METHODS: An Intern on-call task electronic template was generated using Microsoft Excel Spreadsheet. This electronic system enabled users to review and respond to requests placed by nursing healthcare staff. This project initially underwent a trial process in three wards for a period of two weeks in June 2023. Interns and nurses were asked to fill a survey before and after introduction of the system. The project was implemented across all wards in August 2023 and a secondary survey was obtained. In addition, the spreadsheets were analysed retrospectively.
RESULTS: During the trial, twenty-six interns and twenty nurses were surveyed before and after implementation of the electronic system. Interns satisfaction rate was 73% and stress was reported to be reduced by 65%. Notably, 57% of interns reported a reduction in workload and the number of bleeps was reported to be as <10 by 42%. Nurses reported a decrease in the number of bleeps they needed to send overall by 65% and by 55% for repeated jobs. Workload was reported to be increased by 15% by nurses. However, exactly half of the nurses were unhappy with the new system and stress levels were unchanged.
CONCLUSIONS: This project has shown promising results, efficient and clear communication was noted with an overall positive feedback and satisfaction rate by doctors. However, as evident, from a nursing perspective further work is needed to further progress into a system that can benefit both parties involved.
方法:使用MicrosoftExcel电子表格生成了一个随叫随到的实习生任务电子模板。该电子系统使用户能够查看和响应护理医护人员提出的请求。该项目最初于2023年6月在三个病房进行了为期两周的试验。在引入该系统之前和之后,要求实习生和护士填写调查表。该项目于2023年8月在所有病房实施,并进行了二次调查。此外,对电子表格进行了回顾性分析。
结果:在试验期间,在实施电子系统前后,对26名实习生和20名护士进行了调查。实习生满意率为73%,据报道压力降低了65%。值得注意的是,57%的实习生报告工作量减少,而据报道,在42%的情况下,抽音次数<10。护士报告说,他们需要发送的平均数量减少了65%,而重复工作则减少了55%。据报道,护士的工作量增加了15%。然而,只有一半的护士对新系统不满意,压力水平没有变化。
结论:该项目取得了可喜的成果,医生注意到有效和清晰的沟通,总体反馈积极,满意度高。然而,很明显,从护理的角度来看,需要进一步的工作,以进一步发展为一个可以使双方受益的系统。