Fundamental research on the calculation method of the number of nurses required in order to perform a safe nursing care

安全护理所需护士人数计算方法的基础研究

• 批准号: 16592118
• 负责人: SAKAI Mieko
• 金额: $ 2.11万
• 依托单位: The Japanese Red Cross College of Nursing (2006)Tokyo Metropolitan University (2005)Tokyo Metropolitan University of Health Sciences (2004)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16592118/
• 关键词: Nursing; Safe Care; Nursing Judgment; Number of Nurse; a visitor chemotherapy; 安全なケア提供

Since being cared more safely than the inside where medical treatment changes was called for, this research aimed at obtaining the fundamental data for creating the new index about the staff assignment for safe care offer based on nursing judgment. Purpose: In order to find out the calculation method of the number of nurses required since a visitor chemotherapy is offered safely, clarify a nurse's operating actual condition in a visitor chemotherapy room, and the actual condition of operating environment. The fundamental data about a treatment room was obtained by time study investigation, and the listening comprehension and inspection from the staff for the nurse who works to method: "visitor chemotherapy room." After investigation obtained the approval of the Ethics Committee, Data processed statistically. Result : Before visitor chemotherapy enforcement, in response to a doctor's medical examination result, mixing of the antineoplastic drug in a medicine part and preparation in a treatment room are started, and sharing of a role assignment, cooperation organization, and information was made. The business of the nurse in the visitor chemotherapy interior of a room was the order of "the connection, directions and adjustment" between the personnel, "information gathering and a chart check", "record", "a care related meeting", and "a check of intravenous drip medicine and directions." The CEF had spent many hours on "advice and instruction", "implementation of intravenous drip", and "a check and observation of a patien's condition" rather than PTX, and it was a tendency with much number of times of "implementation of intravenous drip", "a check of dropping", and "a state check and observation of a patient" according to the medical treatment method. Investigation was repeated from now on, and I analyzed further the time and the number of times required for every cure, and think that there is the necessity of tying to calculation of the required number of staffs.

本研究的目的是为建立基于护理判断的安全护理人员分配新指标提供基础数据。目的：了解访客化疗安全开展后所需护士人数的计算方法，明确访客化疗室护士的实际操作情况和操作环境的实际情况。通过时间学习调查和工作人员对护理人员的听力理解和检查，获得了关于治疗室的基本数据。调查经伦理委员会批准后，对数据进行统计处理。结果：访客化疗执行前，根据医生体检结果，启动了抗肿瘤药物在药段和治疗室制剂的混合，并进行了角色分配、合作组织和信息共享。访客化疗室内护士的业务顺序是人员之间的“联系、指引和调整”、“信息收集和查表”、“记录”、“护理相关会议”、“静脉点滴用药和指引的核对”。CEF花了很多时间在“建议和指导”、“静脉滴注的实施”和“病人病情的检查和观察”上，而不是PTX，根据医疗方法，“静脉滴注的实施”、“静脉滴注的检查”和“病人的状态检查和观察”是一种趋势。从现在开始反复调查，我进一步分析了每次治愈所需的时间和次数，认为有必要与所需人员数量的计算挂钩。