基于时间- 动作法的临床护理工作中断、多任务与觉知压力评价研究

Study on Nursing Interruption,Multitasking,and Perceived Stress Evaluation Based on Time-Action Method

目的利用时间-动作法测算临床护理工作中断及多任务的现状,进一步分析其对护士觉知压力的影响。方法对浙江省某三级甲等医院2019年6月—7月康复科22名护士进行调查,使用基本情况调查表、中文版觉知压力量表和TimeCaT时间跟踪程序收集相关数据。结果22名护士的252个班次中,临床护理工作中断发生频率是每小时(4.00±2.17)次,平均每班次多任务时间占比为24.51%。不同层级护士间的临床护理工作中断次数、多任务时间占比与觉知压力差异具有统计学意义(p<0.05)。临床护理工作中断、多任务与护士觉知压力水平呈正相关(p<0.05)。结论临床护理工作中断和多任务发生几率较高,护士觉知压力较为繁重。减少临床护理工作中断和多任务的发生率,对提高护理工作效率、提高护理工作质量和健全护士的身心健康具有重要意义。

Objective To understand the current situation of interruptions and multitasking in clinical nursing,to explore the influence on perceived stress of nurses.Methods Twenty-two nurses in the rehabilitation department of a tertiary hospital in Zhejiang Province were investigated from June to July 2019,using general information questionnaire,Chinese version of Perceived Stress Scale,and time capture tool TimeCaT.Results Among the 252 shifts of 22 nurses surveyed,the frequency of interruptions was 4.00±2.17 times/hour,and multitasking time averagely took up 24.51%in one shift.The percentage of multitasking time and the total score of perceived stress of nurses at different levels were statistically different(p<0.05).The interruptions and multitasking time were positively correlated to perceived stress(p<0.05).Conclusion Interruptions and multitasking happens frequently in clinical nursing,and the nurses perceived much stress.Reducing interruptions and multitasking in nursing work is important for improving nursing efficiency and quality and promoting the physical and mental health of nurses.