Davis J E
J Nurs Manag. 1995 Jan;3(1):11-8. doi: 10.1111/j.1365-2834.1995.tb00061.x.
Accident and emergency (A&E) departments need to be able to respond quickly to any person seeking their services, 24 hours a day. The underlying philosophy of staffing A&E departments may be incongruent to today's nurse managers when attempting to provide a high quality, but cost-effective nursing service. Accident and emergency departments, by their very nature, have an unpredictable, demand-led workload, making the issue of effective staff utilization a complex one. A descriptive, comparative survey of issues affecting nurse staffing levels in A&E departments is presented. Personal, semi-structured interviews were conducted with A&E nurse managers, and with senior clinical nurses. The study examines a wide range of variables, and their effect on nursing resources in A&E. It also identifies the complexities surrounding the calculation of nursing establishments in A&E, and provides a snapshot picture of how departments were staffed at the time of the survey. The study successfully highlights the key factors to be contemplated when deciding upon nursing resources in A&E, and the uncertainty and disparity which currently exist on the subject.
急症室需要能够每天24小时对任何寻求其服务的人迅速做出响应。在试图提供高质量但具有成本效益的护理服务时，急症室人员配置的基本理念可能与当今的护士长不一致。急症室因其性质使然，工作量难以预测且由需求主导，这使得有效利用员工这一问题变得复杂。本文呈现了一项关于影响急症室护士人员配备水平问题的描述性比较调查。对急症室护士长和资深临床护士进行了个人半结构化访谈。该研究考察了广泛的变量及其对急症室护理资源的影响。它还确定了急症室护理编制计算周围的复杂性，并提供了调查时各科室人员配备情况的简要描述。该研究成功地突出了在决定急症室护理资源时需要考虑的关键因素，以及目前在该问题上存在的不确定性和差异。
