摘要
目的:探讨计时排班模式对急诊输液室护士工作满意度和单位时间工作效率的影响。方法:根据急诊输液人数日均流量变化规律,实验组实行计时排班模式,在工作高峰期,安排额外护士按小时计时上班,实现人力资源合理分配。对照组采用传统APN模式进行排班。实施前后,采用卡劳斯克与米勒满意度量表对急诊科护士进行问卷调查,统计患者输液等待时长,并对统计结果进行分析。结果:实施计时排班模式后急诊护士工作满意度总得分为(3. 71±0. 25),显著高于传统排班模式(2. 80±0. 28)(P <0. 05);患者等待时长(3. 31±1. 382) min显著低于传统排班模式(5. 01±1. 517) min(P <0. 05)。结论:计时排班模式有助于提高急诊输液护士的工作效率,减轻职业压力,提高工作满意度。
[Objective]To explore the effect of time-based scheduling on job satisfaction and work efficiency of nurses in emergency transfusion room. [Method]The study was divided into experimental group and control group. In experimental group,according to the change rule of daily average flowof emergency transfusion,the nurses were arranged to go to work according to the hour,and the rational distribution of human resources was realized. In control group,the traditional APN mode was used for scheduling. Before and after the implementation,the nurses in the emergency department were surveyed with the Karloske and Miller Satisfaction Scale and the Nurse Burnout Scale,and the waiting time of the patients' transfusion was counted,and the statistical results were analyzed. [Result] The total score of job satisfaction of emergency nurses was( 3. 71 ± 0. 25),significantly higher than that of traditional scheduling( 3. 71 ± 0. 25)( P< 0. 05),and the score of job burnout assessment( 47. 50 ± 6. 02),the waiting time of patients was( 3. 31 ± 1. 382)minutes,significantly lower than that of traditional scheduling( 5. 01 ± 1. 517) minutes( P < 0. 05). [Conclusion]Timing and scheduling model is helpful to improve the efficiency of emergency transfusion nurses,reduce occupational stress and improve job satisfaction.
引文
[1]邓敏娉,陈伟菊,Elizabeth Roe,等.美国护士排班模式及相关研究与启示[J].护士进修杂志,2016,31(20):1841-1844.
[2]张玲,李加宁,徐桂琴.我院急救部护理人力资源分析及对策[J].护理研究,2015,19(7):638-639.
[3]胡伟萍,朱盈颖,冯斌.浙江省护理人力资源配置现状及其公平性评价[J].中国护理管理,2013,13(12):42-45.
[4]史静,王庆溪.血液净化中心弹性排班的临床实践[J].中国保健营养,2016,26(24):308-308.
[5]Harris R,Sims S,Parr J,et al. Impact of 12h shift pat-terns in nursing:a scoping review.[J]. International Jour-nal of Nursing Studies,2015,52(2):605-634.
[6]Bae S H,Fabry D. Assessing the relationships betweennurse work hours/overtime and nurse and patient outcomes:systematic literature review.[J]. Nursing Outlook,2014,62(2):138.
[7]Mueller C W,Mccloskey J C. Nurses'job satisfaction:aproposed measure[J]. Nursing Research,2010,39(2):113.
[8]符浩,吴月丽.急诊输液患儿的家长健康教育需求调查[J].广东医学,2016,37(8):1205-1206.
[9]Burch J B,Tom J,Zhai Y,et al. Shiftwork impacts andadaptation among health care workers.[J]. Occup Med,2011,59(3):159-166.
[10]李宇晴.急诊输液护理过程中德常见问题及防范对策[J].中国实用护理杂志,2012,28(6):16-17.
[11]Kalmbach D A,Pillai V,Cheng P,et al. Shift work disor-der,depression,and anxiety in the transition to rotatingshifts:the role of sleep reactivity[J]. Sleep Medicine,2015,16(12):1532.
[12]杨辉,王志宁.急诊科护士情绪劳动管理效果评价[J].中国护理管理,2013,13(6):55-57.
[13]Dall'Ora C,Ball J,Recio-Saucedo A,et al. Characteris-tics of shift work and their impact on employee performanceand wellbeing:A literature review[J]. International Journalof Nursing Studies,2016,57:12.
[14]曹楠,尹安春,特日格勒,等.护士人格特征、工作满意度与主观幸福感的相关性分析[J].护理研究,2017,31(9):1048-1052.
