临床护理工作量测量方法研究

介绍了护理工作量的内涵、测量意义及国内外对护理工作量测量方法相关研究,提出应结合临床实际护理工作量探讨一种科学、合理的护理工作量测量方法,为临床护理人力资源配置提供依据。     

临床护理工作量测量方法研究

介绍了护理工作量的内涵、测量意义及国内外时护理工作量测量方法相关研究.提出应结合临床实际护理工作量探讨一种科学、合理的护理工作量测量方法,为临床护理人力资源配置提供依据.     

天津市某三级甲等中医院基于医院信息系统的护理工作量现状调查

目的:调查天津某三甲中医院基于医院信息系统护理工作量,了解其现状。方法:利用医院信息系统,结合负荷权重法对护理工作量进行统计。结果:从医院信息系统中筛选124项护理相关工作项目,通过分类、负荷权重赋值计算全院护理工作量、护理项目构成,根据各护理单元工作量进行排名。结论:基于医院信息系统和专家权重负荷相结合测量护理工作量,兼顾护理操作负荷强度及难度对护理工作的影响,成为有效、便捷的护理工作量测量方法,为护理人力资源的合理配置提供可靠依据。     

我国护理工作量测量方法的研究进展

对近几年我国护理工作量测量方法,如计数法、计时法、赋分法的使用情况及研究状况进行了综述,指出在护理工作量测量方面最需要解决的问题是护理工作范围的确定.     

我国护理工作量测量方法的研究进展

对近几年我国护理工作量测量方法，如计数法、计时法、赋分法的使用情况及研究状况进行了综述。指出在护理工作量测量方面最需要解决的问题是护理工作范围的确定。     

国内基于医院信息系统护理工作量化管理研究进展

通过检索2012～2017年PubMed、Embase、中国知网、万方数据库、中国生物医学数据库、中文科技期刊数据库相关文献共计48篇,进行逐一阅读筛选,归纳整理出护理工作量的影响因素、测量方法进展以及国内基于医院信息系统的护理工作量化研究方法和意义。应用医院信息系统,对护理工作进行量化管理,有助于合理配置护理人力资源、优化护理绩效分配制度,提高护理工作质量和管理效率。     

护理工作量测量方法研究进展

护理工作量测量是进行护理精细化管理的基础,选择科学、有效的护理工作量测量方法对于护理管理者尤为重要。对国内外护理工作量测量方法的研究进展进行综述,为我国临床护理工作者选择科学合理、简便易行的护理工作量测量方法提供参考。     

医院护理人力测量及配置研究进展

介绍了护理工作量测量法的相关概念、国内外护理工作量的测量方法、护理人员配置方法,结合现阶段中国护理临床的实际情况,运用分级护理测量护理工作量的方法与护理人员编制公式及相关系数计算相结合的方法配置护理人员.     

ICU护理工作量测量方法的研究进展

合理配置ICU护理人力,避免人力资源的缺失和浪费,是ICU护理质量和患者安全的重要保障,而护理工作量的准确测量则是人力资源配置的基础。本文就目前国内外常用的ICU护理工作量测量方法展开综述,旨在发现最佳的、适合国内ICU的护理工作量测量手段,以供临床护理管理者和相关研究人员参考。     

护理工作环境相关研究进展

本文从护理工作环境的含义、护理工作环境的测量、护理工作环境的相关理论以及与护理工作环境有关的研究进展等方面进行综述,旨在帮助医院及护理管理者了解国内外护理工作环境的相关进展,为进一步的研究和决策提供参考。     

Reconsidering the conceptualization of nursing workload: literature review

AIM: This paper reports a literature review that aimed to analyse the way in which nursing intensity and patient dependency have been considered to be conceptually similar to nursing workload, and to propose a model to show how these concepts actually differ in both theoretical and practical terms. BACKGROUND: The literature on nursing workload considers the concepts of patient 'dependency' and nursing 'intensity' in the realm of nursing workload. These concepts differ by definition but are used to measure the same phenomenon, i.e. nursing workload. METHOD: The literature search was undertaken in 2004 using electronic databases, reference lists and other available literature. Papers were sourced from the Medline, Psychlit, CINAHL and Cochrane databases and through the general search engine Google. The keywords focussed on nursing workload, nursing intensity and patient dependency. FINDINGS: Nursing work and workload concepts and labels are defined and measured in different and often contradictory ways. It is vitally important to understand these differences when using such conceptualizations to measure nursing workload. A preliminary model is put forward to clarify the relationships between nursing workload concepts. CONCLUSION: In presenting a preliminary model of nursing workload, it is hoped that nursing workload might be better understood so that it becomes more visible and recognizable. Increasing the visibility of nursing workload should have a positive impact on nursing workload management and on the provision of patient care.     

Measuring the Dose of Nursing Intervention

PURPOSE: To increase awareness of the many issues involved in measuring the dose of nursing intervention in nursing interventions effectiveness research. METHODS: Identify critical issues in measurement of the dose of nursing intervention and discuss decisions regarding dosage measurement made in a study of the effectiveness of nursing interventions. FINDINGS: A single method can be applied to resolve two critical issues in intervention dosage measurement. CONCLUSIONS: Those conducting nursing interventions effectiveness research must think explicitly about how intervention dosage will be measured and reported so that dosage can be replicated in research and practice. PRACTICE IMPLICATIONS: Measuring and reporting the dose of nursing intervention in research is essential to the development of an evidence base adequate to support practice.     

国内护理人力工作量测算配置法研究进展

护理工作量测算配置法是护理人力资源配置的重要方法之一。本文通过对护理工作量测算的相关研究进行回顾分析,从护理工作量的测算依据、研究结果和面临的挑战方面进行综述,为优质护理服务背景下,各医院合理、恰当地配置护理人力提供参考和借鉴。     

不同护理等级及不同专科患者的护理项目评估

目的探讨不同护理等级患者护理项目的异同，为科学测量护理工作量提供依据。方珐应用调查研究方法，随机选取内科、外科和老年病房374例不同护理等级患者进行现场调查，记录对患者所实施的护理项目。结果特级护理患者应用的主要护理措施项目为51项，1级护理为46项，2级护理为33项，3级护理为23项，项目和内容均有所不同；相同护理等级的内科、外科和老年患者的护理项目数也不相同。结论测量护理工作量时应考虑护理等级的构成和专科的区别，根据其相应的护理项目分析测定护理工作量。     

Determination of standard times of nursing activities based on a Nursing Minimum Dataset

Title.  Determination of standard times of nursing activities based on a NursingMinimum Dataset.
Aim.  This paper is a report of a study conducted to determine the standard time per nursing activity and the proportion of nursing time covered by the nursing activities of the Belgian Nursing Minimum Dataset compared to the total time of a nurse shift, and to evaluate the correlation between hospital size and standard times of nursing activities.
Background.  Because of a shrinking workforce and rising workload, nursing managers need tools that help them to allocate their staff to the wards. Such tools should be based on objective time measurements.
Methods.  The study was performed in surgical, internal medicine and elder care wards in an acute hospital care setting. In the first phase, a two-round Delphi-procedure was used to operationalize the definitions of nursing activities. In the second phase, the standard time for each nursing activity was determined, based on data collected over a 6-month period during 2006–2007. A combination of 13,292 work sampling observations by external observers, 3000 recordings of direct time measurement by self-recording and subjective time assessments yielded times that were used to analyse the duration of the nursing activities.
Results.  A standard time for 102 nursing activities was established. The coverage of the Belgian Nursing Minimum Dataset in the surgical, internal medicine and elder care wards was 47·5%, 46·4% and 51·0% respectively. The Belgian Nursing Minimum Dataset was found to cover almost 70% of direct and indirect nursing care.
Conclusion.  Further research is needed to assess the impact on the standard times of nursing activities of inefficient organizational structures and different cultural interpretations of the way an activity is conducted.     

住院患者基础护理服务工时测定

目的:定量了解住院患者的基础护理需求,为合理评估护理工作量、配置护理人员提供参考。方法:采用工时测定法对住院患者所需的基础护理服务项目进行测量,收集并计算单项护理操作的平均时间和不同护理级别患者每日所需基础护理平均时间。结果:实施责任制整体护理会增加临床护士的工作量,不同护理级别的患者所需基础护理服务量明显不同。结论:医疗机构应合理配置护理人员,以满足患者需求,保证护理服务质量。     

综合医院直接、间接护理时间测量探索

随着医疗护理模式的改变和医疗体制的改革，护理工作的内涵与工作范围都发生了较大的变化。为了进一步了解综合医院护理工作量，探讨合理的护理编制，作者于2001年就华西医科会一院36个临床科室，106个病人，78项护理操作时间，以及内外科各级护理病人所需护理时间进行了测量和分析。揭示了综合医院护理工作的现状，为进一步的护理人员研究提出了参考意见。     

我国分级护理研究进展

从分级护理的概念、决策主体、护理工作量的测定、护理成本核算、护理级别的差异性研究及分级护理的内容等方面进行综述,为今后开展分级护理的进一步研究提供借鉴和思考.     

护理队伍分工模式的现况调查

目的了解不同学历层次护理队伍分工模式的现况,为探讨科学合理的护理人员分工模式提供参考依据。方法采用自编问卷,对四川、湖北2省和重庆市的4所三级甲等医院、2所二级甲等医院的1 609名护士进行调查,内容包括护理人员的分工情况、工作满意度、工作负荷、对所在单位分工模式的认可情况4个方面。结果1 609名不同学历层次护士的分工情况,除硕士以外无论中专、大专还是本科护士,认为生活护理和技术性护理比例相当达40.0%以上,生活护理5.0%;护理人员对所在单位分工模式的认可度较差,多数集中在"较合理"和"一般";60.0%以上护士均认为所承担的工作负荷较重;护理人员对所从事的工作满意度不高,大多数表示"较满意"和"一般";不同学历层次护士对所在单位分工模式的认可、对自己所承担工作负荷状态的认知、对自己对所从事工作的满意度方面差异均有统计学意义(P0.05),除硕士外,高学历护士对所在单位分工模式认可差,明显感觉工作负荷重,对所从事的工作不满意。结论护理管理者应改革旧的护理队伍分工模式,形成按护理人员学历和职称层次分工的新模式,分层使用护士,科学编配护理人力,稳定护理队伍。