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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.
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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.
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Investigación cualitativa para reconstruir el ethos profesional de la ingeniería civil industrial en Chile desde la subjetividad de sus actores. Se indagó en la experiencia profesional y la construcción de significados respecto de la ética e interculturalidad en su profesión, en un grupo de ingenieros civiles industriales y estudiantes que hubieran realizado su última práctica profesional. Todos los participantes habían estudiado o aún estudiaban en universidades estatales chilenas. La indagación se efectuó mediante entrevistas individuales y grupales a 29 individuos, de las que devengaron 19 textos, analizados mediante la metodología de la Teoría Fundamentada (Grounded Theory). Los resultados permiten aventurar que el ethos de la Ingeniería Civil Industrial en Chile contiene como elemento nuclear la eficiencia y, por ende, la calidad del trabajo en sí misma. Sin embargo, este ethos se presenta tensionado con las aspiraciones por transformarla en una disciplina en la que sus profesionales además actúen conscientes de su responsabilidad social. En este sentido, es posible suponer que se trataría de una profesión en la cual, al menos en Chile, su carácter moral podría estar experimentando un proceso de reconstrucción.
Looking for Industrial Engineering professional ethos reconstruction from its actors subjectivity, a qualitative research on professional experience and meaning construction on ethics and interculturality, in Chilean Industrial engineers and students who had already finished their last practicum, is reported. All participants had studied or were still studying in Chilean public universities. Inquiry was performed by means of individual and group interviews which provided 19 texts, afterwards analyzed by means of Grounded Theory procedures. Results allow to adventure that Industrial Engineering ethos, in Chile, had as its nucleus efficiency, and so, tasks quality itself. Nevertheless, this ethos is tensioned with the aspiration to transform this discipline in one whose professionals also would work being conscious of its social responsibility. According to these results, its feasible to presume that, at least in Chile, Industrial Engineering is experiencing a reconstruction process in its moral character.
Investigação qualitativa para reconstruir o ethos profissional da engenharia civil industrial no Chile a partir da subjetividade de seus atores. Se indagou a experiência profissional e a construção de significados a respeito da ética e interculturalidade em sua profissão, a um grupo de engenheiros civis industriais e estudantes que tiveram realizado sua última prática profissional. Todos os participantes haviam estudado ou ainda estudavam em universidades estatais chilenas. A indagação se efetuou mediante entrevistas individuais e coletivas a 29 indivíduos, das quais obtiveram 19 textos, analisados mediante a metodologia da Teoria Fundamentada (Grounded Theory). Os resultados permitem aventurar que o ethos da Engenharia Civil Industrial no Chile contém como elemento nuclear a eficiência e, por fim, a qualidade do trabalho em si mesma. Todavia, este ethos se apresenta tensionado com as aspirações por transformá-lo numa disciplina na qual seus profissionais ademais atuem conscientes de sua responsabilidade social. Neste sentido, é possível supor que se trataria de uma profissão na qual, ao menos no Chile, seu caráter moral poderia estar experimentando um processo de reconstrução.
Subject(s)
Engineering , Ethics, Professional , Occupations/ethics , Chile , Interview , Qualitative ResearchABSTRACT
An analysis of the development and present status of overseas hospital cost management pinpoints the setbacks found in China's hospital cost management, and brings forth the proposal to learn from advanced ideas and methods in overseas hospital industrial engineering and cost management. The goals are to build a nationwide total cost control system, explore new fields in cost management and introduce strategic cost management, in an effort to realize scientific cost management in China.