Azari S, Mokhtari S, Aliyari A, Mohammadi M, Afroozi M, Salimi M, Azari G H
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran, ; School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
J Med Life. 2015;8(Spec Iss 3):90-95.
As the biggest collection among various collections of hospital employees, nurses perform a vital role in the progress of the hospital actions and the improvement of community health. This research intended to find the relationship between the shortage of nursing workforce and hospitals performance of Tehran's Medical Sciences University. The current analysis was a cross-sectional definitive research, which was conducted in selected educational hospices associated to Tehran University of Medical Sciences during the year 2010. While using three researcher-made questionnaires, information was obtained from all clinical, paraclinical, commercial, managerial and support units of hospitals. Information was investigated according to the patterns of Iran's Healthcare Ministry and Medical Education by employing Excel software. Pabon Lasso model was used for performance measurement during the year 2010. The mixture of 3 indicators was applied to determine the period of stay, bed occupancy time and bed turnover. The outcomes revealed that the personnel of nursing, in the 18 hospital wards (66.67%) were at levels below the standards, just one ward (3.7%) reached the standards requirements, and the remainder of the hospital wards (29.62%) were at greater levels than the standard requirements. Both hospitals were near the value 4 in the Pabon Lasso model. The correlation analysis among the nursing shortage and performance showed a meaningful relationship (P<0.05). Frequently, the examined hospices were challenged with a shortage of nursing workforce and the dissemination of workforce was not suitable. A decent supervision of workforce in conformity with the shortage of staff compensated and achieved the rules needed for the hospital's nursing workforce and this would guide to an improvement in the performance of the hospitals' actions and could present gratification for the personnel.
作为医院员工各类群体中规模最大的群体，护士在医院工作进展和社区健康改善方面发挥着至关重要的作用。本研究旨在探寻德黑兰医科大学护理人力短缺与医院绩效之间的关系。当前的分析是一项横断面定性研究，于2010年在与德黑兰医科大学相关的选定教学医院开展。在使用三份研究者自制问卷的同时，从医院的所有临床、准临床、商业、管理和支持部门获取了信息。依据伊朗卫生部和医学教育的模式，运用Excel软件对信息进行了调查。2010年使用帕邦·拉索模型进行绩效评估。采用3项指标的组合来确定住院时间、床位占用时间和床位周转率。结果显示，在18个医院病房（66.67%）中，护理人员水平低于标准，仅有一个病房（3.7%）达到标准要求，其余医院病房（29.62%）高于标准要求。两家医院在帕邦·拉索模型中均接近数值4。护理人力短缺与绩效之间的相关性分析显示存在显著关系（P<0.05）。通常，所检查的医院面临护理人力短缺问题，且人员分布不合理。根据人员短缺情况对人员进行合理监督，可弥补并达成医院护理人力所需的规定，这将有助于改善医院工作绩效，并能让员工感到满意。
