加权护理工作量测量工具的研究进展
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摘要
护理工作量测量是护理人力资源配置的基础,能为护理绩效管理提供重要依据。在测量工作量时引入"权重"概念,考虑护理工作数量的同时,充分体现护理难度,对于完善工作量测量、合理配置护理人力资源、建立科学的绩效考核制度以及稳定护理人员队伍具有重要意义。本文对国内外加权护理工作量测量工具的研究进展进行综述,以期对后续研究提供借鉴与参考。
Nursing workload measurement is the basis of nursing human resource allocation and could provide important basis for nursing performance management.It is important to introduce the concept of "weight" when measuring workload.We could consider the number of nursing work and at the same time fully reflect the operational risk and technical difficulty.It could improve the workload measurement and rational allocation of nursing human resources,establish a scientific performance appraisal system,and stable nursing staff.We reviewed the progress of the application of weighted nursing workload to provide reference for the follow-up study.
Nursing workload measurement is the basis of nursing human resource allocation and could provide important basis for nursing performance management.It is important to introduce the concept of "weight" when measuring workload.We could consider the number of nursing work and at the same time fully reflect the operational risk and technical difficulty.It could improve the workload measurement and rational allocation of nursing human resources,establish a scientific performance appraisal system,and stable nursing staff.We reviewed the progress of the application of weighted nursing workload to provide reference for the follow-up study.
引文
[1]陈进霞,李国宏.护理工作量测量方法研究进展.现代医学,2012,40(3):368-370.Chen JX,Li GH.Research progress of nursing workload measurement method.Modern Medical Journal,2012,40(3):368-370.
[2]杨丽娜,宋锦平,向代群,等.护理操作技术的难度评价及应用探索.护士进修杂志,2011,26(4):306-307.Yang LN,Song JP,Xiang DQ,et al.Difficulty evaluation and application of nursing operation technique.Journal of Nurses Training,2011,26(4):306-307.
[3]王子迎,张巧妮,张澜.护理工作强度量化管理的研究进展.中华护理杂志,2008,43(3):261-264.Wang ZY,Zhang QN,Zhang L.Study on quantitative management of nursing work intensity.Chinese Journal of Nursing,2008,43(3):261-264.
[4]崔丽敏,于兰贞.基于Delphi法筛选腰椎间盘突出症患者围手术期护理工作量项目的研究.中国实用护理杂志,2011,27(20):12-15.Cui LM,Yu LZ.Study on perioperative nursing workload of patients with lumbar disc herniation based on Delphi method.Chinese Journal of Practical Nursing,2011,27(20):12-15.
[5]张艳.北京地区护理工作项目难度系数的初步研究.北京:北京协和医学院,2013.Zhang Y.Preliminar y st udy on diff iculty coefficient of nursing work in Beijing.Beijing:Beijing Union Medical College,2013.
[6]卢海涛.785名临床护士年度绩效考核结果分析与对策.中国护理管理,2004,4(2):24-25.Lu HT.Resea rch and analysis of an nu al performance appraisal results of 785 clinical nurses.Chinese Nursing Management,2004,4(2):24-25.
[7]许燕,李包罗.基于HIS系统的护理工作量管理初探:附北京协和医院2001年护理工作量统计分析.中国护理管理,2005,5(1):33-40.Xu Y,Li BL.Based on the HIS system of nursing workload management—attached to the Beijing Union Hospital in 2001 nursing workload analysis.Chinese Nursing Management,2005,5(1):33-40.
[8]万宏伟,李金平,李小昕,等.临床护理工作量化方法的研究.解放军护理杂志,2004,21(11):10-11.Wa n H W,Li J P,Li X X,et al.St udy on quantitative methods of clinical nursing work.Journal of Nursing Journal of Chinese People's Liberation Army,2004,21(11):10-11.
[9]许燕,李包罗,姚高升.基于HIS系统的护理工作量负荷权重法统计护理工作量初探.中国医院,2004,8(10):18-23.Xu Y,Li BL,Yao GS.Study on the workload of statistical nursing of nursing workload based on HIS system.Chinese Hospitals,2004,8(10):18-23.
[10]刘华平.国外护士人力配置及护理工作量测量研究的进展.中国护理管理,2003,3(1):51-55.Liu HP.Progress in human nurses'manpower allocation and nursing workload measurement.Chinese Nursing Management,2003,3(1):51-55.
[11]Sznajder M,Leleu G,Buonamico G,et al.Estimation of direct cost and resource allocation in intensive care:correlation with Omega system.Intensive Care Med,1998,24(11):582-589.
[12]Lepage E,Guillemet B,Durepaire P,et al.Promoting measure of nursing care workload t h r o u g h c o m p u t e r i z a t io n.P r o c e e d i n g s Symposium on Computer Applications in Medical Care,1995:615.
[13]Le Gonidec P,Toth K,Moreau F,et al.Impact of hospital infection on medical expenditures in a continuing care and rehabilitation service at a geriatric hospital.Pathol Biol(Paris),1998,46(6):398-402.
[14]Miranda DR,Moreno R,Iapichino G.Nine equivalents of nursing manpower use score(NEMS).Intensive Care Medicine,1997,23(7):760-765.
[15]Junger A,Brenck F,Hartmann B,et al.Automatic calculation of the Nine Equivalents of Nursing Manpower Use Score(NEMS)using a patient data management system.Intensive Care Med,2004,30(7):1487-1490.
[16]Monroy JC,Hurtado Pardos B.Utilization of the nine equivalents of nursing manpower use score(NEMS)in a pediatric intensive care unit.Enferm Intensiva,2002,13(3):107-112.
[17]Renee A,Alistair H.Assessing patient category/dependence systems for determining the nurse/patient ratio in ICU and HDU:a review of approaches.Journal of Nursing Management,2004,24(12):299-308.
[18]Moreno R,Morais P.Validation of the simplified therapeutic intervention scoring system on an independent database.Intensive Care Medcine,1997,23(4):640-644.
[19]Yamase H.Development of a comprehensive scoring system to measure multifaceted nursing workloads in ICU.Nursing&Health Sciences,2003,5(4):299-308.
[20]Duffield CM,Roche MA,Dimitrelis S,et al.Instability in patient and nurse characteristics,unit complexity and patient and system outcomes.J Adv Nurs,2005,71(6):1288-1298.
[21]刘凯,许翠萍,杨雪莹,等.我国临床护理工作量测量方法研究进展.中国护理管理,2011,11(12):51-53.Liu K,Xu CP,Yang XY,et al.Progress in China's clinical nursing workload measurement methods.Chinese Nursing Management,2011,11(12):51-53.
[22]张莹,李映兰,彭伶丽,等.负荷权重法在计算病区护理工作量中的应用.护理学杂志,2013,28(21):51-54.Zhang Y,Li YL,Peng LL,et al.Application of load weight method in calculating ward nursing work.Journal of Nursing Science,2013,28(21):51-54.
[23]丁玥,杨萍,孙丽秋,等.基于HIS的医院护理工作量测量与评价.中国护理管理,2010,10(11):61-63.Ding Y,Yang P,Sun LQ,et al.Measurement and evaluation of hospital nursing workload based on HIS.Chinese Nursing Management,2010,10(11):61-63.
[24]王蓉,杨惠云,骆艳妮,等.利用移动护理信息系统进行护理工作量测量的研究.中华护理杂志,2015,50(1):14-17.Wang R,Yang HY,Luo YN,et al.Study on nursing workload measurement using mobile nursing information system.Chinese Journal of Nursing,2015,50(1):14-17.
[25]王筱慧,胡可夫,叶文琴.实施护理工作量化管理提高护理管理成效.解放军护理杂志,2004,21(7):80-81.Wang XH,Hu KF,Ye WQ.Implementation of nursing work quantitative management to improve nursing management effect.Nursing Journal of Chinese People's Liberation Army,2004,21(7):80-81.
[26]胡艳杰,李卡,黄明君,等.2001-2012年我国护理工作量研究的文献计量学分析.中国护理管理,2014,14(6):590-593.Hu YJ,Li K,Huang MJ,et al.Bibliometric analysis of the studies on nursing workload in China from 2001 to 2012.Chinese Nursing Management,2014,14(6):590-593.
[27]黄碧珊,李红,陈美榕,等.护理难度评价的研究进展.中华护理杂志,2015,50(11):1361-1364.Huang BS,Li H,Chen MR,et al.Research progress on nursing difficulty evaluation Chinese Journal of Nursing,2015,50(11):1361-1364.
[28]张菊霞,韩琳.国外护理工作量化管理研究进展.护理研究,2012,26(12):3363-3365.Zhang JX,Han L.Progress in quantitative management of nursing work abroad.Nursing Research of China,2012,26(12):3363-3365.
[2]杨丽娜,宋锦平,向代群,等.护理操作技术的难度评价及应用探索.护士进修杂志,2011,26(4):306-307.Yang LN,Song JP,Xiang DQ,et al.Difficulty evaluation and application of nursing operation technique.Journal of Nurses Training,2011,26(4):306-307.
[3]王子迎,张巧妮,张澜.护理工作强度量化管理的研究进展.中华护理杂志,2008,43(3):261-264.Wang ZY,Zhang QN,Zhang L.Study on quantitative management of nursing work intensity.Chinese Journal of Nursing,2008,43(3):261-264.
[4]崔丽敏,于兰贞.基于Delphi法筛选腰椎间盘突出症患者围手术期护理工作量项目的研究.中国实用护理杂志,2011,27(20):12-15.Cui LM,Yu LZ.Study on perioperative nursing workload of patients with lumbar disc herniation based on Delphi method.Chinese Journal of Practical Nursing,2011,27(20):12-15.
[5]张艳.北京地区护理工作项目难度系数的初步研究.北京:北京协和医学院,2013.Zhang Y.Preliminar y st udy on diff iculty coefficient of nursing work in Beijing.Beijing:Beijing Union Medical College,2013.
[6]卢海涛.785名临床护士年度绩效考核结果分析与对策.中国护理管理,2004,4(2):24-25.Lu HT.Resea rch and analysis of an nu al performance appraisal results of 785 clinical nurses.Chinese Nursing Management,2004,4(2):24-25.
[7]许燕,李包罗.基于HIS系统的护理工作量管理初探:附北京协和医院2001年护理工作量统计分析.中国护理管理,2005,5(1):33-40.Xu Y,Li BL.Based on the HIS system of nursing workload management—attached to the Beijing Union Hospital in 2001 nursing workload analysis.Chinese Nursing Management,2005,5(1):33-40.
[8]万宏伟,李金平,李小昕,等.临床护理工作量化方法的研究.解放军护理杂志,2004,21(11):10-11.Wa n H W,Li J P,Li X X,et al.St udy on quantitative methods of clinical nursing work.Journal of Nursing Journal of Chinese People's Liberation Army,2004,21(11):10-11.
[9]许燕,李包罗,姚高升.基于HIS系统的护理工作量负荷权重法统计护理工作量初探.中国医院,2004,8(10):18-23.Xu Y,Li BL,Yao GS.Study on the workload of statistical nursing of nursing workload based on HIS system.Chinese Hospitals,2004,8(10):18-23.
[10]刘华平.国外护士人力配置及护理工作量测量研究的进展.中国护理管理,2003,3(1):51-55.Liu HP.Progress in human nurses'manpower allocation and nursing workload measurement.Chinese Nursing Management,2003,3(1):51-55.
[11]Sznajder M,Leleu G,Buonamico G,et al.Estimation of direct cost and resource allocation in intensive care:correlation with Omega system.Intensive Care Med,1998,24(11):582-589.
[12]Lepage E,Guillemet B,Durepaire P,et al.Promoting measure of nursing care workload t h r o u g h c o m p u t e r i z a t io n.P r o c e e d i n g s Symposium on Computer Applications in Medical Care,1995:615.
[13]Le Gonidec P,Toth K,Moreau F,et al.Impact of hospital infection on medical expenditures in a continuing care and rehabilitation service at a geriatric hospital.Pathol Biol(Paris),1998,46(6):398-402.
[14]Miranda DR,Moreno R,Iapichino G.Nine equivalents of nursing manpower use score(NEMS).Intensive Care Medicine,1997,23(7):760-765.
[15]Junger A,Brenck F,Hartmann B,et al.Automatic calculation of the Nine Equivalents of Nursing Manpower Use Score(NEMS)using a patient data management system.Intensive Care Med,2004,30(7):1487-1490.
[16]Monroy JC,Hurtado Pardos B.Utilization of the nine equivalents of nursing manpower use score(NEMS)in a pediatric intensive care unit.Enferm Intensiva,2002,13(3):107-112.
[17]Renee A,Alistair H.Assessing patient category/dependence systems for determining the nurse/patient ratio in ICU and HDU:a review of approaches.Journal of Nursing Management,2004,24(12):299-308.
[18]Moreno R,Morais P.Validation of the simplified therapeutic intervention scoring system on an independent database.Intensive Care Medcine,1997,23(4):640-644.
[19]Yamase H.Development of a comprehensive scoring system to measure multifaceted nursing workloads in ICU.Nursing&Health Sciences,2003,5(4):299-308.
[20]Duffield CM,Roche MA,Dimitrelis S,et al.Instability in patient and nurse characteristics,unit complexity and patient and system outcomes.J Adv Nurs,2005,71(6):1288-1298.
[21]刘凯,许翠萍,杨雪莹,等.我国临床护理工作量测量方法研究进展.中国护理管理,2011,11(12):51-53.Liu K,Xu CP,Yang XY,et al.Progress in China's clinical nursing workload measurement methods.Chinese Nursing Management,2011,11(12):51-53.
[22]张莹,李映兰,彭伶丽,等.负荷权重法在计算病区护理工作量中的应用.护理学杂志,2013,28(21):51-54.Zhang Y,Li YL,Peng LL,et al.Application of load weight method in calculating ward nursing work.Journal of Nursing Science,2013,28(21):51-54.
[23]丁玥,杨萍,孙丽秋,等.基于HIS的医院护理工作量测量与评价.中国护理管理,2010,10(11):61-63.Ding Y,Yang P,Sun LQ,et al.Measurement and evaluation of hospital nursing workload based on HIS.Chinese Nursing Management,2010,10(11):61-63.
[24]王蓉,杨惠云,骆艳妮,等.利用移动护理信息系统进行护理工作量测量的研究.中华护理杂志,2015,50(1):14-17.Wang R,Yang HY,Luo YN,et al.Study on nursing workload measurement using mobile nursing information system.Chinese Journal of Nursing,2015,50(1):14-17.
[25]王筱慧,胡可夫,叶文琴.实施护理工作量化管理提高护理管理成效.解放军护理杂志,2004,21(7):80-81.Wang XH,Hu KF,Ye WQ.Implementation of nursing work quantitative management to improve nursing management effect.Nursing Journal of Chinese People's Liberation Army,2004,21(7):80-81.
[26]胡艳杰,李卡,黄明君,等.2001-2012年我国护理工作量研究的文献计量学分析.中国护理管理,2014,14(6):590-593.Hu YJ,Li K,Huang MJ,et al.Bibliometric analysis of the studies on nursing workload in China from 2001 to 2012.Chinese Nursing Management,2014,14(6):590-593.
[27]黄碧珊,李红,陈美榕,等.护理难度评价的研究进展.中华护理杂志,2015,50(11):1361-1364.Huang BS,Li H,Chen MR,et al.Research progress on nursing difficulty evaluation Chinese Journal of Nursing,2015,50(11):1361-1364.
[28]张菊霞,韩琳.国外护理工作量化管理研究进展.护理研究,2012,26(12):3363-3365.Zhang JX,Han L.Progress in quantitative management of nursing work abroad.Nursing Research of China,2012,26(12):3363-3365.