너 지금 무슨 일 하고 있니? - 응급센터 전공의와 간호사의 근무시간 활용 - = What are you doing now? - Use of Duty Time by Residents and Nurses in Emergency Center -

다국어 초록 (Multilingual Abstract)

Purpose: We wanted to evaluate the actual work patterns
of residents and nurses and the effects of controlling visits
by relatives on the mortality of patients and their length of
stay and on the workload of the residents and nurses.
Methods: We investigated the actual workload of the residents
who worked 12 hours shifts and nurses who worked
8 hours shifts in an emergency center for two weeks. We
compared the mortality of the patients, the length of their
stay and the work patterns between before we controlled
visits by relatives and after we controlled visits by relatives.
Results: On the average, residents spent 407.01 minutes
(56.5%) taking care of patients for a shift (720 min.) and
nurses spent 305.29 minutes (63.6%) taking care of
patients for a shift (480 min.). Although we controlled visits
by relatives, we're unable to reduce the patient mortality
and the length of their stay. Yet we were able to reduce the
unnecessary repeated explanation-time, the resting time
and the nurses and residents were able to better concentrate
to explain to patients or their relatives. We were also
able to increase the treatment time and description time,
and especially for residents. Nurses spent 71.86 minutes
(15.0%) to take a rest a shift, and residents spent 166.40
minutes (23.1%) resting a shift (p=0.01).
Conclusion: To reduce unnecessary repeated explanation-
time and the resting time and to allow nurses and residents
to better concentrate when explaining to patients or
their relatives, and also to increase the treatment and
description time, controlling relatives in an emergency center
is necessary.

참고문헌 (Reference)

1 송근정, "응급의학과 전공의 수련 현황과 개선을 위한 보고서-대한응급의학회 수련위원회-" 대한응급의학회 14 (14): 217-223, 2003

2 신상도, "응급센터 과밀화가 환자 예후에 미치는 효과" 대한응급의학회 15 (15): 1-7, 2004

3 민문기, "국내 응급의학 전공의들의 비정규 시간 근무 현황과 선호도" 대한응급의학회 15 (15): 537-541, 2004

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11 Whitehead DC, "A rational approach to shift work in emergency medicine" 21 : 1250-1258, 1992