对产科病房培训和人员配备的关注

2020-11-19 09:33

Concerns raised over maternity ward training and staffing lrY世界播

对产科病房培训和人员配备的关注。lrY世界播


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Many staff members reported working over their contracted hours lrY世界播

许多工作人员报告说,他们的工作时间超过了合同规定的时间lrY世界播


Maternity services inspectors raised concerns about staffing levels, emergency equipment and training before the Covid pandemic, a report has found. lrY世界播

一份报告发现,在Covid大流行之前,产科服务检查员对人员配备水平、应急设备和培训提出了担忧。lrY世界播


Healthcare Inspectorate Wales (HIW) visited 25 maternity units between July 2019 and January 2020 as part of a national review. lrY世界播

作为国家审查的一部分,威尔士医疗检查局(HIW)在2019年7月至2020年1月期间访问了25家产科病房。lrY世界播


It found the quality of care was generally good, with the majority of women having positive experiences. lrY世界播

调查发现,护理质量总体上是好的,大多数女性都有积极的经历。lrY世界播


But some "areas for improvement" were also identified. lrY世界播

但也发现了一些“需要改进的地方”。lrY世界播


Inspectors sought immediate improvements around the checking of neonatal and emergency equipment as well as medical emergency arrangements, the security of newborn babies and the management of medicines. lrY世界播

检查人员寻求立即改善对新生儿和急救设备的检查,以及医疗紧急安排、新生儿安全和药品管理。lrY世界播


The report comes after serious failings were found at Cwm Taf Morgannwg health board which resulted in maternity services at hospitals in Merthyr Tydfil and Llantrisant being placed in special measures last year. lrY世界播

这份报告是在Cwm Taf Mgannwg健康委员会发现严重缺陷后发布的,这一缺陷导致梅瑟尔、泰德菲尔和Llantrisant医院的产科服务去年被列入特别措施。lrY世界播


But the HIW inspections found services across Wales were "safe and effective and that's a really nice thing to be able to say," said Alun Jones, interim chief executive. lrY世界播

但HIW的检查发现,威尔士各地的服务“安全有效,能够这么说真的很好,”临时首席执行官阿伦·琼斯(Alun Jones)说。lrY世界播


"Of course there's no room for complacency there and we did find some areas for improvement as well." lrY世界播

“当然,我们没有自满的余地,我们也确实发现了一些需要改进的地方。”lrY世界播


The Welsh Government said: "We are pleased that the report recognises the commitment and dedication of staff working within maternity services throughout Wales. lrY世界播

威尔士政府说:“我们很高兴这份报告认可了威尔士各地产科服务机构工作人员的承诺和奉献精神。”lrY世界播


"We welcome the report by HIW and will give careful consideration to its recommendations." lrY世界播

“我们欢迎HIW的报告,并会仔细考虑报告的建议。”lrY世界播


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Inspectors surveyed 122 patients during their visits to maternity wards across Wales lrY世界播

检查员在访问威尔士各地的产科病房期间对122名患者进行了调查lrY世界播


In the Aneurin Bevan, Cardiff and Vale, Cwm Taf Morgannwg and Hywel Dda health boards, inspections revealed inconsistencies in the way temperatures were monitored and recorded for medication fridges. lrY世界播

在Anerin Bevan、加的夫和淡水河谷、Cwm Taf Mgannwg和Hywel Dda健康委员会,检查发现药物冰箱的温度监测和记录方式不一致。lrY世界播


Staff were not always clear on their roles and some were unable to clearly explain why the information was recorded, and what they should do if the temperatures fell outside of manufacturer's recommendations. lrY世界播

员工并不总是清楚自己的角色,一些人无法清楚地解释为什么要记录这些信息,以及如果气温低于制造商的建议,他们应该怎么做。lrY世界播


The inspections also found issues with the prescribing and administering of medication during labour, with particular concerns in Betsi Cadwaladr and Cwm Taf Morgannwg. lrY世界播

检查还发现了分娩期间开药和用药的问题,Betsi Cadwaladr和Cwm Taf Mgannwg尤其令人担忧。lrY世界播


Those concerns were dealt with and resolved, but HIW said it was an issue all health boards should consider. lrY世界播

这些担忧都得到了处理和解决,但HIW表示,这是所有卫生委员会都应该考虑的问题。lrY世界播


HIW received more than 3,300 responses from women and their families as part of the review and also surveyed 122 patients during their inspections. lrY世界播

作为审查的一部分,HIW收到了来自女性及其家人的3300多份回复,并在检查期间调查了122名患者。lrY世界播


Workers were also surveyed and raised concerns about staffing levels, with 40% saying there were "always" or "usually" enough staff for them to do their job properly. lrY世界播

员工也接受了调查,并提出了对人员配备水平的担忧,40%的员工表示,他们“总是”或“通常”有足够的员工来做好自己的工作。lrY世界播


Many staff reported working in excess of their contracted hours and there were also worries about using temporary staff during shortages and the impact on continuity of care. lrY世界播

许多工作人员报告说,他们的工作时间超过了合同规定的时间,还担心在短缺期间使用临时人员,以及对护理连续性的影响。lrY世界播


HIW found some units did not monitor the number of hours individual staff members were working, and did not take steps to ensure staff had adequate rest time between shifts. lrY世界播

HIW发现,一些单位没有监控员工个人的工作小时数,也没有采取措施确保员工在轮班之间有足够的休息时间。lrY世界播


Less than half of respondents agreed their job was good for their health. lrY世界播

不到一半的受访者认为他们的工作对他们的健康有好处。lrY世界播


HIW said health boards across south Wales had the most negative comments about staffing ratios. lrY世界播

HIW说,南威尔士的卫生委员会对人员比例的评论最负面。lrY世界播


"Whilst we found that the staff working across Wales were very much committed and striving to provide a high quality service, there were lots of examples where we were told by staff that they were under pressure," said Mr Jones. lrY世界播

琼斯表示:“虽然我们发现在威尔士各地工作的员工非常敬业,并努力提供高质量的服务,但有很多例子表明,员工告诉我们,他们面临压力。”lrY世界播


"There was a sense that the sustainability of some services was a challenge so we made a number of recommendations to health boards to think about workforce planning." lrY世界播

“有一种感觉是,一些服务的可持续性是一个挑战,所以我们向卫生委员会提出了一些建议,让他们考虑劳动力规划。”lrY世界播


The second phase of HIW's national review is due to begin before the end of the year. lrY世界播

HIW的第二阶段国家审查将于今年年底前开始。lrY世界播

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