential transfers may reduce nurse workload, improve patient outcomes and enhance continuity of patient care.