摘要
目的通过治疗干预评分系统-28(TISS-28)改进医院急诊重症加强治疗病房(EICU)不同班次中护理人员排班模式。方法2017年3月至6月贵州医科大学附属医院急诊科应用TISS-28对EICU中129名患者的护理工作量进行评定,以找出最佳人员安排。结果应用TISS-28预测白班及夜班护士工作量相当,白班TISS-28评分为(38.75±5.01)分,夜班TISS-28评分为(38.66±5.04)分。应用TISS-28预测白班和夜班的护患比差异无统计学意义(1:0.83±0.22比1:0.83±0.24,P>0.05),因此将我科责任护士由原来的白班9人,夜班5人,调整为白班7人,夜班7人。结论根据TISS-28评分可以合理安排白班与夜班的护理人员数量,减少夜班护士人均工作量,提高护理人员工作积极性,增加护士及患者满意度。
Objective To investigate whether the nursing staff scheduling pattern of different shifts in Emergency Intensive Care Unit (EICU) of a third-grade first-class hospital in Guizhou Province could be rationally arranged by using the therapeutic intervention scoring system-28 (TISS-28). Methods The nursing workload of 129 patients in EICU was evaluated by TISS-28 from March to June 2017 in the Affiliated Hospital of Guizhou Medical University to look for the best nursing staff scheduling pattern. Results The TISS-28 was used to predict the workload of nurses on night shift and day shift. The TISS-28 scores of day shift and night shift were similar, and they were respectively 38.75±5.01 and 38.66±5.04 scores. There was no statistical significant difference in predicting the nurse-patient ratio between day shift and night shift by using TISS-28 (1:0.83±0.22 vs. 1:0.83±0.24, P > 0.05). The number of nursing staff was adjusted from originally 9 nurses during day shift and 5 nurses during night shift to 7 nurses during day shift and 7 nurses during night shift. Conclusions According to TISS-28 score to arrange the numbers of nurses on night shift and day shift is reasonable, the nurse workload of night shift can be reduced and their working enthusiasm improved, thus the degrees of satisfaction of nurses and patients are getting higher.
作者
朱珠
Zhu Zhu(Department of Emergency, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China)
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2018年第6期665-666,共2页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
