护理SCI晨读：中国的急救护理中断：一项观察性研究
分析中国急诊护理环境中护理工作中断的频率和核心要素。
中国的急救护理中断：一项观察性研究
摘要
目标
分析中国急诊护理环境中护理工作中断的频率和核心要素。
背景
护理中断会影响急诊护理环境中的服务质量，但关于中国急诊环境的护理中断信息知之甚少。
方法
在一家中国三级医院急诊科的三个部门进行了横断面观察研究。参加者包括60名护士。使用研究人员专门为此研究开发的调查表收集数据。
结果
总共观察到25,965分钟的工作时间，并确定了2333次中断。大部分中断来自患者，家人和护士。治疗护理和患者观察与记录是最经常中断的程序。大多数中断是负面的，大多数护士立即对中断做出反应。三个护理单位之间核心要素的总体分布存在显着差异。
结论
急诊护理中断的频率是中等的。大多数中断往往会给患者带来负面的治疗结果。
对护理管理的启示
急诊护理管理者应认识到中断的重要性，更好地了解工作情况，并开发减少中断发生率的方法。可以通过减少因工作中断而导致的不良后果来避免护理风险。
Abstract
Aim
To analyze the frequency and core elements of nursing work interruptions in Chinese emergency nursing settings.
Background
Little is known about nursing interruptions, which affect the quality of services in Chinese emergency nursing setting.
Method(s)
A cross-sectional observational study was conducted in three units of an emergency department in a Chinese tertiary hospital. Participants comprised 60 nurses. Data were collected using a questionnaire developed by the researchers specifically for this study.
Results
In total, 25,965 minutes of work were observed and 2,333 interruptions were identified. Most interruptions were from patients, their families, and nurses. Therapeutic nursing and patient observation and documentation were the most frequently interrupted procedures. Most interruptions were negative, and a majority of the nurses immediately responded to interruptions. Significant differences existed in the overall distribution of the core elements among the three nursing units.
Conclusions
The frequency of emergency nursing interruptions were moderate. Most interruptions tend to lead to negative treatment outcomes for patients.
Implications for Nursing Management
Emergency nursing managers should recognize the importance of interruptions, understand work situations better, and develop ways to reduce the incidence of interruptions. Thus, nursing risks can be avoided by reducing the adverse outcomes caused by work interruptions.
原文链接：
https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.13372
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