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一种定量评估方法在基层医院手术室护理人力资源管理中的效用研究:综合协作排班的实例。

An examination of the usefulness of a quantitative appraisal method in nursing human resource management in primary hospital operating rooms: An example of integrated collaborative scheduling.

机构信息

Anesthesiology and Surgery Department, Yiwu Central Hospital, Jinhua City, Zhejiang Province, China.

出版信息

Medicine (Baltimore). 2024 May 10;103(19):e37938. doi: 10.1097/MD.0000000000037938.

Abstract

In recent years, China medical and health services have made great development. However, the management of nursing human resources in operating room of primary hospitals still faces a series of challenges. In the nursing work of operating room, high-quality nursing human resource management is important for improving the efficiency of operating room and ensuring the safety of patients. From January 2022 to December 2022, comprehensive collaborative scheduling and quantitative scoring evaluation methods were carried out in our hospital, and relevant data were collected. The flexible scheduling combined quantitative scoring performance appraisal system and the traditional scheduling plus average distribution performance appraisal system were statistically analyzed and compared in terms of annual surgical cases, annual overtime hours, annual back work hours, annual compensatory rest hours, and average daily working hours. This study was based on 30 medical staff (27 females and 3 males) in the operating room of a primary hospital. The annual operation volume increased by 387 cases compared with before, and the attitudes of patients to the service attitude and preoperative waiting time were significantly improved, reaching more than 95%. In addition, in the survey of surgeons, it was found that their satisfaction with preoperative preparation and operation time was significantly higher than that of the traditional scheduling method, and reached more than 95%. In the survey of nursing staff, it was found that the satisfaction with the traditional scheduling method was about 80%, and the satisfaction directly reached 100% after the comprehensive collaborative scheduling system. Based on the above survey, the satisfaction of nurses, doctors and patients with the new comprehensive collaborative scheduling system has improved compared with before. After the implementation of the comprehensive collaborative scheduling system, the annual surgical volume has increased significantly, and the average daily working hours of nursing staff have decreased. Comprehensive collaborative scheduling is an effective method of nursing human resource management in operating room, which can effectively improve the work efficiency of nurses and the satisfaction of patients, doctors and nurses. In practice, this method needs to be continuously explored and refined to adapt to different application scenarios and requirements.

摘要

近年来,中国医疗卫生事业取得了长足发展。然而,基层医院手术室护理人力资源管理仍面临一系列挑战。在手术室护理工作中,高质量的护理人力资源管理对于提高手术室效率和保障患者安全至关重要。自 2022 年 1 月至 2022 年 12 月,我院对手术室护理人员实施了综合协作排班和定量评分评价方法,并收集了相关数据。采用灵活排班结合定量评分绩效评估系统与传统排班加平均分配绩效评估系统,对年手术例数、年加班时间、年补休时间、年补偿休息时间和平均日工作时间进行了统计分析和比较。本研究共纳入 30 名基层医院手术室医护人员(27 名女性,3 名男性)。与之前相比,年手术量增加了 387 例,患者对服务态度和术前等待时间的态度明显改善,达到 95%以上。此外,在对外科医生的调查中发现,他们对术前准备和手术时间的满意度明显高于传统排班方法,达到 95%以上。在对护理人员的调查中发现,对传统排班方法的满意度约为 80%,实施综合协作排班系统后,满意度直接达到 100%。基于以上调查,护士、医生和患者对新的综合协作排班系统的满意度较前提高。实施综合协作排班系统后,年手术量明显增加,护理人员平均日工作时间减少。综合协作排班是手术室护理人力资源管理的有效方法,可有效提高护士工作效率和患者、医生及护士的满意度。在实践中,需要不断探索和完善这种方法,以适应不同的应用场景和要求。

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本文引用的文献

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Modeling Employee Flexible Work Scheduling As A Classification Problem.将员工灵活工作排班建模为一个分类问题。
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