以工时测定为基础的儿科普通病房护士岗位设置种类与数量的调研
Research on the formulas of nursing manpower demands in general pediatric wards based on measurement of working hours
目的 构建以工时测定为基础的儿科普通病房护理人员配置动态管理体系.方法 选择国内25所具有儿科病房的综合性或专科三级甲等医院30个儿科普通病房进行工时测定,根据不同护理级别的儿科患者所需各岗位提供的平均护理工时,从而通过计算得到儿科普通病房各护理岗位护士配置人数.结果 调查了两班制和三班制2种排班模式下的7种临床护理岗位,形成不同医院支撑系统组合情况下每种护理岗位为1例不同护理级别患者提供的平均工时查询表,以病房有20名一级护理和20例二级护理患者为例,计算两班制排班每日需要安排责任白班8~9人,长夜班2~3人,总务班1~2人,晚早班2人,辅助白班1人;三班制排班每日需要安排责任白班8人,前夜班4人,后夜班3人,总务班1~2人.结论 儿科护理岗位设置可以工时测定为基础,具体问题具体分析,通过量化护理人员岗位配备为管理者提供参考.
更多Objective To build the dynamic management system of nursing staff allocation in general pediatric wards based on working hours measurement.Methods 30 general pediatric wards of 25 general or children hospitals of upper first class were selected to measure working hours.Depending on the average nursing hours required for pediatric patients in different care levels by each positions,we achieved the nursing staffing formulas.Results 7 nursing posts under double-shift turn and three-shift turn were collected.The average hour that nursing posts provide for one different nursing grade patient was made out.Taking a ward which had 20 patients as nursing grade one and 20 patients as nursing grade two for example,it would need 8-9 responsible nurses,2-3 long night shift nurses,1-2 general affairs nurses,2 night assistance nurse,1 day assistance nurse by double-shift turn,meanwhile,it would need 8 responsible nurses,4 early night shift nurses,3 late night shift nurses,1-2 general affairs nurses by three-shift turn.Conclusions Using the formulas based on measurement of working hours to calculate the number of nursing staff could provide a way to help the managers.
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