改良NAS量表在NICU人力资源管理中的应用  

A survey on NICU human resources using modified NAS

作　　者：李桂云[1] 张蕾[1] 胡晓哲[1] 蔡卫新[1] 

机构地区：[1]首都医科大学附属北京天坛医院重症医学科,北京100050

出　　处：《现代临床护理》2014年第3期60-62,共3页Modern Clinical Nursing

基　　金：北京市卫生局215人才支持计划项目;项目编号为2009-3-28

摘　　要：目的探讨改良护理活动量表(nursing activitiesscore,NAS)在神经外科重症监护室(neurosurgery intensive care unit,NICU)人力资源管理中的应用方法和效果。方法应用改良NAS量表对NICU 34例危重病人及94例手术后病人各班次(白班、小夜班、大夜班)护理工作量进行测量,并计算各班次护理人员需求量,根据结果对护理人力进行调整。结果各班次NAS量表得分比较,差异具有统计学意义(均P<0.05)。白班护理工作量最大,其次为小夜班,最少为大夜班(均P<0.05)。根据测量结果对人力资源进行调整后,护理不良事件从0.44件/月降到0.33件/月。结论采用改良NAS量表对护理工作量进行测量,根据结果对护理人力进行调整,有利于降低护理风险的发生,提高护理质量。Objective To investigate the human resources of neurosurgery intensive care unit（NICU）using modified nursing activity score（NAS）.Methods NAS was used to investigate the nursing work load of all shifts and compute the needed personnel for every shift,followed by adaption of nursing staff based on the results.Results Based on the scores by NAS,day shift was the heaviest in work load,followed by early night shift and then by late night shift.The differences between day shit and early night shift or late night one were both statistically different（P〈0.05 for both）.Conclusions The adjustment based on the results by NAS will reduce nursing risk and improve quality of nursing.

关 键 词：神经外科 重症监护室 护理活动量表 人力资源管理 

分 类 号：R47[医药卫生—护理学]