基于工时测定的骨髓移植病房护理人力配置的研究.pdfVIP

中华护理杂志 2016 年 7 月第 51 卷第 7 期 按理管理 基于工时测定的骨髓移植病房护理人力配置的研究 颜霞徐晓东杨子樱贺新欣孙慧刘晓琳李丹衣向丽王宇 [摘要1 日的 通过测定骨髓移植病房护理工作量，明确其护士配置的实际需求，探索其人力资源自己置特点。方法 编 制护理项目观察哀，培训观察员，测量病房直接护理项目和间接护理项目的总工时，计算病房所需护士数。结果 本病房涉及98项护理项目，其中直接护理项目68项，间接护理项目 30项;平均每例患者24h护理项目总工时为730.86min; 理论所需床护比为1 :2.2。结论 本研究初步测量骨髓移植病房的护理工作量，并计算出适用于骨髓移植病房的理 论床护比，为在临床进行科学的护理人力资源配置提供了客观依据。 [关键词] 护理人力量己置; 工时测定: 骨髓移植 Nursing manpower aUocation based on working hour measurement in bone marrow transplant uniUYAN Xia ,XU Xiao-dong ,YANG Zi-ying ,HE Xin-xin ,SUN Hui ,LIU Xiao-lin ,LI D阻，YI Xiang-li ,WANG Yu [Abstract] Objective To confirrn the nursing manpower allocation needs in bone marrow transplant unit and to explore the characteristics of human resource configuration by measuring nursing workload. Methods A list of nursîng procedures for observation was compiled ,and observers were trained. The total workload was measured ,and the needed nursing manpower was calculated. Results ηle unit involved 95 nursing procedures ,including 65 di- rect nursing procedures and 30 indirect ones. On average ,the total working hour百 for each patient in 24 hours were 730.86 min. The theoretical patient-to-nurse ratio was 1: 2.2. Conclusion This study obtained the total nurs- ing workload in a bone m缸TOW transplant unît ,and calculated the theoretical bed-nurse ratio ,whîch would provide a reasonable evidence for nursing human resources allocation. [Key words] Nursing Manpower Allocation; Working Hour Measurement; Bone Marrow Transplantation 护理人力资源的合理配置和开发利用是保证护 级甲等医院骨髓移植病房(病房全部为层流床)，研 理事业可持续发展的基础[1] 。依据病房护理工作量 究对象为从事临床一线工作的注册护士，观察时涉 进行护士人力配置是重要的护理人力资源管理方 及各个岗位及班次。采用日的抽样，从目标病区按比 法，而对于护理工时进行测定是衡量护理工作量常