Working Hours Analysis for Nursing Activities in Surgical Clinical Pathways

• Main Authors: Szu-ting Fang, 方思婷
• Other Authors: Miaofen Yen
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/00727303356071156056

碩士 === 國立成功大學 === 護理學系碩博士班 === 96 === Under the National Health Insurance budget, reducing personnel cost, especially that of the nursing staff, was the hospitals’ priority. Nursing workforce needed varies from hospital to hospital. If the workforce was reduced because of cost consideration, the cost could not be controlled effectively; heavy workloads could occur; work satisfaction rates could be low; resignation rates could increase; nursing quality could be even affected. Moreover, nursing hours was an important element of the workforce calculation, and differed with disease severity; thus understanding what the nursing types could be good for clinical nursing hour managing. This study was to estimate the workforce by the clinical pathways for general surgery nursing hours. The thirty-three nurse directly- observed clinical pathways for assessing nursing hours in a regional teaching hospital in southern Taiwan were to analyze nursing types and quantity via general surgery-required treatment items. The span was mainly that of the clinical pathways for general surgery nursing hours. The data were SPSS 14.0-analyzed. The results revealed: (1) 7 clinical pathways for general surgery nursing hours for 34 nursing types like checking temperatures took the shortest work time (1.72 minutes) and helped in cleaning bodies took the longest work time (12.05 minutes); (2) clinical pathways for general surgery nursing hours took 2.31 to 2.51 hours (a daily average); (3) those who with the better positions spent less nursing hours; those who with the working experience less than 1 year consumed longer nursing hours. The average nursing hours was suggested to be a standard for new nurses and could be a base for administrators to appraise clinical nurses.