护理岗位动态调度法在缓解急诊科拥挤现象中的应用效果

目的探讨护理岗位动态调度法在缓解急诊科拥挤现象中的作用。方法选取2010年1—6月及2011年1—6月急诊科18：00～1：00班次的各80名护士作为对照组及观察组。对照组护士使用传统的排班模式，实验组护士采用岗位动态调度法。对两组护士在患者、医生、护士满意度及护理质量检查结果进行比分析。结果对照组患者满意度为90．6％，医生满意度为82．0％，护士满意度为85．0％，实验组患者满意度为97．2％，医生满意度为96．0％，护士为96．3％，两组比较差异有统计学意义（X2分别为9．862，5．005，5．959，8．636；P〈0．05或P〈0．01）。结论启用护理岗位动态调度法后，提高了抢救室、输液室和留观室的处置效率，减轻了护士的劳动强度，使患者、医生及护士满意度得到了提升，有效地缓解了急诊科拥挤现象。

Effect of nursing job dynamic scheduling method on easing emergency department crowding

Objective To explore the effect of dynamic job scheduling method on the easing emergency department crowding. Methods Totals of 80 nurses in the emergency department at 6 pm-1 am from January to June in 2010 were control group, which adopted traditional scheduling model, and 80 nurses in emergency department at 6 pm-1 am from January to June in 2011 were control group were experimental group,which adopted dynamic job scheduling method. Then, satisfactionof patients, doctors, nurses and the quality of care were observed in two groups and compared. Results Between the experimental group and control group, patients＇ satisfaction （97.2 vs 90.6）, doctors＇ satisfaction （96.0 vs 82.0）, nurse satisfaction （96.3 vs 85.0）, quality of care （ 87.21 ± 4.31 vs 92.26 ± 3.24 ）, and the difference was statistically significant （ X2 = 9.862,5. 005,5.959,8. 636; respectively;P 〈 O. 05 or P 〈0.01）. Conclusions Dynamic job scheduling method implementing can improve the disposal efficiency of emergency room, infusion room and observing room, reduce labor intensity of nurses, improve patients and accompany people＇s satisfaction, and effectively easing crowding of emergency room.