A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.
A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.
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DOI：
10.1016/j.iccn.2004.12.003
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发表时间：
2005-10-01
影响因子：
5.3
通讯作者：
Gurses, Ayse P
中科院分区：
文献类型：
--
作者：
Carayon, Pascale;Gurses, Ayse P
本文回顾了重症监护病房（icu）护理工作量及其对患者安全和护士工作生活质量的影响的相关文献。然后，我们提出了ICU护理工作量的概念框架，定义了工作量的原因、后果和结果。我们确定了四个级别的护理工作量（ICU/单位级别、工作级别、患者级别和情况级别），并讨论了与四个级别相关的措施。本文提出并推荐了一种在情境层面上对ICU护理工作量进行微观分析的方法，以减少工作量并减轻其负面影响。在情境层面上，绩效障碍被定义为ICU护理工作量的原因。
In this paper, we review the literature on nursing workload in intensive care units (ICUs) and its impact on patient safety and quality of working life of nurses. We then propose a conceptual framework of ICU nursing workload that defines causes, consequences and outcomes of workload. We identified four levels of nursing workload (ICU/unit level, job level, patient level, and situation level), and discuss measures associated with each of the four levels. A micro-level approach to ICU nursing workload at the situation level is proposed and recommended in order to reduce workload and mitigate its negative impact. Performance obstacles are conceptualized as causes of ICU nursing workload at the situation level.