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病人分类系统应用于护理人力配置的研究进展 总被引:4,自引:0,他引:4
随着卫生系统改革,人们健康需求增加及医学快速发展,护理人员的配置越来越受到护理界重视,科学地进行护理人力配置是护理管理中重要的一环,是决定护理工作质量的重要因素。护理人员合理配置对提高整个卫生人力系统的利用效率起着重要作用。目前,应用病人分类系统进行护理人力配置是国外最普遍的人力配置的方法,这项研究已较为成熟,近年来,国内有许多护理管理者已开始关注护理人力测算这方面的研究,但少见将病人的分类系统研究与护理人力测算结合起来的报道。本文主要介绍病人分类系统的发展状况及其应用于护理人力配置的研究,以及我国在护理工作测量和护理人力配置方面的研究状况,并期待其在国内能够得到发展与应用。 相似文献
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我院护理人力资源现状分析与思考 总被引:2,自引:1,他引:2
护理工作是医院医疗工作中不可缺失的一部分,它在保障医院正常运行当中起着重要的作用。科学合理地配置护理人员是提高护理质量最基本和首要的条件。我院自建院以来从未对医院护理人力资源现状进行过系统地分析,故在微观调控和宏观管理上常处于一种盲日无助状态。为此,本着求真务实的态度,对我院目前护理人力资源现状进行了全面的调查,力求通过数据的统计与分析发现医院护理人力资源中存在的问题,找出管理当中的薄弱点及今后改进的思路和努力的方向,为我院护理人力资源配置逐步走上科学、合理之路奠定基础。 相似文献
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目的调查新疆精神卫生系统护理人力资源配置现状,探讨其合理配置策略。方法采用问卷对新疆24所精神卫生专科医院和综合医院所设的精神科从事护理工作的全体在岗护士配置现状进行调查。结果 24所医院中床护比只有5所符合10.4的标准,护士人员配置不足;护理队伍合理结构未形成;护理队伍年轻化;合同制护士构成比例高。结论新疆精神卫生护理人力资源配置存在严重短缺。科学合理的配置护理人力资源,改变目前精神科护理人员严重短缺,对提高护理服务质量,确保精神科护理安全及促进本学科发展至关重要。 相似文献
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医院护理人力资源配置中存在的问题及对策 总被引:20,自引:11,他引:20
通过分析目前我国护理人力资源配置的现状,发现存在的主要问题有:医院护理人力资源配置可参考的标准陈旧;医院护理人员数量不足;医院护理人员年龄结构过于年轻化;医院护理人员学历层次偏低;医院护理人员职称结构不合理,中高职称比例低;医院护理人员流失大等。对策:建议修订配置标准;适当增加医院临床护士数量;提高现有护理人力资源利用率;加强护士的在职培训和学校教育;规范护理技术职称的评审,保持护理队伍合理的技术职称结构。 相似文献
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张维 《临床和实验医学杂志》2008,7(5):91-93
目的分析医院临床护理人力资源配置和使用的现状。方法对我院387名护士的学历、职称及10个住院科室的床护比、床位使用率、护士人均每周工作总时数、月平均晚夜班数和年流失人数进行统计分析。结果护理人员整体素质较低、护理人力资源配置不足、护士流动性大,影响医院护理工作质量和发展。结论加强护士在职继续教育、科学合理配置护理人力资源、实施人性化管理是当前护理管理工作的重点。 相似文献
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目的 对国内外护理人力资源配置政策进行范围审查,为优化国内护理人力资源配置提供参考。 方法 系统检索各国政府网站、法令政策网站、国际组织网站,以及PubMed、Web of Science、中国知网、万方数据库中的相关研究。检索时限为建库至2021年9月。 结果 共纳入8个国家/地区的15篇政策文献。在配置参考指标上,中国与英国北爱尔兰均采用床护比,其他国家/地区采用护患比。在护理人员结构上主要包括注册护士和非注册护士两类,不同国家/地区的护理人员结构比例不同。3个国家/地区规定了急诊科护理人力资源配置,国内急诊科的配置按照床护比制订了通用标准,美国加州和澳大利亚维多利亚参考护患比,并根据工作区域或班次进一步细化了急诊科护理人力资源配置。5个国家/地区规定了重症监护室护理人力资源配置,配置参考依据不同,其中国内重症监护室的护患比最高。 结论 需进一步健全国内护理人力资源配置政策,丰富护理人员结构并充分发挥应用价值,继续完善急危重症科室的配置方案,推进护理人力资源配置政策的落实。 相似文献
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目的:探讨我国医院病房护士人力配置与工作超时情况及其相关因素。方法:本研究对我国内地不同地区的181家三级、二级医院的9698名病房护士的调查资料进行二次分析。本研究属描述性研究,采用患护比测量我国医院病房的护士人力配置,通过护士在一个班次中实际工作时间与预定时间之差计算其工作超时时间。将不同病区特征的护士人力配置与国家最低配置标准进行比较,并进一步分析护士人力与工作超时的关系。结果:病房患护比平均为1∶(0.36±1.51),其中西部地区医院、二级医院和非省会城市/直辖市医院病房患护比较高,护士短缺更严重。护士在最近的一个工作日,工作超出8h的高达46.6%,超过10h的占12.7%。患护比每增加1,护士工作超时的几率增加23.4%。结论:我国大部分医院的病房护士人力未达到国家最低配置标准,临床一线护士工作超负荷,尤以西部地区、非省会城市/直辖市和二级医院更明显。增加病房护士人力,降低患护比,可以改善护士工作超时的现象。 相似文献
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Liang YW Huang LC Yin YC Chen WY Chuang CL Lee JL 《Hu li za zhi The journal of nursing》2010,57(5):77-82
Staff shortages present nurses with ever increasing levels of stress and working hours. This has resulted in a corresponding increase in talent flight away from the nursing profession. Responding to financial constraints imposed by the Bureau of National Health Insurance (NHI), Taiwan hospitals have reduced nursing staff numbers and recruited nurses at lower levels of competencies and experience. However, few studies have explored the impact of nurse staffing on patient outcomes in Taiwan. Accordingly, we review relevant literature on nurse classifications, the current status of Taiwan nursing manpower, Taiwan and other national regulations on nursing staffing, and the impact of nursing staffing on patient outcomes in an effort to facilitate future study. Our literature review demonstrated that insufficient nursing staffing relates significantly to rates of nosocomial infections, patient mortality, patient falls, pressure ulcers, and rates of patient and family satisfaction. Insufficient nurse staffing leads to increases in adverse patient events, prolonged average hospital stay lengths, and total healthcare expenditures. Evidence shows that nurse staffing is closely linked to patient outcomes. 相似文献
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我国护理人力资源短缺的现状分析 总被引:9,自引:5,他引:4
文章综述了我国护理岗位人力资源配置不足,护士学历、职称比例不合理的现状。通过对我国护理人力资源短缺所引发的问题及原因的探讨,提出了合理配置人力资源的对策,为制订合理的、人性化的配置方式提供理论依据。 相似文献
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The relationship between nurse staffing and patient outcomes 总被引:10,自引:0,他引:10
Sasichay-Akkadechanunt T Scalzi CC Jawad AF 《The Journal of nursing administration》2003,33(9):478-485
OBJECTIVES: To examine the association between in-hospital mortality and four nurse staffing variables-the ratio of total nursing staff to patients, the proportion of RNs to total nursing staff, the mean years of RN experience, and the percentage of nurses with bachelor of science in nursing degrees. BACKGROUND: Studies suggest that nurse staffing changes affect patient and organizational outcomes, but the impact of nurse staffing on patient outcomes has not been studied sufficiently and the results of the previous studies are equivocal. Additionally, the studies of the relationship between nurse staffing and patient outcomes or the impact of nurse staffing on patient outcomes had not been previously examined in Thailand. METHODS: A retrospective, cross-sectional, observational research design was employed to study the research questions. Data of 2531 patients admitted to seven medical units and 10 surgical units of a 2300-bed university hospital in Thailand was used. All data of patients admitted to this hospital with four common groups of principal diagnoses (diseases of the heart, malignant neoplasms [cancer of all forms], hypertension and cerebrovascular diseases, and pneumonia and other diseases of the lung) was extracted from patient charts and discharge summaries in the calendar year 1999. Nurse staffing variables for each nursing unit in 1999 came from nursing service department databases. Multivariate logistic regression was used to determine the relationship between nurse staffing variables and in-hospital mortality. RESULTS: The findings of this study revealed that the ratio of total nurse staffing to patients was significantly related to in-hospital mortality in both partial and marginal analyses, controlling for patient characteristics. In addition, the ratio of total nursing staff to patients was found to be the best predictor of in-hospital mortality among the four nurse staffing variables, controlling for patient characteristics. The study did not find any significant relationship between in-hospital mortality and three nurse staffing variables (the proportion of RNs to total nursing staff, the mean years of RN experience, and the percentage of bachelor degree prepared nurses) probably due to the low variation of these variables across nursing units or because they may have correlated with other variables. CONCLUSIONS: The findings of this study add to our understanding of the importance of nurse staffing and its relationship to the patient outcome of hospital mortality. Further, the findings also provide information for hospital and nursing administrators to use when restructuring the clinical workforce, revising hospital policies, or making contractual decisions on behalf of nursing and public beneficiaries. 相似文献