某內科病房護理人員逾時下班時間之改善專案

The Improvement Project of the Nurse’s Overtime in a Medical Ward

單位護理人員逾時下班1-2 小時為常見現象，人員逾時下班超時超量工作，造成身心負荷、滿意度下降及新進人員留任意願低。探討原因為資淺人員多、病人異動大、嚴重度高、忙碌尖峰期未適時調整人力、交班時間過長及環境設備不足而造成人員逾時下班。本專案目的為改善護理人員逾時下班時間。經專案小組，修訂「工作規範」、增設「忙碌尖峰時段彈性人力支援」、落實「交班規範」及增加設備。專案推動後，平均逾時下班時間由137 分鐘降至77 分鐘，改善率43.7％，目標達成率105％，達本專案目的。希望藉此專案，在護理人力極短缺狀況下，提供可行方案，持續改善執業環境及解決護理人員逾時下班，提升工作滿意度及照護品質。

The purpose of this project is to improve nursing overtime. Nurses working overtime for 1 to 2 hours is a common phenomenon. Overtime expenditures will lead to a mental and physical burden, decrease in satisfaction, and high turnover of new employees. This article intends to address the reasons behind overtime. The reasons are numerous: novice nurses, big changes of patients, severity of illness, improper nursing staff rates during rush hours, delayed times in handover of duty, and shortage of equipment. After the intervention of the ad hoc group, the group revised the job specification, added “flexible distribution of human resources during rush hours”, implemented the specification in handover of duty, and increased equipment. After the implementation of this project, the average nursing overtime decreased from 137 minutes to 77 minutes. The improvement rate was 43.7% and the rate of goal attainment was 105%. The project’s purpose was achieved. Although the goal was achieved, the comprehensive improvement of nursing overtime was still not achieved. Through this project, it is hoped that a feasible solution will be exercised during extreme nursing staff shortage, the working environment will continuously be improved, and finally, the overwork problem will be solved to increase satisfaction on work environment and patient care quality.