病房临床护理工作工时调查分析

A survey of nursing working hours in clinical wards

目的:调查病房临床护理工作中的实际工时,了解临床护理工作现状,为合理配置护理人力资源提供客观数据支持。方法:在一个工作周内采用观察法对某"三甲"医院两个病房的每位护士进行随机一对一跟随记录,由此计算出护理工作量和所需护士数量。结果:其内科病房每日总工时为3717.84min,需要护士20人,直接护理时间占总工时的43.9%,潜在非护理工时占总工时的17.6%;外科病房每日总工时3042.55min,需要护士16人,直接护理时间占总工时的44.7%,潜在非护理工时占总工时的17.8%。结论:病房护理工时分配不合理,潜在非护理时间占用过多护理工时,护士编制不足。

Objective： To investigate the actual working hours of clinical care and the current status of nursing work in clinical wards, and to provide objective data to support the rational allocation of human resources. Methods： We observed every nurse in two wards of one Grade Three Class A hospital in one working week. We followed them one on one to get the records of their working hours. Results： The total working hours per day in the medical ward was 3717.84 minutes and 20 nurses were needed. About 43.9% and 17.6% working hours were direct nursing time and potential non-nursing hours respectively. The total working hours per day in the surgical ward were 3042.55 minutes and 16 nurses were needed. About 44.7% and 17.8% working hours were direct nursing time and potential non- nursing hours respectively. Conclusion： Unreasonable distribution of ward nursing hours and potential non-nursing care hours takes too much nursing working hours which results in inadequate staffing of nurses.