Ghosh Basu, Cruz George
Ministry of Health, Sultanate of Oman.
J Nurs Manag. 2005 Jul;13(4):363-71. doi: 10.1111/j.1365-2934.2005.00566_1.x.
The paper considers the recent debate on mandating patient-nurse ratios in inpatient units of hospitals, and highlights the need for a comprehensive approach to requirement estimation, which can facilitate the implementation of mandated patient-nurse ratios in hospitals.
After considering the available methods for nurse requirement planning, this paper intends to discuss an alternative approach for estimating nurse requirement when certain patient-nurse ratios have been prescribed.
Once the required information becomes available, the next task is to estimate unit-wise and overall nurse requirement. As the computational effort is quite considerable, the paper develops and elucidates a computer-assisted nurse requirement-planning model, which helps in systematizing and accelerating the estimation process.
The computer-based nurse requirement-planning model enables planners to respond objectively and promptly to requests for more nurses by nursing administrators (who perceive nurse shortages).
The paper demonstrates the unique advantage of this computer-based approach over conventional methods, especially when the planner wishes to pre-evaluate alternative decision options by simulating manpower implications under alternative scenarios.
本文探讨了近期关于医院住院部规定患者与护士配比的争论,并强调了采用综合方法进行需求估算的必要性,这有助于在医院实施规定的患者与护士配比。
在考虑了护士需求规划的现有方法后,本文旨在讨论在规定了特定患者与护士配比时估算护士需求的另一种方法。
一旦获得所需信息,接下来的任务就是估算各科室和总体的护士需求。由于计算量相当大,本文开发并阐述了一种计算机辅助护士需求规划模型,该模型有助于使估算过程系统化并加快估算速度。
基于计算机的护士需求规划模型使规划者能够客观、迅速地回应护理管理人员(他们察觉到护士短缺)对增加护士的请求。
本文证明了这种基于计算机的方法相对于传统方法的独特优势,特别是当规划者希望通过模拟不同情景下的人力影响来预先评估替代决策选项时。