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[医院中的医学与护理领导力。任务与经验]

[Medical and nursing leadership in hospitals. Tasks and experiences].

作者信息

Johansen T E, Hopen G, Hole K H

机构信息

Kirurisk avdeling, Telemark Sentralsjukehus, Porsgrunn.

出版信息

Tidsskr Nor Laegeforen. 1992 Feb 10;112(4):518-23.

PMID:1553709
Abstract

During winter 1991, 60% of medical and nursing administrators in Telemark county made an extensive evaluation of their own jobs. Head of Department physicians spent 60% of their working time on medical tasks, 10% on budgets and accounting, and 30% on care of the staff. Direct work in connection with patients took 48% of time. 19% of the working time was spent on secretarial functions which could preferably be delegated to others. Head of Department doctors have too little education in budgeting and accounting. Head of Section doctors spent 77% of their working time on medical tasks. This is a group of contented and productive physicians. Head of Department nurses spent 74% of their time on administrative tasks and 11% on work directly connected to patients. 25% of the time was spent on individual care of colleagues in addition to professional instruction, and the group would like to have even more time for this task. Head of Ward nurses spent 38% of their working time on patients and 58% on tasks connected to the staff. 26% of their time is mere secretarial work. Individual care of colleagues required 21% of their time, and they would like to have even more time for this purpose. All groups of administrators would like to receive more feedback from the top management of their hospital.

摘要

1991年冬季,泰勒马克郡60%的医疗和护理管理人员对自己的工作进行了全面评估。科室主任医生将60%的工作时间用于医疗任务,10%用于预算和会计工作,30%用于员工关怀。与患者直接相关的工作占48%的时间。19%的工作时间用于秘书职能,这些职能最好能委托给他人。科室主任医生在预算和会计方面的培训太少。科室负责人医生将77%的工作时间用于医疗任务。这是一群满足且高效的医生。科室护士长将74%的时间用于行政任务,11%用于与患者直接相关的工作。除专业指导外,25%的时间用于对同事的个人关怀,该群体希望有更多时间用于此项任务。病房护士长将38%的工作时间用于患者护理,58%用于与员工相关的任务。他们26%的时间仅仅是秘书工作。对同事的个人关怀需要21%的时间,他们希望有更多时间用于此目的。所有管理人员群体都希望从医院高层管理那里得到更多反馈。

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