Title持续照料养老社区辅助生活区护理人力资源配置研究
Other TitlesResearch on the allocation standards of nursing human resources in assisted living unit in long-term care facilities
Authors王黎
赵良羚
宋书梅
谢红
Affiliation北京大学护理学院,10019北京市
北京市双井恭和苑老年持续照料生活社区
Keywords养老机构
部分自理
护理人员
人员配备
工时测量
long-term care facilities
assisted living
nursing staff
personnel stafifng
working hour measurement
Issue Date2015
Publisher中国护理管理
Citation中国护理管理.2015,15,(8),965-970.
Abstract目的:测算养老机构辅助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:参考前期专家咨询结果,采用方便抽样法抽取2014年6月在北京市某养老机构辅助生活区工作的28名养老护理员和3名护士为研究对象,采用工时测定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:通过工时测定法计算所得护理员日均直接护理时间多于日均间接护理时间(t=13.577,P=0.002),护士直接护理时间和间接护理时间无统计学差异(P>0.05);养老机构辅助生活区养老护理员、护士与老年人的实际配比分别为1.120:1和0.120:1,理想配比分别为0.495:1和0.070:1.结论:应用工时测定法能够科学测算护理工作量,进而计算合理人力配置标准.目前养老机构辅助生活区护理人力资源配置比例偏高,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接和间接护理时间、适当减少护理人员数量等予以完善.
Objective: To formulate allocation standards of nursing human resources by measuring workload of nursing staff in assisted living unit in a long-term care facility.Methods: Based on the results of Delphi expert consultation,convenience sampling method was used in this study.And 28 nursing assistants and 3 registered nurses who worked in assisted living unit of a long-term care facility in Beijing were investigated.Working hour measuring method was used to calculate nursing workload,and human resource allocation formula was used to calculate allocation standard of nursing staff in this unit.Results: For nursing assistants,average daily direct care time of was more than average daily indirect care time (t=13.577,P=0.002),while there was no signiifcant difference between nurses' average daily direct and indirect care time (P>0.05).The actual proportions of nursing assistant and nurse to aged people were 1.120: 1 and 0.120: 1 respectively,while the ideal proportions were 0.495: 1 and 0.070: 1 by calculation.Conclusion: Nursing workload can be determined scientiifcally by working hour measuring method,and then allocation standard of nursing staff can be calculated.The proportions of aged people to nursing assistant / nurse in this unit were higher than others.Some countermeasures,including standardizing nursing working process,deifning working scope of nursing staff,and reasonably distributing direct and indirect nursing time,could be implemented to decrease the number of nursing staff properly.
URIhttp://hdl.handle.net/20.500.11897/414406
ISSN1672-1756
DOI10.3969/j.issn.1672-1756.2015.08.022
Indexed中国科技核心期刊(ISTIC)
中国科学引文数据库(CSCD)
Appears in Collections:护理学院

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