護理人員逾時下班是國內外常見通病，嚴重可威脅護理人員身心健康，也會影響病人安全與降低護理照護品質。本單位是提供全人照護的綜合科單人病房，由於服務性質特殊及科別眾多等原因，發現逾時下班之比例甚高。本專案小組自2014年1月1日至2014年9月30日止，藉由宣導並實施簡化護理紀錄書寫、執行修訂後的出院規範、執行新修訂的交班計畫及改變做完治療或下班後才寫紀錄習慣的解決方案，將護理人員每日逾時下班時間，由平均117.7分鐘降低至52分鐘，其中晨會時間由16分鐘減少至6.6分鐘，交班時間由60分鐘改善為38.7分鐘，本專案目標達成，並持續推行中，希望藉此專案，改善護理人員逾時下班之問題，進而改善護理工作環境及提升照護品質。

Worldwide, it has become a common problem that paramedics are frequently required to work overtime, which not only poses a serious threat to their physical and mental health but also influences the lives of patients and quality of nursing. General medicine departments typically have only a single ward to provide holistic health care. Because of the special nature and variety of the services provided, the percentage of overtime worked by paramedics is relatively high. From January 1 to September 30, 2014, the panel implemented a series of solutions, including promoting and implementing the simplification of nursing records, revising standards on outpatient services, implementing a newly revised succession schedule, and changing the custom of writing records only after work or treatment has been completed. Through these measures, the panel has successfully reduced the daily average among of overtime worked by paramedics (from 117.7 to 52 min), shortened the length of morning conferences (from 16 to 6.6 min), and improved succession times (from 60 to 38.7 min). These results show that the objective of this project was achieved; thus, it will be continued moving forward. The implementation of this project is aimed at ameliorating the problem of paramedics' working overtime, thereby improving the work environment and quality of nursing.