Reconstruction the ward plan along with the appearance of the Personal Nursing Bases by the computerization of the medical treatment and the patient information

点击翻译按钮获取中文摘要

The research aims at clarifying how new concept of "Personal Nursing Base (PNB)"influences nursing activities in acute hospital wards in Japan. The PNB is defined as nursing base closely located to patients' beds either in the form of fixed setting or on wheels, stemming from dissemination of computerized medical and patients' record system in a hospital. The followings are the results of the surveys carried out in four hospital wards ; 1) The length of direct nursing time is around 50% of total nursing duties and it has not become longer by computerization. 2) The current PC on a wheel system does not work efficiently at this moment. 3).Nurses stay longer in close to patients in PNB wards despite of the fact that direct patient care time does not increase. 4) Walking distance of nurses becomes shorter in wards which have fixed setting type of PNB.This simulation aims at clarifying the efficiency of PNB concept compared with ordinary nursing bases in terms of shortening walking distances of nursing staff.The followings are the results of the surveys carried out in four hospital wards ;1) In three wards of the wards surveyed, PNB has been introduced. Moreover, the team nursing has been introduced in all wards, and each team is composed of one leader nurse and some member nurses.2) Member nurses often taking records and references at PNBs located in ward passages.3) In patients' rooms, activities of records and references are not frequently happened in the case of wards introducing computerized information system.4) Member nurses tried to communicate with a team leader or matron.5) Confirmation and discussion among nursing staff are not carried out by the mobile phones but by direct conversation.6) Computer simulation shows that one PNB in each working area is effective for shortening the walking distance of nurses while more numbers of PNB have no effect