探讨护士排班需求登记表在护理管理中的应用

目的探讨护士排班需求与管理成效之间的关系。方法我院2009年1月-2011年2月选择急诊科、呼吸内科、儿科、神经外科为实验组,其它科室采用传统排班表的科室为对照组,实验组选用自行设计的“排班需求登记”。实验组的科室2周应用1次“排班需求登记”,护士根据自己的需求填写需休息的日期和天数及理由,并签名确认,护长也要签名。如遇上两个或两个以上同日需要休息的人员,护长根据填写的理由的急缓、事情的轻重及方方面面的情况,排好一周的人员上班表,必要时护长找双方交谈互让的理由。如需要临时调换班,必须在排班需求登记表的备注栏上注明。做到工作落实,干活开心,休息愉快。调查分析两组护理人员的护理质量及离职意愿;采用护士工作满意度量表（MMSS）调查护士工作满意度。结果通过护士工作满意度量表（MMSS）调查,护理质量及服务品质两组比较,护长在排班时权衡工作及护理人员生活、学习轮休所需,进行科学统筹排班,使护理人员工作绩效、工作满意度和离职意愿与实验组相比差异有显著性（P〈0．05）。结论护长根据“排班需求登记”排班,护长在排班时充分考虑科室和护士双方的需求不但妥善安排工作,还营造关爱和谐、尊重平等的人际氛围,是提升服务品质和工作满意度,增加工作绩效和稳定护理队伍的关键。

To explore the application of nursing-shift-arrange requirement register table for nursing management

Objective To explore the relationship between nursing-shift-arrange requirement and the management efficacy of.Methods From Janury 2009 to February 2011,chose Emergency Department,Respiratory Medicine Department,Pediatrics Department,and Neurosurgery Department in our hospital.Set self-designed scheduling table with “Rostering Requirement Registration” as experimental group,The other departments using traditional scheduling table were set as control group.Experimental group was used “Rostering Requirement Registration Table” biweekly.The nurse filled the day off date,days,and reason according to their needs in the “Rostering Requirement Registration Table”.After checking,the head nurse also needed to sign.If there were two nurses or above needed to have day offon the same day,the head nurse would consider the staff need of day off reasons and other aspects to arrange the weekly staff working schedule.Staff could talk with the head nurse about the working schedule,if necessary.If the staff needed to change the work shift temporarily,they must mark on remark column of the “Rostering Requirement Registration Table”.Investigated and analyzed the care quality and demission intention of two groups so that the staff could work and rest happily; Mueller/Mccloskey Satisfaction Scales (MMSS) was used to survey the job satisfaction of nurses.Results Compared the care quality and service quality of the two groups with Mueller/Mccloskey Satisfaction Scales (MMSS).The head nurse would consider the staffs' work,daily life,study,and day off to arrange the work shift.Comparing the job performance,job satisfaction and the demission intention of nurses with the experimental group,there was significant difference (P＜0.05).Conclusion The head nurse arranges the work shift according to the “Rostering Requirement Registration Table” and consideration of the needs of both departments and the nurses.It not only makes the work arrangement properly,but also creats a interpersonal atmosphere; that is full of care,harmony,equality and respect.These are the key to improve the service quality,job satisfaction,job performance and steady the nursing team.