降低外傷科病房護理人員工作負荷

Reducing the Workloads of Nursing Personnel at the Department of Traumatology

護理人員為醫院重要資產之一，如工作負荷程度高及工時過長會使其身心疲累，影響工作效率及照護品質，引發小組成立動機。於2016／05／11－05／20調查25位護理人員工作負荷程度高達103.9分，分析原因為護理人員逾時下班率高及工作滿意度低；解決辦法以重新規劃外傷科病房白班工作標準作業流程、白班工作內容與組長照護人數配置、設計外傷科病人照護衛教手冊及衛教指導輔助工具，以及規劃加護病房轉出時機及流程；專案改善結果有效降低外傷科病房護理人員工作負荷程度至47.9分，使白班延遲下班時間降低及提升護理人員工作滿意度，建議定期檢視修訂各項工作流程，持續改善護理人員工作負荷，提供護理人員優質之幸福職場。（志為護理，2020;19:2,78-93）

Nursing personnel are essential assets for hospitals. The physical and mental fatigue caused by their heavy workloads and long working hours affect professional efficiency and nursing quality, prompting the creation of a task force. Research showed that from May 11 to May 20, 2016, the workload scores of nursing personnel reached 103.9, meaning that nursing staff worked overtime and experienced low levels of work satisfaction. The solution proposed by this study was to amend standard working procedures for day shifts at the department of Trauma and Emergency Surgery, allocate the nurses manpower and supervision by head nurses for day shifts, design an acute care surgery handbook, and plan the schedule Surgical Intensive Care Unit patient transfer processes. This project effectively reduced the workload score to 47.6 for nursing personnel at the Surgical Ward Department, reduced overtime working on day shifts, and improved work satisfaction levels. Every working process should be reviewed and revised to continuously ameliorate nursing workload and provide nursing personnel with a high-quality work environment and happiness. (Tzu Chi Nursing Journal, 2020; 19:2, 78-93)