摘要
目的构建以工作状态为基础的不同护理单元人力资源配置方法 ,为寻求适合国情、科学客观、简便易行的护理人力资源配置方法提供依据。方法应用德尔菲(Delphi)法,定量分析各个评价指标所占权重,计算试行医院所有普通病区护理单元各自的工作状态评分。将护理工作状态评分从高到低排序,按照秩次将80个护理单元的护患比Fr(x)依次平均分布在0.6～0.4区间内,进而计算出应配备的护士人数。结果 2轮专家咨询问卷应答率分别为91.1%和88.7%,2轮咨询不同专家的权威系数为0.801～0.905,指标重要性赋值的变异系数(CV)0.056～0.087。通过德尔菲专家咨询最终确定的护理工作状态评价指标及权重分别为护理岗位工作量0.333、患者危重程度0.294、技术难度0.229、工作环境0.144。按照护理工作状态评分,获得秩次确定护患比和患者实际占用床日数,可计算各护理单元应配护士人数,建立以工作状态为基础的不同护理单元人力资源配置的方法。结论本研究构建了以工作状态为基础的不同护理单元人力资源配置方法。该方法简便可行、结果科学可靠,且可以实现随患者数量增减调整各护理单元护士人数,为合理配置护理人力提供了科学依据。
Objective To develop the method of nursing human resource allocation based on the working state of nursing units,and to provide reference for developing a scientific,convenient and feasible nursing human resource allocation method.Methods We used Delphi method to quantitatively analyze the weight of all the assessment indexes and calculated the score of working state of all 80 nursing units in the hospital.We calculated the number of nurses needed after we ranked the score from high to low and obtained the nursing-to-patient ratio ranging from 0.6 to 0.4.Results The response rate of experts in two rounds of consultation was 91.1%and 88.7%,respectively.The experts’authority coefficient in two rounds ranged from 0.801 to 0.905 and the variation coefficient of all indexes from 0.056 to 0.087.The final assessment indexes of nursing working state were nursing station workload,severe degree of the patients’disease,technique difficulty and working surroundings and their weight were 0.333,0.294,0.229 and 0.144 respectively.The nursing-to-patient ratio and the days that ward beds were in use were identified and calculated based on the score of nursing working state and then the number of nurses distributed to each unit was determined.Conclusion Being convenient and feasible,the method in the study can dynamically regulate the human resource allocation in different nursing units along with the number of patients and it provides the basis for reasonable allocation of nursing human resource and help to complete the performance appraisal system.
作者
魏丽丽
李环廷
宋蕾
胡志洁
修红
黄霞
姜文彬
单信芝
WEI Li-li;LI Huan-ting;SONG Lei;HU Zhi-jie;XIU Hong;HUANG Xia;JIANG Wen-bin;SHAN Xin-zhi(Dept.of Nursing Administration,Affiliated Hospital of Qingdao University,Qingdao 266003,China;School of Nursing,Qingdao University,Qingdao 266003,China)
出处
《护理学报》
2018年第5期19-23,共5页
Journal of Nursing（China）
基金
中国护理管理科研基金项目(CNM-2017-05)
关键词
德尔菲技术
人力资源配置
护理
工作状态
Delphi technique
human resource management
nursing
working state
