某医院不同科室护理工时测量及分类研究

Nursing labor-hour Measurement and Classification in Different Wards of Our Hospital

目的:通过测定综合医院不同专科的护理工作量,探讨护理人力合理配置方法。方法:对全院37个病区进行护理工时测量,计算各病区护理工作量、每位患者每日所需平均护理时数及护士配比,并根据每位患者每日所需平均护理时数对临床科室进行系统聚类。结果:经护理工作量显著性差异比较,合并相似病区,得到33个临床科室,进而根据工作量大小将33个科室聚类为6个水平,其每位患者平均每日护理时数分别为258.63min、200.36min、174.35min、143.46min、116.91min、91.87min。结论:不同专科护理工作量存在较大差异,应根据专科性质合理配置护理人力。

Objective： To explore an appropriate nurse staffing method through nursing workload measurement in different wards. Methods： Thirty sevea wards were involved in this investigation. The nursing workload, nurse hours per patient day （NHPPD） and nurse/ bed ratio of each ward were calculated separately. Then, all the wards were classified by systemclustering method according to NHPPD. Results： 37 wards are merged into 33 single wards on the basis of significant difference among different wards, and the 33 departments were classified into 6 levels. Their NHPPDs were 258.63 min, 200,36min, 174.35min, 143.46min, ll6.91min and 91.87min, respectively. Conclusion： A big differences of nursing workload may exist among different wards. We should appropriately arrange human resources for different departments.