Occupational Health and Safety Agency for Healthcare, 1195 West Broadway, Vancouver, BC, Canada.
Health Policy. 2010 Jun;96(1):28-35. doi: 10.1016/j.healthpol.2009.12.016. Epub 2010 Jan 22.
To examine the regular and overtime working hours of Registered Nurses in acute care and their associated costs by employment status (full time, part time, casual) and department over a 4-year period.
Data were extracted for 2005-2008 from one health region's payroll database for Registered Nurses in acute care in British Columbia, Canada. Regular and overtime hours by employment status and department were plotted over time and tested using simple linear regression. Regular and overtime wage costs were calculated at the individual level using the employee's wage rate and stratified by year, gender, age, employment status and department.
Full time Registered Nurses are working an increasing amount of overtime hours each year. Full time nurses in Emergency, Intensive Care and General Medical departments are working the highest proportion of overtime hours per total hours and consequently, contributing the highest proportion of overtime costs.
Efforts to lighten the burden of overtime should be focused at the department level. Creating more full time positions out of overtime hours may be one solution to alleviate this burden of overtime and to assuage the nursing shortage in Canada.
在过去 4 年中，通过就业状态（全职、兼职、临时工）和科室，研究急症护理注册护士的常规工作时间和加班工作时间及其相关成本。
从加拿大不列颠哥伦比亚省一个卫生区域的薪资数据库中提取了 2005-2008 年急症护理注册护士的数据。按就业状态和科室绘制了常规工作时间和加班工作时间随时间的变化情况，并使用简单线性回归进行了检验。在个人层面上，根据员工的工资率并按年份、性别、年龄、就业状态和科室进行了分层，计算了常规工作时间和加班工作时间的工资成本。
全职注册护士每年的加班工作时间都在增加。急症、重症监护和普通内科部门的全职护士的加班工作时间占总工作时间的比例最高，因此，加班工作时间成本占比也最高。
减轻加班负担的努力应集中在科室层面。通过加班工作时间创造更多的全职职位可能是减轻这种加班负担和缓解加拿大护理人员短缺的一种解决方案。
