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題名:探討護理人員延遲下班之相關因素
書刊名:榮總護理
作者:馮容莊林碧珠
作者(外文):Feng, Rung-chuangLin, Pi-chu
出版日期:2010
卷期:27:1
頁次:頁10-19
主題關鍵詞:護理人員延遲下班Nursing staffOvertime
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:0
  • 點閱點閱:34
本研究為調查性研究設計,目的為探討某醫學中心護理人員延遲下班的情況與相關因素。以擁有2900張床的某醫學中心護理人員為母群體,抽樣17個內科病房與15個外科病房的護理人員為調查對象,經設計的結構式調查表,自2005年6月至10月分二段期間計二十天收集護理人員上班期間工作內容紀錄與延遲下班情況紀錄,以及病房動態紀錄,調查對象總計1012人次,工作日誌紀錄總計2732筆資料,病房動態資料計640筆。經研究結果顯示(1)45%當班護理人員有延遲下班的現象發生,且延遲時間為66~83分鐘;(2)白、晚班延遲下班的主因是「當日工作量超過平常」、「病人異動大」與「病人病情突有變化」,而夜班則以「晨會或參加在職教育」為首要原因;(3)護理人員延遲下班時主要是在寫護理紀錄位居首要;(4)依護理人員延遲下班的比率與時間,推估護理人力短絀約20人;(5)於內外科病房工作之護理人員延遲下班分別與其當班時照顧病人數與醫療照護處置業務量的多寡、病房當日實施緊急救命心肺甦醒術,以及接受化學治療的病人數有相關性與差異性。本研究結果可提供護理主管作為護理人力配置與護理作業流程改善的參考。
The research results showed: (1) 45% of the nursing staff worked overtime, and the average delay time were 66~83 minutes; (2)The major reasons for overtime were high amount of workload changes in, patients' conditions, and rapid patients' turnover rate in the day and evening shifts, as well as morning meeting delays in the night shift; (3)Most nursing staff wrote nursing records during the overtime period. (4) Based on the percentage and overtime duration, it was estimated that the nurses' shortage was about 20 employees; (5)Extended work hours of nursing staffs were significantly relative to patient-nurse ratio, the number of Cardiopulmonary Resuscitation(CPR) and the procedure of chemotherapy during the shift. This research results would be valuable to human resource allocation and work process reengineering in the nursing management aspect. This was a survey study in order to explore the extended work hours of staff nurses and their relative factors in a medical center. The study was conducted in a 2900-bed medical center and study cases were recruited by randomized method, selecting the registered nurses who worked in 17 surgical units and 15 medicine units. Structured questionnaires were used including duty logbook, overtime record, and unit record. The data were collected in June and October 2005. Data analysis was based on 2732 logbooks and 640 unit records.
期刊論文
1.Rogers, Ann E.、Hwang, Wei-Ting、Scott, Linda D.、Aiken, Linda H.、Dinges, David F.(2004)。The working hours of hospital staff nurses and patient safety。Health Affairs,23(4),202-212。  new window
2.申小梅、和寶蘭(2007)。護士超時工作現況調查分析。國際護理學雜誌,26(1),47-50。  延伸查詢new window
3.Akerstedt, T.、Fredlund, P.、Gillburg, M.、Jansson, B.(2002)。Work load and work hours in relation to disturbed sleep and fatigue in a large representative sample。Journal of Psychosomatic Research,53,585-588。  new window
4.Easton, F. F.、Rossin, D. F.(1997)。Overtime schedules for full-time service workers。Omega International Journal of Management Science,25,285-299。  new window
5.Gravenstein, J.、Cooper, J.、Orkin, F.(1990)。Work and rest cycles in anesthesia practice。Anesthesiology,72,737-742。  new window
6.Hancock, W.、Pollock, S.、Kim, M.(1987)。Amodel to determine staffing levels, cost and productivity of hospital units。Journal of Medical Systems,11,319-330。  new window
7.Jelinek, R. C.、Kavois, J. A.(1992)。Nurse staffing and scheduling: Past solutions and future directions。Journal of the Society for Health Systems,3(4),75-82。  new window
8.Kaestner, R.(2005)。An overview of public policy and the nursing shortage。Journal of Nursing Administration,35(1),8-9。  new window
9.O'Brien-Pallas, L.、Thomson, D.、Alksnis, C.、Bruce, S.(2001)。The economic impact of nurse staffing decisions: Time to turn down another road?。Hospital Quarterly,4,42-50。  new window
10.Rosa, R.(1995)。Extended work shifts and excessive fatigue。Journal of Sleep Research,4(Supplement 2),51-56。  new window
11.Spetz, J.(2005)。Public policy and nurse staffing: What approach is best?。Journal of Nursing Administration,35(1),14-16。  new window
12.Unruh, L. Y.(2005)。Employment conditions at the bedside。Journal of Nursing Administration,35(1),11-14。  new window
13.Van-Griever, A.、Meijman, T.(1987)。The impact of abnormal hours of work on various modes of information processing: Aprocess model on human costs of performance。Ergonomics,30(9),1287-1299。  new window
14.Wallace, M.、Greenwood, K.(1995)。Twelve-hour shifts。Work and Stress,9(2/3),105-108。  new window
圖書
1.Hall, Mc. L.(2005)。Quality work environments for nurse and patient。Boston:Jones and Bartlett。  new window
2.Institute of Medicine(2000)。To err is human: building a safer health system。Washington, DC:National Academy。  new window
3.Page, A.(2004)。Keeping patients safe: Transforming the work environment of nurses。Washington, D C:The National Academies Press。  new window
4.Shamian, J.、O'Brien-Pallas, L.、Kerr, M.、Koehoorn, M.、Thomson, D.、Alknis, C.(2001)。Effects of job strain, hospital characteristics, and individual characteristics on work-related disability among nurses。Toronto, Canada:Workman's Compensation and Insurance Board。  new window
5.Institute of Medicine(2001)。Crossing the quality chasm: A new health system for the 21st century。Washington, DC:National Academy Press。  new window
圖書論文
1.Dinges, D.、Graeber, R.、Rosenkind, M.、Samuel, A.、Wegman, H.(1996)。Principles and Guidelines for Duty and Rest Scheduling in Commercial Aviation。NASA Technical Memorandum。Moffett Field, CA:National Aeronautics and Space Administration。  new window
2.Folkard, S.(1996)。Effects on performance efficiency。Shift work: Problems and solutions。Frankfurt am Main:Peter Lang。  new window
3.Jha, A.、Duncan, B.、Bates, D.(2001)。Fatigue, sleepiness, and medical errors。Making health care safer: A critical analysis of patient safety practices。Rockville, MD:AHRQ。  new window
4.Monk, T.(1990)。Shift worker performance。Occupational Medicine State of the Art Reviews。Philadelphia, PA:Hanley and Belfus, Inc.。  new window
 
 
 
 
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