临时护士部署:对轮班安排动态和人员水平对齐的时间序列分析
Maryam Ahmadi Shad1, MohammadHossein Khorasanizadeh2, Sarah N Musy1
1Institute of Nursing Science, Department of Public Health, University of Basel, Switzerland.
International journal of nursing studies advances
|September 8, 2025
概括
临时护士很少被用来解决护理人员短缺的问题. 它们的部署并没有完全满足需求,突出了需要更好的劳动力战略,以确保高质量的患者护理.
科学领域:
- 医疗保健管理的管理
- 护理劳动力研究 护理劳动力研究
- 医院运营 医院运营
背景情况:
- 医院经常使用临时护士来管理人员的波动.
- 目前关于临时护士部署模式和驱动因素的现有证据有限.
- 了解这些动态对于有效的医疗保健工作人员规划至关重要.
研究的目的:
- 分析临时护士的部署模式,以应对轮班级调度偏差.
- 确定影响第三级医院环境中临时护士使用的因素.
- 评估临时护士在计划的护理时间表中解决缺陷的程度.
主要方法:
- 一个为期四个月的时间序列分析,对医疗和外科单位的1344个班次进行了分析.
- 收集的数据包括护理人员数量,技能组合,缺席,患者数量和营业额.
- 用通用线性混合模型来识别临时注册护士 (RN) 部署的驱动因素.
主要成果:
- 临时护士被部署在12.2%的班次,主要是注册护士 (RN).
- 没有RN (OR=2.14) 和增加患者负载 (OR=1.11每位患者) 显著增加了临时RN部署.
- 当RN人员数量低于平均水平时,部署率是3.96倍,但57.1%的缺席问题仍未得到解决.
结论:
- 临时护士的部署是罕见的,并不能完全弥补人员缺口.
- 部署策略需要优化,特别是在高需求的单位.
- 加强劳动力资源管理对于保持高质量的患者护理至关重要.
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