病人分類衍生的護理需求人員配置系統－國內值得推廣的實証作業

The Empirical Operation for a Nurses Staffing Sys Tem Based on Patient Classification a Practical System in Taiwan

蘇喜(Syi Su) ； 周照芳(Chao-Fang Chaw) ； 楊麗瑟(Li-Se Young)

《中華民國公共衛生學會雜誌》 9卷2期 (1989/06) Pp. 90-104

https://doi.org/10.6288/JNPHARC1989-09-02-04

摘要

由於傳統的護理人力配置方法無法現場反應病人的護理需要，乃藉由病人分類系統將病人依護理需求不同分為數類。同時配合直接護理作業建立各類病人所需的直接護理服務量，並以工作樣本研究探討護理人員工作時間之分佈。統合前述作業，成功地運用到在台灣地區負起領導地位的一所教學醫院之內、外科病房，其結果提供了一套足以反應病人護理需求的護理人員短程及長程的配置法，應該可以應用到其他醫院，且值得推廣。

並列摘要

Traditional staffing method based on a fixed patient-to-personnel ratio can not effectively reflect the true needs of patients in a hospital. We constructed a patient classification system in which the expected amounts of nursing care consumed were used to categorized patients into three classes: self-care, partial care and total care A directcare survey was conducted to establish the actual nursing care time provided to each class of patients. Also, a work sampling study was used to determine the time distributions that nurses devoted to each type of nursing activity. A patient classification system integrating the results of both the direct care survey and the work sampling study can be effectively used to make short term and long term staffing plans.

並列關鍵字

Cases Mix ； Productivity ； Staffing and Scheduling