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首页> 外文期刊>Zeitschrift fur Arznei- und Gewurzpflanzen >Nurses in the Kanban: are there news meanings of professional practice in innovative tools for hospital care management?
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Nurses in the Kanban: are there news meanings of professional practice in innovative tools for hospital care management?

机译：Kanban的护士：是否有专业练习的新闻含义在医院护理管理中的创新工具？

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摘要

Kanban is a care management tool that values multi-professional work and intensive use of data and has been growingly used in Brazil to address overcrowding in hospital emergency services (HES). The researchers monitored the Kanban for ten months in multiple wards of a municipal HES, and their observations were recorded in field diaries and discussed in biweekly research team meetings. The empirical material was organized from two questions: Are there changes in "traditional attributions" of Kanban-operating nursing? Are Medicine-Nursing interprofessional relationships transformed? A strong nurse adherence to this tool was observed, coupled with greater specialization and fragmentation of their work: nurses working as diarists assume more traditional administrative functions, while those on-call develop more direct assistance to patients. Nurses consider that clinical decisions are still in the doctors' hands, al though Kanban provides them with a stronger influence on such decisions. Nurses' role in the management of significant mass of clinical and operational data, central to Kanban's operationalization, strengthens their professional authority.
机译：Kanban是一款关心管理工具，价值多专业的工作和集约使用数据，并在巴西中生长使用，以解决医院紧急服务（HES）的过度拥挤。研究人员在市中心的多个病区中监测了Kanban，他们的观察结果在野外日记中记录，并在双周研究团队会议中讨论。从两个问题组织了实证材料：Kanban操作护理的“传统遗产”有变化吗？医学护理侦查关系转化吗？观察到对这个工具的强烈护士遵守，加上他们的工作更大的专业化和碎片：作为斯疹分子的护士担任更多传统的行政职能，而那些随叫随到的人为患者提供更直接的援助。护士认为，虽然卡班板为这些决定提供了更强烈的影响，但是临床决策仍然在医生的手中。护士在管理大量临床和运营数据的管理中的作用，核心寻点的运作，加强了他们的专业权威。

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