运用线性规划和指派模型优化急诊科护理人力资源配置的研究

Application of linear programming and assignment model on optimizing the allocation of human resources in Emergency Department

目的：探讨线性规划和指派模型在护理排班中的应用,优化护理人力配置、达到护士分层使用。方法2014年度运用线性规划数学原理计算每日上班的最少人数,再根据每名护士操作时长进行最优化指派工作。与2013年的护理工作量、人员配置数量、技能考核成绩、护士工作负荷的自我评定、护理质量质控结果对比进行回顾分析。结果急诊量和“120”车次年度间按月比较差异有统计学意义（P〈0.05）,在岗护士总人数年度间比较差异无统计学意义（P〉0.05）,而工时数、加班时间和接受培训时间比较差异有统计学意义（P〈0.05）,护理技能考核有统计学意义（P〈0.05）,9项护理质控指标均达到我院护理部要求。结论运用线性规划和指派模型法可优化急诊护理人力资源配置。

Objective To explore the application of linear programming and assignment model on nursing shift mode, in order to reduce the nursing manpower allocation and reach nurse hierarchical use. Methods In 2014, linear programming was applied to calculate the number of the minimum number of daily work, and then we assigned job optimally according to the average operation time of each nurses. We analyzed comparisons retrospectively in the workload of nursing work in 2013, the number of personnel, skills assessment scores, self-assessment of the work load of nurses, and nursing quality control results. Results There were statistically significant in the differences of Emergency Room （ ER ） visits and times of “120” ambulance utilization in each month′s comparison （P〈0. 05）; but the total number of staff members had no statistical significance comparing in several years （P〉0. 05）;the comparisons in working hours, overtime hours, training time, nursing skills assessment had statistical significance （P〈0. 05）, as well as the nurse′s skill assessment （P〈0. 05）;all 9 nursing quality control indicators reached the requirements of the Nursing Department of our hospital. Conclusions It can optimize emergency nursing human resource allocation by using linear programming and assignment model.