当它真正重要时:将护士人员与护士工作量相匹配的艺术
Ida Anderson1, Karen Grimley, Rebecca Miltner
1Author Affiliations: System Director for Critical Care (Dr Anderson) and Chief Nurse Executive (Dr Grimley), UCLA Health; and Assistant Dean (Dr Grimley), UCLA School of Nursing, Los Angeles, California; and Professor Emerita (Dr Miltner), University of Alabama at Birmingham School of Nursing.
The Journal of nursing administration
|December 20, 2024
概括
护理劳动力评估 (NWA) 工具有效地帮助日常和年度护理资源规划. 它提供客观数据,突出需要分析人员差异超出简单的平均值进行全面评估.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的护理工作人员规划对于高质量的患者护理和运营效率至关重要.
- 评估护理资源的现有方法可能无法完全捕捉到人员流动的复杂性.
- 美国护士协会关于护士人员配置的原则提供了一个评估护理资源的框架.
研究的目的:
- 评估护理劳动力评估 (NWA) 工具在支持护理资源规划方面的实用性.
- 确定NWA是否为日常和长期人员决策提供客观信息.
- 评估当前人员评估方法的充分性.
主要方法:
- 护理劳动力评估 (NWA) 使用定量和定性方法进行了评估.
- 基于美国护士协会的护士工作人员原则的概念框架被采用.
- 使用统计控制图表和主题分析负责护士采访.
主要成果:
- 单位在评估期内平均满足了96%至99%的人员需求.
- 统计控制图表显示,每轮工作人员缺口/整体范围在 -2.0至2.2之间.
- 负责护士的采访显示,在日常人员配置方面有很强的专业知识,但在综合资源规划方面存在知识差距.
结论:
- 该NWA工具为日常和年度护理资源规划提供了有价值的客观数据.
- 综合的护理资源评估需要纳入统计控制信息,以了解人员差异.
- 超越平均值对于对护理人员配置动态的细微理解至关重要.
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