ABSTRACT
Objective@#To assess and analyze clinical nursing workload of tertiary general hospitals in Tianjin.@*Methods@#4 tertiary general hospitals in Tianjin were recruited by convenience sampling. 13 representative departments of the medical system and the surgical system were selected as the investigation departments. All the clinical duty nurses of every day work in selected departments were taken as the observation objects. Unified training investigators used work sampling method to observe and record the "operation" , "movement", "waiting" and "others" four types of activities of nurses, taking an observation point in a minute; SPSS17.0 was used for analysis.@*Results@#Totally 172 800 sampling points were selected. Besides 2.62% (4 534/172 800) of other affairs, the total nursing workload in one day was 97.38% (168 264/272800), with 85.03% (146 923/172 800) operating time including direct nursing accounting for 33.64% (58 144/172 800), indirect nursing accounting for 8.92% (15 422/172 800), and 42.46% (73 363/172 800) of related nursing. Movement accounted for 11.71% (20 228/172 800), while waiting accounted for 0.65% (1 113/172 800).@*Conclusion@#Generally, nurses in tertiary general hospitals have long working time and heavy workload, but direct nursing which can reflects the value and connotation of nursing work is low. In nursing work, the "waiting" caused by the lack of personnel, material, equipment, environment problems made a waste of time and human resources to certain extent. Therefore, results of the present study can provide reference for tertiary hospitals to optimize the allocation of nursing human resources, improve the quality of nursing service, reduce the workload of nurses and construct lean management system.
ABSTRACT
Objective@#To explore the current status of nursing work process in Tianjin Third Grade A General Hospital, to interpret the available space of nursing human resources, and to find new ideas for configuration and optimization.@*Methods@#According to the industrial engineering theory and program analysis method, combined with the characteristics of nursing professional, define the name of the activity, build the evaluation index and formula of the nursing process level, the workday practice method was used to investigate and analyze the nurses′ work processes in a total of 48 departments in four hospitals in Tianjin.@*Results@#The overall nursing process level of Tianjin Third Grade A General Hospital was: β = 0.756. Among them, the process utility coefficient was: β1=0.913, and the coherence coefficient is only: β2=0.627. There were differences in the level of nursing processes between different hospitals and departments. Among them, the process coherence level was different and the overall level was low.@*Conclusions@#The level of nursing procedures in Tianjin Third Grade A General Hospital needs to be improved. It is necessary to improve the continuity of nursing work, appropriately increase the reserve talents, strengthen the standardized training of nursing procedures, and explore more flexible scheduling methods. Conditional hospitals and departments can explore the application of information technology in nursing work or implement an unaccompanied mode to reduce the workload of nurses and improve the continuity of the nursing process, thereby improving the level of nursing processes and improving the quality and efficiency of nursing work.
ABSTRACT
Objective To explore the current status of nursing work process in Tianjin Third Grade A General Hospital, to interpret the available space of nursing human resources, and to find new ideas for configuration and optimization. Methods According to the industrial engineering theory and program analysis method, combined with the characteristics of nursing professional, define the name of the activity, build the evaluation index and formula of the nursing process level, the workday practice method was used to investigate and analyze the nurses′ work processes in a total of 48 departments in four hospitals in Tianjin. Results The overall nursing process level of Tianjin Third Grade A General Hospital was: β = 0.756. Among them, the process utility coefficient was: β1=0.913, and the coherence coefficient is only: β2=0.627. There were differences in the level of nursing processes between different hospitals and departments. Among them, the process coherence level was different and the overall level was low. Conclusions The level of nursing procedures in Tianjin Third Grade A General Hospital needs to be improved. It is necessary to improve the continuity of nursing work, appropriately increase the reserve talents, strengthen the standardized training of nursing procedures, and explore more flexible scheduling methods. Conditional hospitals and departments can explore the application of information technology in nursing work or implement an unaccompanied mode to reduce the workload of nurses and improve the continuity of the nursing process, thereby improving the level of nursing processes and improving the quality and efficiency of nursing work.
ABSTRACT
The classification of nursing in clinical departments is the basis for deepening high-quality nursing service and implementing nursing post management, which is also the key point to improvethe level of nursing management. The objectivity of grading standard and rationality of the method would directly influence the scientificity and operability of human resources allocation and performance assessment scheme. Because of the diversity of departments in the tertiary hospitals and the requirement for departments classification under the trend of meticulous and scientific management of nursing posts, the present paper reviews quantity of literature on the development process, influencing factors, specific methods and applications effects of tertiary hospitals at home and abroad, to provide reference for the classification of clinical departments for tertiary hospitals, and to lay the foundation for the implementation of post management, the optimization of human resource allocation and the establishment of performance assessment mechanism in tertiary hospitals.