基于工业工程理论的护理流程调查研究

Investigation and research on nursing process based on industrial engineering theory

目的探究天津市三级甲等综合医院护理工作流程现状,诠释护理人力资源可利用空间,寻找配置与优化新思路。方法根据工业工程理论和程序分析法,结合护理专业特性,定义活动名称、构建护理流程水平评价指标及公式,采用工作日写实法对天津市4家三级甲等医院共48个科室中多个岗位的护士工作流程进行调查分析。结果天津市三级甲等综合医院总体护理流程水平β=0.756。其中,流程效用系数β1=0.913,连贯系数β2=0.627。不同医院、科室间护理流程水平存在差异,其中,流程连贯水平差异较大且整体水平较低。结论天津市三级甲等综合医院的护理流程水平有待提高。需从提高护理工作的连续性入手,适当增加储备人才、加强护理流程标准化培训、探索更加灵活的排班方法,有条件的医院、科室可探索将信息化技术应用于护理工作中,或实施无陪护模式,以减轻护士工作负荷,提高护理流程的连贯性,从而提高护理流程水平,提升护理工作质量和效率。

Objective To explore the current status of nursing work process in Tianjin Third Grade A General Hospital,to interpret the available space of nursing human resources,and to find new ideas for configuration and optimization.Methods According to the industrial engineering theory and program analysis method,combined with the characteristics of nursing professional,define the name of the activity,build the evaluation index and formula of the nursing process level,the workday practice method was used to investigate and analyze the nurses'work processes in a total of 48 departments in four hospitals in Tianjin.Results The overall nursing process level of Tianjin Third Grade A General Hospital was:β=0.756.Among them,the process utility coefficient was:β1=0.913,and the coherence coefficient is only:β2=0.627.There were differences in the level of nursing processes between different hospitals and departments.Among them,the process coherence level was different and the overall level was low.Conclusions The level of nursing procedures in Tianjin Third Grade A General Hospital needs to be improved.It is necessary to improve the continuity of nursing work,appropriately increase the reserve talents,strengthen the standardized training of nursing procedures,and explore more flexible scheduling methods.Conditional hospitals and departments can explore the application of information technology in nursing work or implement an unaccompanied mode to reduce the workload of nurses and improve the continuity of the nursing process,thereby improving the level of nursing processes and improving the quality and efficiency of nursing work.