- 期刊
- OpenAccess
Do Emergency Nurses Spend Enough Time on Nursing Activities? The Relationship Between Actual and Expected Patient Care Nursing Time
摘要
Background: The overcrowded environments of emergency departments (EDs) lead to increased clinical workloads for nurses and influences the quality of patient care. This study aimed to evaluate whether the quality of patient care meets the expectations of emergency nurses in Taiwan by measuring the amount of time nurses spend on patient care activities. Methods: The direct observation study was conducted in one suburban academic hospital with approximately 80,000 annual ED visits. This study observed emergency nurses and the time they spent on their nursing activities. The directly measured times and nurse expected patient care nursing times were compared. Results: For all 88 types of nursing activities recorded, each measured nursing time was less than the expected nursing time. On average, the measured nursing time was 82% less than the expected nursing time (2.0 ± 0.3 minutes vs. 11.6 ± 1.5 minutes, p ＜ 0.01). Among the 88 types of nursing activities recorded, the average measured time spent on 76 types (86%) was less than 3 minutes. The nursing activity on which the longest time was spent was cerebrospinal fluid study nursing (7 minutes). The most frequent nursing activity was documentation. Conclusion: The nursing time spent on patient-care activities in EDs was much less than the nurses expected. The results may provide a basis for nursing quality measurements and manpower calculations for EDs.
延伸閱讀
- 戴筠臻、王筱珮（2018）。Nursing Care Experiences of the Patient with Out-of-Hospital Cardiac Arrest in Intensive Care Unit at the Post-Resuscitation Phase。台大護理雜誌，14(1)，67-78。https://doi.org/10.6740/NTUHJN.201801_14(1).0008
- 歐佩茹、江錦玲（2019）。Nursing Experience of a Patient Who Underwent Bentall Procedure with Pulmonary Complication and Readmission to Intensive Care Unit。志為護理-慈濟護理雜誌，18(4)，107-117。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201908-201908220005-201908220005-107-117
- 胡怡君（2007）。A Study of Work Perceptions Ａmong Nurses in the Emergency Department〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2007.00117
- 房巧瑜、張淑娟（2013）。Nursing Experience in the Development of Home Care Strategy for Dealing with a Ventilator-Dependent Patient with a Cervical Spine Injury。澄清醫護管理雜誌，9(1)，55-64。https://www.airitilibrary.com/Article/Detail?DocID=18136702-201301-201303260046-201303260046-55-64
- 黃怡娟、杜秀容、謝曉燕（2018）。The Nursing Experience of a Patient Diagnosed with Influenza in the Intensive Care Unit by Utilizing the End-of-Life Integrated Care Model。新臺北護理期刊，20(2)，125-133。https://doi.org/10.6540/NTJN.201809_20(2).0011