摘要
目的调查儿童综合医院重症医学科护理工作量及护理人力资源配置现状。方法采用护理活动评分量表,于2019年3月1日至31日连续31 d,每天3个时间点,即每班次下班时的1600、0000、800,共93个时点对当班所有患儿进行数据采集,评估住院所有患儿所有班次的护理工作量及护理人力资源配置情况。结果共采集了2703份护理工作量及护理人力资源配置相关数据。儿童综合医院重症医学科患儿护理活动评分量表得分平均为(58.63±10.81)分;儿童综合医院重症医学科护士总体配置上,每例患儿每班次实际配置的护士数小于理论应配置护士数,两者比较差异具有统计学意义(P<0.01)。各班次每例患儿实际配置的护士数与理论应配置护士数相比,差异具有统计学意义(P<0.01)。结论儿童综合医院重症医学科护理人力资源配置应该与成人ICU持平或高于成人ICU。儿童综合医院重症医学科护理人力资源总体配置和各班次配置均不足,夜班护士工作负荷尤其过重。护理管理者应努力提高护理人力资源的总体配置水平和各班次配置水平,并根据白夜班护理工作量的差异,进行护理人力资源的精确配置。
Objective To investigate the nursing workload and nursing human resource allocation in Pediatric Intensive Care Unit(PICU)of children's general hospital.Methods Nursing Activity Score(NAS)was used from March 1st 2019 to March 31th 2019 to collected date at three time points per day for 31 consecutive days.At the end of each shift,16:00,00:00 and 8:00,all date were collected to evaluate the nursing workload and nursing human resource allocation of all shifts of all hospitalized children during the period.Results A total of 2703 data on nursing workload and nursing human resource allocation were collected.The average score of NAS of children in PICU of children's general hospital was(58.63±10.81).As for the overall allocation of PICU nurses,the actual number of nurses in each shift of each patient was lower than the theoretical date,the difference was significant(P<0.01).The actual number of nurses per patient in each shift was significantly lower than the number of nurses should be allocated in theory(P<0.01).Conclusion The allocation of nursing human resources should be equal to or higher than that in adult ICU.The overall allocation of nursing human resources and the allocation of each shift in PICU of children's general hospital are insufficient.The nurses are overloaded,especially the night shift nurses.Nursing managers should strive to improve the overall allocation of nursing human resources and the allocation of each shift.Nursing managers should allocate nursing human resources accurately according to the difference of nursing workload on different shift.
作者
李莲叶
陈静
李广玉
张琳琪
曲斌
LI Lianye;CHEN Jing;LI Guangyu;ZHANG Linqi;QU Bin(Intensive Care Unit,National Children's Medical Center,Beijing Children's Hospital Affiliated to Capital Medical University,Beijing 100045,China;Party Committee,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing 100038,China;Nursing Department,National Children's Medical Center,Beijing Children's Hospital Affiliated to Capital Medical University,Beijing 100045,China)
出处
《护理管理杂志》
2022年第4期300-304,共5页
Journal of Nursing Administration
基金
北京市医院管理局重点培育专业项目(ZYLX201813)
首都医科大学附属北京儿童医院儿科护理学研究专项项目(YHL201911)。
