Tabatabaee Seyed Saeed, Vafaee-Najar Ali, Amiresmaili Mohammad Reza, Nekoie-Moghadam Mahmood
Department of Health Management, Policy and Economics, Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Department of Health Management, Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Prev Med. 2017 Mar 7;8:13. doi: 10.4103/2008-7802.201657. eCollection 2017.
Designing and implementing a model for estimation and distribution of required nurse is one of strategies to prevent unequal distribution of nurses within and between hospitals. The purpose of this research was to determine required features for hospital nursing staff estimation model.
We conducted a qualitative study using a Colaizzi analysis approach. We used semi-structure and in-depth interviews by purposive, quota, and snowball sampling of 32 participants (10 informed experts in area of policy making in human resources in Ministry of Health, 10 decisions making in employment and distribution of human resources in treatment and administrative chancellors of medical universities, and 12 process owners in hospitals). The data were analyzed using ATLAS.ti software version 6.0.15.
The ten following sub-themes emerged from data analysis: Skill mix and task shifting, work measurement, legal support, stakeholder involvement in designing a model, considering the ward activity, considering type and extent of care patients required, model development by experts predominate in nursing process, considering the nurses availability, considering the capabilities and professional merits of nurses, fitness with social, cultural, and belief of people. The main themes were occupation analysis, planning and policy making, real workload, acceptability, nurses' efficiency, and being a native.
Given that standardization of nursing staff estimation is announced as one of the challenges in reaching Iran's 20-year vision plan. Hence, design and implementation of a nursing staff estimation model in regard to identified features could be part of priorities in Ministry of Health in Iran.
设计并实施一个护士需求估算与分配模型是防止护士在医院内部及医院之间分配不均的策略之一。本研究的目的是确定医院护理人员估算模型所需的特征。
我们采用Colaizzi分析法进行了一项定性研究。我们通过立意抽样、配额抽样和滚雪球抽样，对32名参与者进行了半结构化深入访谈（10名卫生部人力资源政策制定领域的知情专家、10名医科大学治疗与行政副校长人力资源雇佣与分配方面的决策者，以及12名医院流程负责人）。使用ATLAS.ti 6.0.15软件对数据进行分析。
数据分析得出了以下十个子主题：技能组合与任务转移、工作测量、法律支持、利益相关者参与模型设计、考虑病房活动、考虑患者所需护理的类型和程度、护理过程中专家主导模型开发、考虑护士可用性、考虑护士的能力和专业优点、与人们的社会、文化和信仰相适应。主要主题包括职业分析、规划与政策制定、实际工作量、可接受性、护士效率和本土化。
鉴于护理人员估算的标准化被宣布为伊朗20年远景规划面临的挑战之一。因此，根据已确定的特征设计并实施护理人员估算模型可能是伊朗卫生部优先事项的一部分。
