Nursing Interruptions in a Post-Anesthetic Care Unit: A Field Study
Nursing Interruptions in a Post-Anesthetic Care Unit: A Field Study
复制标题
麻醉后护理室中的护理中断：实地研究
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
K. J. Vicente
中科院分区：
文献类型：
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作者：
Gillian Hillel;K. J. Vicente
护理工作场所是一个复杂的环境，护士在照顾病人时经常被打断和分心。护理工作场所的中断可能是医疗差错的一个因素，可能导致患者受伤或死亡。在设计用于护理工作场所的医疗器械时，重要的是要考虑工作环境对护士的认知要求。此外，在现实条件下对设备进行用户测试也很重要。为此，在多伦多总医院的麻醉后监护室进行了一项现场研究，观察了10名护理患者的护士。记录他们遇到的中断的类型和频率，以及沿着观察到的对性能的任何不利影响。结果显示，最常发生的中断涉及与另一名护士或医生的“面对面”口头交谈。这些结果目前被用来模拟中断实验期间，以评估两个病人自控镇痛装置在更有代表性的条件。
The nursing workplace is a complex environment in which nurses are frequently interrupted and distracted while they care for patients. Interruptions in the nursing workplace could be a factor in medical errors, which can result in patient injury or death. When designing medical devices to be used in the nursing workplace, it is important to take into consideration the cognitive demands that the work environment places on nurses. Furthermore, it is important to conduct user testing of devices under realistic conditions. To this end, a field study was conducted in the Post-Anesthetic Care Unit at the Toronto General Hospital, whereby 10 nurses were observed as they cared for patients. The types and frequencies of interruptions that they encountered were recorded, along with any observed detrimental effects on performance. Results showed that the most frequently occurring interruptions involved “face-to-face” verbal conversation with another nurse or physician. These results are currently being used to simulate interruptions during experiments to evaluate two patient-controlled analgesia devices under more representative conditions.