CAJ | 학술논문

目的：探讨改良护理活动量表（nursing activitiesscore，NAS）在神经外科重症监护室（neurosurgery intensive care unit，NICU）人力资源管理中的应用方法和效果。方法应用改良NAS量表对NICU 34例危重病人及94例手术后病人各班次（白班、小夜班、大夜班）护理工作量进行测量，并计算各班次护理人员需求量，根据结果对护理人力进行调整。结果各班次NAS量表得分比较，差异具有统计学意义（均P＜0.05）。白班护理工作量最大，其次为小夜班，最少为大夜班（均P＜0.05）。根据测量结果对人力资源进行调整后，护理不良事件从0.44件/月降到0.33件/月。结论采用改良NAS量表对护理工作量进行测量，根据结果对护理人力进行调整，有利于降低护理风险的发生，提高护理质量。
목적：탐토개량호리활동량표（nursing activitiesscore，NAS）재신경외과중증감호실（neurosurgery intensive care unit，NICU）인력자원관리중적응용방법화효과。방법응용개량NAS량표대NICU 34례위중병인급94례수술후병인각반차（백반、소야반、대야반）호리공작량진행측량，병계산각반차호리인원수구량，근거결과대호리인력진행조정。결과각반차NAS량표득분비교，차이구유통계학의의（균P＜0.05）。백반호리공작량최대，기차위소야반，최소위대야반（균P＜0.05）。근거측량결과대인력자원진행조정후，호리불량사건종0.44건/월강도0.33건/월。결론채용개량NAS량표대호리공작량진행측량，근거결과대호리인력진행조정，유리우강저호리풍험적발생，제고호리질량。
Objective To investigate the human resources of neurosurgery intensive care unit(NICU)using modified nursing activity score(NAS).Methods NAS was used to investigate the nursing work load of all shifts and compute the needed personnel for every shift,followed by adaption of nursing staff based on the results.Results Based on the scores by NAS,day shift was the heaviest in work load,followed by early night shift and then by late night shift.The differences between day shit and early night shift or late night one were both statistically different(P<0.05 for both).Conclusions The adjustment based on the results by NAS will reduce nursing risk and improve quality of nursing.