血液透析护理人力资源配置方法探索与现况调查

Exploration and investigation of human resource allocation in hemodialysis nursing

目的探索血液透析护理人力资源配置计算方法,了解血液透析护理人力资源配置现状,为医疗行政部门完善相关管理政策提供依据。方法建立血液透析护理人力资源配置护患比计算方法,采用自行设计的调查问卷对陕西省178所医院血液透析室护理人力资源情况进行调查。结果陕西省血液透析室全天护患比为1∶6.09(4.93,7.03),达到时点护患比1∶6.67的医院122所(68.54%)。不同性质、等级、开设班次医院全天护患比达标率比较,差异有统计学意义(均P<0.05)。81.46%医院血液透析护理人力资源年实际配置总人数达到理论配置总人数。结论陕西省血液透析总体护理人力配置及时点护理人力资源配置整体基本达标。建议在血液透析护理人力配比及各班次时点排班时,参考时点护患比临界值及护士人力资源总体配置数量计算方法,合理安排护理人力,以减轻护士工作压力,确保患者的透析质量和安全。

Objective To explore the calculation method of hemodialysis nursing human resource allocation,to understand the current situation of hemodialysis nursing human resources allocation,and provide a basis for medical administrative departments to improve relevant management policies.Methods A calculation method of nursing human resources allocation for hemodialysis nursing was established,and a self-designed questionnaire was used to investigate the nursing human resources of 178 hospitals in Shaanxi Province.Results The all-day nurse-patient ratio of hemodialysis units in Shaanxi Province was 1:6.09(4.93,7.03),and 122 hospitals(68.54%)achieved a point-in-time nurse-patient ratio of 1:6.67.Comparison of all-day nurse-patient ratio attainment rates in hospitals of different natures,grades,and opening shifts showed statistically significant differences(all P<0.05).81.46%of the hospitals annual actual allocation of human resources for hemodialysis nursing had reached the theoretical total number of personnel allocated annually.Conclusion The overall nursing human resources allocation in point-of-care human resource allocation for hemodialysis nursing in Shaanxi Province basically meets the standard.It is recommended that when the managers implement the hemodialysis nursing manpower allocation and point-in-time scheduling of each shift,the critical value of point-in-time nurse-patient ratio and the method of calculating the number of overall allocation of nurses′human resources should be referred to,and the nursing manpower should be arranged reasonably,so as to reduce the pressure of nurses′work and to ensure the quality and safety of patients′dialysis.