以患者分类和工时测算为基础的护理人力配置模型的构建

Construction of nursing labor power allocation model based on patient classification and labor hour calculation

目的研究三甲综合医院患者分类结合护理工作量工时测算的护理人力配置方法。方法将传统的分级护理与Barthel自理能力评分相结合，将综合医院内外科病房患者分为特级、Ⅰa、Ⅰb、Ⅱa、Ⅱb和Ⅲ级护理6类，测算各类患者的每日直接、间接护理工作量。结果构建了三级综合医院内、外科病房基于患者分类和护理工作量工时测算的护理人力配置模型。结论基于患者分类和护理工作量工时测算的护理人力配置模型可真实反映内外科病房护理工作量的差异，能更合理地指导临床科学、合理、有效地配置和使用护理人力。

Objective To explore the nursing labor allocation model based on patient classification combined with nursing labor hour calculation in Class Ⅲ Grade A hospitals. Methods The patients in the general hospital were divided into 6 grades ： special grade, Ⅰ a, Ⅰ b, Ⅱ a, Ⅱ b and Ⅲ. The daily direct and indirect nursing labor for patients of different grade were calculated, combining traditional grading nursing with Barthel Self-Care Ability Score. Results A nursing labor allocation model based on patient classification and nursing workload and man-hour measurement in internal and surgical wards of Class Ⅲ general hospitals was constructed. Conclusions Nursing labor allocation model based on patient classification and nursing workload and man-hour measurement can truly reflect the difference of nursing workload between internal and surgical wards. It can guide the clinical scientific, rational and effective allocation and use of nursing manpower.