| 英文摘要 |
This study investigated a work simplification program for nursing staff and the effect of its daily working hours on shift duration and the proportion of nurses working overtime. Currently, 64.4% of nursing staff in medical and surgical units work overtime, and the average shift duration is more than 9 hours and 7 minutes. To prevent the drawbacks associated with late working hours (which lead to job burnout) and low job satisfaction (which influences nursing quality), this study analyzed clinical nursing activities for improving nursing quality. According to the analysis, the factors attributed to the aforementioned problems are as follows: time-consuming processes for documenting medical procedures, inefficient shift handover procedures, inefficient medication scanning systems, and the necessity of inspecting numerous medical devices and the unit doses of medications. To prevent nursing staff in both medical and surgical units from working overtime, it is imperative to develop educational training programs on how to effectively organize medical records, efficiently conduct shift handover procedures, and efficiently inspect medical equipment and medications. Furthermore, nursing quality can be improved by developing nursing information systems for documenting and analyzing nursing records, developing shift handover modules within those nursing information systems, enhancing nurses’ skills in inspecting medications, simplifying the procedures involved in inspecting medical devices, and obviating the necessity of checking the unit doses of medications. These recommendations were implemented, and the results indicate that the proportion of nursing staff working overtime decreased from 64.4% to 28.8%, and the average shift duration reduced to 8 hours and 37 minutes, a decrease of 30 minutes. The developed program can simplify nursing tasks as well as efficiently reduce shift duration and the porportion of nursing staff working overtime. |
