精神科急性病房護理人員延遲下班改善案

A Project to Ameliorate Nurses Working Overtime in Psychiatry Ward

背景：本單位護理人員常有延遲下班之情形，專案小組觀察下班時間平均延遲約85分鐘。分析後發現問題為：1.各項會議延遲過久、2.主治醫師查房時間太晚、3.工作規範不符合現況、4.護理人員未落實執行交班規範。目的：藉由本專案之進行來改善本精神科急性病房護理人員延遲下班之狀況，並改善護理人員工作滿意度。解決方案：經專案小組收集及討論文獻後，採用：1.與主治醫師討論並確認查房的時間、2.重新修定工作規範、3.落實「護理人員交班規範」、4.制定會議規則等方法進行改善。結果：藉由本專案之進行，護理人員平均延遲下班時間由85分鐘降至25分鐘。結論：經由本專案改善護理人員延遲下班。

Background: The authors found nurses working in psychiatry wards were frequently required to work overtime, with verage overtime measuring 85 minutes. After analysis, we found main factors leading to overtime to be late new patient admissions, tardy ward inspections by attending physicians, failure to implement workplace regulations, failure by nurses to implement proper shift transfer procedures, and meeting-related delays.Purpose: This paper proposes an approach by which average overtime for psychiatry ward nurses may be reduced from 85 to 30 minutes.Resolution: Based on findings, the researchers adjusted the schedule for ward visits by attending physicians, updated and streamlined workplace regulations, ensured administrative procedures were precisely followed, and updated and streamlined standing orders.Result: Average overtime was reduced from 85 to 25 minutes.Conclusion: This research facilitated a reduction in the amount of overtime registered by nurses.