基于流行病学调查和工时测定的急诊抢救室护理人力配置研究

doi:10.3761/j.issn.2096-7446.2022.01.011

Abstract

Abstract: Objective To explore how to allocate the nursing manpower resources reasonably by calculating nursing workload in emergency room through epidemiological investigation and working hour determination. Methods A retrospective analysis was made on the patients in the emergency room from January 2017 to December 2019. We designed the observation table of nursing items and trained the observers to measure average working hours and the total nursing workload of each nursing operation,then allocated the nursing human resources reasonably. Results 9 735 patients were treated in emergency room from 2017 to 2019,mostly aged 60 to 70（23.4%）. Diseases were mostly circulatory diseases（34.2%）. The patient's median stay length in the emergency room was 0.94 days,and the peak treatment time was 12：00— 17：59 and 21：00— 23：59. The emergency department involved 85 items of direct nursing procedures and 18 items of indirect nursing procedures. On average,the total work time of nursing care for each patient was 411.13 min per 24 h,the theoretical bed-nurse ratio was 1∶ 1.69,and the nurse-patient ratio was 1.54∶ 1. Conclusion Nursing workload was heavy and manpower was insufficient in emergency room. According to the characteristics of the patient,nursing managers should strengthen nurse' theoretical training,increase staffing,dynamically replenish manpower,optimize team structure,improve hospital support system and improve the work efficiency in emergency room.

Key words: Stopwatch Measurement, Crew Resource Management, Health, Emergency Service, Hospital, Epidemiologic Methods, Nursing Administration Research

CAI Mengxin, YUN Hui, CHEN Jing, SU Meng, ZHOU Wenhua. Research on the allocation of nursing manpower in emergency room based on epidemiological investigation and working hour determination[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(1): 61-66.

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Research on the allocation of nursing manpower in emergency room based on epidemiological investigation and working hour determination

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