早期離床に対する看護師の認識と課題 －プロジェクトＦの活動を通じて－

早期離床を院内に定着させることを目標に，看護部でプロジェクトＦを発足させ活動を行った．まず，現状把握のため看護師538名に対し早期離床の認識についてのアンケート調査を行った．有効回答は428名（有効回答率79.6％）から得られた．その結果，離床援助技術の卒後の教育は不十分で，ほとんどの看護師が体位変換や移乗を困難であると感じていた．また，早期離床に関する医師の指示や離床に関する記録が統一されていないことがわかった．早期離床を妨げる要因として，記録などの多忙な業務や，痛みや循環変動，複数のラインなど患者の要因が挙げられた．看護師が行う早期離床の現実と理想との間に大きな乖離があり，現状に満足していない状況が示唆された．調査の結果から，「離床援助技術の教育」「早期離床フローチャートの策定と運用」「離床に関する記録整備」を課題とし，組織をあげて改善への取り組みを行った．その経緯についても加えて報告する．

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Abstract

内容記述

In order to establish early mobilization in the hospital, the "project F" was created in the Nursing Department and activities were started. A questionnaire was held regarding early wake-up and valid response were obtained from 428 out of 538 people. According to the results, factors such as busyness due to nursing records were one of the reasons that hindered this. As a result, post-graduate education for mobilization skills was inadequate, and most nurses felt it was difficult to change positions or transfer. It was also found that doctors' instructions regarding early mobilization, and records related to mobilization, were not unified. Factors that hindered early mobilization included diligent work such as nursing records, patient factors such as pain and circulatory fluctuations, and multiple lines. There was a big divergence between the reality, and the ideals of early mobilization performed by nurses, suggesting that they are not satisfied with the current situation. Based on the results of the survey, the issues were "education of mobilization assistance technology", "development and operation of early mobilization flowchart", and "maintenance of records concerning mobilization", and the entire organization worked on improvement. We will also report on the process.

出版者

福島県立医科大学看護学部

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jpn

書誌情報

ja : 福島県立医科大学看護学部紀要

巻 22, p. 25-35, 発行日 2020-03

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2024-11-20 07:20:13.472025

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