急诊科不同时段护理活动的调查  

Investigation on nursing actions in different periods of emergency department

作　　者：胡利君[1] 郑碧霞[2] 黎小群[3] 赖锦玉[4] 张红霞[5] 陈素文 

机构地区：[1]深圳市第二人民医院骨一科,518035 [2]深圳市第二人民医院质控科,518035 [3]深圳市第二人民医院急诊科,518035 [4]香港理工大学护理学院 [5]中山医科大学附属第一医院器官移植科 [6]深圳市盐田区人民医院心内科,518081

出　　处：《中华现代护理杂志》2008年第13期1450-1453,共4页Chinese Journal of Modern Nursing

基　　金：深圳市科技局资助科研项目（200304085）;香港理工大学伦理申请课题（EA/04/422） 志谢 本文承蒙张振路、王少玲、谢小华、阳世伟、吴清平、张明耀等专家指导

摘　　要：目的 调查急诊科不同时段的护理活动，为急诊护理人力配备提供参考依据。方法 经过统一培训后的调查人员以连续观察法，用表格记录的方式对急诊科当日在岗护理人员24h的直接护理时数、间接护理时数、相关护理时数、个人活动时间及等待患者时间进行测算并与现有人力比较。结果 在不同时段急诊护理活动量不同，14-30—17：30及17：30～22：00，每位护士每小时平均工作45min，是工作最繁忙时段。结论 在17：30～22：00时段护理活动多，具有所需护理时数多的规律，管理人员要用好等待病人时间及所需护理时数较少的时段，合理安排人力。Objective To investigate the nursing actions in the different periods of emergency department, giving evidence for manning level of emergency department, Methods The investigators who had accepted a unified training recorded the 24-hours direct nursing hours, indirect nursing hours, relative nursing hours, personal action times and times of waiting for patients of the nursing staff worked in that day by means of table record through a continuous observation method, then calculated and compared with the present manning level. Results The quantities of nursing actions in the different periods of emergency department were different. The periods of 14：30 to17：30 and 17：30 to 22：00 were the busiest job times that each nurse worked for 45 minutes on average. Condusions Since there are much nursing actions in the period of 17：30 to 22： 00, more nursing hours are needed. Managers should deal with the period of waiting for patients and the period when less nursing hours are needed and make a reasonable arrangement.

关 键 词：急诊 护理时数 人力配备 

分 类 号：R473[医药卫生—护理学]