Kirkby M P, Dost P, Holdwick C C, Poskie M, Glaser D, Sage M
St. Joseph Mercy Hospital, Ann Arbor, MI, USA.
J Nurs Adm. 1998 Nov;28(11):25-9. doi: 10.1097/00005110-199811000-00008.
To change from a crisis to a proactive mode for staffing, scheduling, resource pool utilization, information management, and unit workload, nursing leaders developed a resource management plan. Changes that assisted in achieving that goal included: revision of department scheduling guidelines, elimination of day shift central supervisor, responsibility for daily staffing moved to unit-based managers, creation of a staffing model for the nursing resource pool staff, establishment of ideal complement of positions for every unit, expectation for unit to meet its staffing model every shift, reinforced department efforts to fill vacant positions, participation in computerized databases to study the use of resources, and identified critical staffing indicators for each unit.
为了从危机模式转变为人员配备、排班、资源库利用、信息管理和科室工作量方面的积极主动模式,护理领导制定了一项资源管理计划。有助于实现该目标的变革包括:修订科室排班指南、取消日班中央主管、将每日人员配备的职责转移至科室经理、为护理资源库工作人员创建排班模式、确定每个科室的理想岗位编制、期望科室每次轮班都达到其排班模式、加强科室填补空缺岗位的努力、参与计算机化数据库以研究资源使用情况,以及为每个科室确定关键人员配备指标。