根据实际护理工作量探讨护理人力资源的合理配置

Reasonable proportion of nursing human resources based on practical nursing workload

[目的]通过对住院病人进行护理工时测定,确定病区平均每日护理工作量,为合理配置护理人力资源提供依据。[方法]采用自行设计的护理工时测定表,选取咸宁市中心医院25个病区为调查现场。采用观察法和记录法,对课题组确定的83项直接护理项目和30项间接护理项目进行护理时间测定,计算每个病区的实际护理工作量。[结果]直接护理时间占护理总时间的65.18%,80.00%病区存在不同程度的缺编现象,日均护理时间4 973.99min(82.90h),适宜的床护比为1∶0.54。[结论]对护理工作量进行测定,以合理配置护理人力资源。

Obj ective：Through the determination of nursing time for in pa-tients,to determine the average daily nursing workload in ward,to provide some basis for the reasonable allocation of nursing human resources.Meth-od：By using the self designed nursing time meter,choosing 25 wards in Xianning Central Hospital as the scene of the investigation.By taking the method of observation and recording,the nursing time of 83 direct nursing items and 30 indirect nursing items which were ensured by research group. Then to calculate the nursing workload and nursing staff preparation in each ward.Results：The direct nursing time accounted for 6 5 .1 8% of the total time of nursing.There are different degrees of shortage phenomenon in 80.00% wards.The total time of daily nursing is 4 973.99 minutes（82.80 h）,and the suitable bed/nurse ratio is 1∶0.54.Conclusion：In order to determine the suitable nursing human resources,nursing workload should be determined.