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Complexity compression: nurses under fire.

机译:复杂性压缩:护士遭到抨击。

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It has been documented that up to 40% of the workday of nurses is taken up by meeting the ever-increasing demands of the systems of healthcare delivery in which nurses are employed. These demands include the need for increasing documentation, for learning new and seemingly ever-changing procedures, and for adapting to turnover in management and administration. Attention to these issues also means that 40% of that workday is not available to patients. Believing that these increasing demands are affecting nurses' decisions to remain in nursing or to leave, a group of Minnesota nurses and nurse educators examined the work environments of nurses and the issues related to those environments. The result of this examination was discovery of a phenomenon affecting all nurses that may be central to the projected shortage of nurses. The phenomenon is complexity compression-what nurses experience when expected to assume additional, unplanned responsibilities while simultaneously conducting their multiple responsibilities in a condensed time frame. The phenomenon was validated by a group of 58 nurses who participated in focus groups that led to the identification of factors influencing the experience of complexity compression. These factors were clustered into six major themes: personal, environmental, practice, systems and technology, administration/management, and autonomy/control. Further validation studies are planned with the population of practicing professional nurses in the state of Minnesota.
机译:据记录,通过满足雇用护士的医疗保健提供系统的不断增长的需求,最多可占用40%的护士工作日。这些需求包括需要增加文档记录,学习新的,看似不断变化的程序以及适应管理和行政管理的更替。注意这些问题还意味着患者无法使用该工作日的40%。明尼苏达州的一群护士和护士教育工作者认为,这些不断增长的需求正在影响护士决定继续留在护士或离开医院的决定,他们研究了护士的工作环境以及与这些环境有关的问题。这项检查的结果是发现了一种影响所有护士的现象,这可能是预计护士短缺的主要原因。这种现象是复杂的压缩-期望护士承担额外的计划外职责,同时在较短的时间内同时履行其多种职责。参加焦点小组讨论的58名护士对这一现象进行了验证,从而确定了影响复杂性压缩体验的因素。这些因素分为六个主要主题:个人,环境,实践,系统和技术,行政/管理和自治/控制。明尼苏达州计划对在职专业护士进行进一步的验证研究。

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