以护理时数测定实际护理工作量进行护士的配置  

Allocation of nurses according to actual nursing workload measured by nursing time

作　　者：王吉平[1] 刘雪莲[1] 

机构地区：[1]复旦大学附属金山医院护理部,上海200540

出　　处：《中国实用护理杂志（中旬版）》2008年第7期16-18,共3页Chinese Journal of Practical Nursing

摘　　要：目的确立护理项目数、测定护理时数，为按实际护理工作量的需求合理配置各病区的护理人力资源提供依据。方法采用文献回顾法、专家咨询法、现场问卷调查法，对某医院10个病区130名护士进行1周的工作量记录。结果护理项目包括直接护理项目101项，间接护理项目24项，合计125项。1周各病区平均每天每名患者的一级护理的服务时间为185．1min，二级护理95．4min，三级护理58．5min，平均每天所需护理时间、每天每名护理人员工作时间、每例患者每天护理服务所得时间进行t检验，P〈0．05。直接项目护理时间与间接护理项目时间分别占总护理项口的64．13％和35．87％，不同病区有差别。结论在测定护理时数的基础上，按各病区患者实际需要的护理时数安排护理人力，可达到合理配置、有效利用护理人力资源的目的。Objective We aimed to provide references for nurses allocation by selecting the nursing items and measuring nursing time. Methods We recorded the nursing workload of 130 nurses in 10 wards within one week by literature review,Delphi method and questionnaire investigation. Results Totally 125 items of nursing items were included,101 of which were direct nursing items and 24 of which were indirect ones.The average time per day per patient was 185.1 minutes for level one nursing,95.4 minutes for level two nursing, 58.5 minutes for level three nursing.Average nursing time per day,working time per day per nurse and nursing time per day for per patient in each unit had statistical difference,P 〈 0.05.The time for direct nursing items was 64.13% and for indirect nursing items was 35.87%. Conclusions Allocation of nurses according to measurement of nursing time could reach the aim of reasonable allocation and effective utilization of nursing human resource.

关 键 词：护理时数 按需配置 护理人力资源 

分 类 号：R47[医药卫生—护理学] R192.6[医药卫生—临床医学]