国立看护大学校研究纪要.PDF

Original Article Allocation of Nursing Time at University Hospitals in Japan Katsuya Kanda*1 , Mieko Ozawa*2 , Rumiko Irimura*3 AbstractObjectives: To investigate the current status of nursing care and services provided by nursing personnel working at university hospitals; and to obtain information to address nursing issues, such as reexamining the current and proposed nursing service systems and improving the delivery of nursing care at university hospitals. Sample and Method: A convenient sample of 16 national university hospitals was selected after considering each hospitals regional location and year established. The data were collected between May and June in 1995 with a self-administered time survey on individual nursing personnel (conducted on two weekdays and one Sunday) and on individual patients (data included all inpatient direct care time on one weekday). Results: The average bed size of the participating hospitals was 830. The average numbers of working nursing personnel and inpatients on the survey days were 296 and 719 on the weekdays, respectively, and 193 and 690 on the Sunday, respectively. The frequency of the most critical patients (who must always be on bed-rest and require continuous observation) comprised 10% on the weekdays and 8% on the Sunday. On the weekdays, the most frequently provided care was taking care of patients, comprising 30% of total work hours, followed by charting, reporting, and staff communication (25%) and assisting medical examination and treatment (14%). The proportions of these types of care on the Sunday were 34%, 27%, and 16%, respectively. The average direct patient care time per inpatient on the individual patients-survey day was 107 minutes (work sh