中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
32期
3999-4003
,共5页
王黎%孙兆元%尹莉%谢红
王黎%孫兆元%尹莉%謝紅
왕려%손조원%윤리%사홍
老人疗养院%护理管理人员%人员配备和时间安排
老人療養院%護理管理人員%人員配備和時間安排
노인요양원%호리관리인원%인원배비화시간안배
Homes for the aged%Nurse administrators%Personnel staffing and scheduling
目的：测算养老机构独立生活区护理人员工作量，确定该区护理人力资源配置标准。方法采用方便抽样法抽取2014年10—11月在天津市某养老机构独立生活区工作的16名养老护理员和2名护士，采用工时测算法测算其护理工作量，并应用人力配置常用公式，计算该区护理人力资源配置标准。结果在护理员提供的护理服务中，直、间接护理时间比较，差异无统计学意义（t ＝0.862，P ＝0.400）；在护士提供的护理服务中，直接护理时间明显少于间接护理时间，差异有统计学意义（ t ＝-3.193，P ＝0.003）。养老机构独立生活区每名护理员每年上班天数为211.5 d，每名护士每年上班天数为242.0 d。养老机构独立生活区老年人与养老护理员、护士的实际配比分别为1∶0.0509和1∶0.0165，理想配比分别为1∶0.0661和1∶0.0389。结论应用工时测算法能够科学测算护理工作量，进而计算合理的人力配置标准。该养老机构独立生活区护理人力资源配置比例偏低，可通过规范护理工作流程、界定护理人员工作范畴及合理分配直、间接护理时间，适当增加护理人员数量等予以改进。
目的：測算養老機構獨立生活區護理人員工作量，確定該區護理人力資源配置標準。方法採用方便抽樣法抽取2014年10—11月在天津市某養老機構獨立生活區工作的16名養老護理員和2名護士，採用工時測算法測算其護理工作量，併應用人力配置常用公式，計算該區護理人力資源配置標準。結果在護理員提供的護理服務中，直、間接護理時間比較，差異無統計學意義（t ＝0.862，P ＝0.400）；在護士提供的護理服務中，直接護理時間明顯少于間接護理時間，差異有統計學意義（ t ＝-3.193，P ＝0.003）。養老機構獨立生活區每名護理員每年上班天數為211.5 d，每名護士每年上班天數為242.0 d。養老機構獨立生活區老年人與養老護理員、護士的實際配比分彆為1∶0.0509和1∶0.0165，理想配比分彆為1∶0.0661和1∶0.0389。結論應用工時測算法能夠科學測算護理工作量，進而計算閤理的人力配置標準。該養老機構獨立生活區護理人力資源配置比例偏低，可通過規範護理工作流程、界定護理人員工作範疇及閤理分配直、間接護理時間，適噹增加護理人員數量等予以改進。
목적：측산양로궤구독립생활구호리인원공작량，학정해구호리인력자원배치표준。방법채용방편추양법추취2014년10—11월재천진시모양로궤구독립생활구공작적16명양로호리원화2명호사，채용공시측산법측산기호리공작량，병응용인력배치상용공식，계산해구호리인력자원배치표준。결과재호리원제공적호리복무중，직、간접호리시간비교，차이무통계학의의（t ＝0.862，P ＝0.400）；재호사제공적호리복무중，직접호리시간명현소우간접호리시간，차이유통계학의의（ t ＝-3.193，P ＝0.003）。양로궤구독립생활구매명호리원매년상반천수위211.5 d，매명호사매년상반천수위242.0 d。양로궤구독립생활구노년인여양로호리원、호사적실제배비분별위1∶0.0509화1∶0.0165，이상배비분별위1∶0.0661화1∶0.0389。결론응용공시측산법능구과학측산호리공작량，진이계산합리적인력배치표준。해양로궤구독립생활구호리인력자원배치비례편저，가통과규범호리공작류정、계정호리인원공작범주급합리분배직、간접호리시간，괄당증가호리인원수량등여이개진。
Objective To formulate allocation standards of nursing human resources by measuring workload of nursing staff in independent living unit of geriatric nursing homes. Methods Using convenience sampling method,16 nursing assistants and 2 registered nurses who worked in the independent living unit of a geriatric nursing home in Tianjin from October to November,2014 were enrolled and investigated. Working hour measuring method was used to calculate nursing workload,and human resource allocation formula was used to work out the allocation standard of nursing human resources. Results For the nursing services provided by nursing assistants,there was no significant difference(t = 0. 862,P = 0. 400) between average direct and indirect nursing time;while for the nursing services provided by nurses,average direct nursing time was significantly less than average indirect nursing time(t = - 3. 193,P = 0. 003). In independent living unit,the average working - days per year of one nursing assistant was 211. 5 days ,and 242. 0 days in nurse. In independent living unit,the practical ratios of aged people to nursing assistants and nurses were 1∶ 0. 050 9 and 1∶ 0. 016 5 respectively,while the desired ratios were 1∶ 0. 066 1 and 1∶ 0. 038 9. Conclusion Nursing workload can be determined scientifically by working hour measuring method,by which allocation standard of nursing staff can be calculated. At present,the ratio of aged people to nursing human resources in this nursing geriatric home is lower than desired ratio,which can be improved by standardizing nursing working process,defining working scope of nursing staff,equitably distributing direct and indirect nursing time and increasing the number of nursing staff properly.
