基于工时测定的普通病房护理人员配置探讨.pdfVIP

人力资源 Human Resource 基于工时测定的普通病房护理人员 配置探讨 邢琳琳 [ 摘 要 ] 目的：以工时测定为基础计算普通病房临床护理工作量，利用护理人员编制计算公式得出符合临床需要的护士 人数。方法：在某三级医院内部选择具有代表性的16 个普通病房，于2013 年5-8月安排统一培训好的观察员进入病房对在班 护士进行一对一的跟踪观察与计时，将测量结果录入 EXCEL 软件建立数据库，利用SPSS 17.0 进行描述统计，计算出直接护 理项目的平均操作时间，通过医院信息系统计算出相应护理项目平均每天发生的频次，计算公式中各项参数，将数值代入公式 求出各普通病房理论上所需要配备的护士人数。结果：不同病房其理论上计算所得的床护比不同，通过护理人员编制计算公式 计算得出的普通病房平均床护比为1∶0.42，高于原卫生部要求的平均床护比（1∶0.4）。结论：利用工时测定法和医院信息系 统计算临床护理工作量，能更为科学合理地配备临床护士人数。不同病房临床护理工作量不同，应从病房类型、收治病种特点、 工作要求、工作任务量等方面去配备临床护理人员。 [ 关键词 ] 护理工时；护士配置；普通病房 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.01.019 A study on theoretical nurse staffing in general wards based on measurement of nursing working hours / XING Linlin // Shengjing Hospital of China Medical University, Shenyang, 110022 China /// Chinese Nursing Management-2015,15(1): 61-64 [ ] Abstract Objective: To calculate the nursing workload of general wards based on measurement of nursing working hours, and use the manpower formula to figure out the numbers of nurses which could meet the clinical needs. Method: Totally 16 typical general wards were selected in a tertiary hospital. From June to August in 2013, well-trained observers were arranged to follow the nurses who were on duty and measure their nursing activities in a one-to-one way. Database was established by EXCEL software. SPSS17.0 was used to calculate the unit average time of direct nursing care. And their corresponding average frequencies per day were calculated by Hospital Information System. Other parameters in manpower formula were calculated in light of the law and absence on leave data from nursing department. Finally numbers of nurses theoretically needed in general wards wer