某医院护士上班时间及行走里程的调查分析

Investigation and analysis of nurse＇ s worktime and walk miles in a hospital

目的了解护士在直接护理、间接护理、非护理活动和个人活动方面的时间分配情况及有效工时和上班期间的行走里程。方法通过观察员对某三甲医院消化科和普外科护士一对一跟踪调查，实时记录护士在每项活动上花费的时间和行走里程。结果直接护理占35．75％，间接护理53．19％，非护理活动0．49％，个人活动10．56％。消化科和普外科白班护士有效工时分别为6．80、6．28，夜班分别为6．10、5．36。两个科室平均每天每位护士行走约4．36km，其中白班护士平均每人行走约4，64km，夜班护士平均每人行走约3．67km。结论间接护理时间过多，一些重要的直接护理项目时间过少，护士实际的有效工时高于有效工时标准，护士行走里程与护理工作量成正相关。医院在配置护士人力时应将各种配置标准与医院的实际情况相结合，进行阶段性动态配置人力，并建立长效的监控机制，做到既能使病人得到应有的护理，又不浪费人力。

Objective To measure nurses＇ work time distribution in direct nursing, indirect nursing, non-nursing activity and personal activity and effective work hour and Walk miles. Methods Observers recorded nurses＇ work time cost on each activity and walk miles by one-to-one following-up at Department of Gastroenterology and General Surgery in a Grade-A hospital. Results Direct nursing time made up 35.75 %, indirect time 53.19 %, non-nursing activity O. 49 % ; personal activity 10.56 %. The effective working time among day work nurses was 6.80 and 6.28 in the two Department respectively, while 6.10 and 5.36 among shift nurses. An average walk miles were about 4.36 km/d/nurse, 4.64 km among day work nurses and 3.67 km among night work nurses. Conclusions Indirect nursing cost too much time while some very important direct nursing items cost too little time. Nurses＇ actual effective work-hour is higher than the standard one. Nurses＇ walk miles are positively correlated with workload. Hospital should dynamically deploy nursing human resource according to all kinds of criterion and nosocomial practice. In the meantime, long effective mechanism should be established to ensure that patients can obtain suitable nursing without waste of manpower.