临床护理工作量同一化计算方法的探讨

On unified calculation of clinical nursing workload

目的：为实现综合医院不同科室间护理工作量的客观比较，探寻综合医院护理工作量的同一化计算方法。方法以静脉输液直接护理时间作为临床护理工作量统计基本依据，对各科室护理服务项目的直接护理时间进行标化，作为计算护理工作量的一种尝试。结果得到了不同护理服务项目的同一化转换系数，实现了对临床护理工作量的合理计算及各科室间护理工作量的客观比较。结论以静脉输液直接护理时间作为临床护理工作量统计基本依据的同一化计算方法，操作简便，结果可信，为实施以服务质量及工作量为主的综合绩效考核制度与奖金分配提供可能性与可行性。

Objective To explore a unified calculation method of clinical nursing workload in a general hospital,so as to compare objectively nursing workload among different departments.Methods As an attempt to figure out the nursing workload,direct nursing time of venous transfusion was used as the statistical basis and direct nursing time of nursing service items in different departments were standardized.Results Conversion coefficient among different nursing service items was determined,with the result of realization of reasonable calculation of nursing workload and objective comparison of nursing workload among different departments. Conclusions The unified calculation of clinical nursing workload,using direct nursing time of venous transfusion as the statistical basis,is easy in operation and reliable in results,which makes it operable and feasible in comprehensive performance evaluation system and bonus distribution with serving quality and nursing workload as main index.