提昇護理人員對白班班別滿意度之方案

Project of Elevating Day Shift Nurses' Satisfaction

本專案旨在提昇護理人員對白班班別之滿意度。經由問卷調查，發現護理人員對自班班別滿意度以5分法，得分結果為2.13分，介於普通到不滿意之間。分析其原因為：工作負荷大、交班頻繁、工作時效的控制感差、照顧缺乏連續性、間接影響下班後之社交及進修計劃等。透過專案解決的過程，進行三班護理工作職責、內容之規劃與調整，並與相關醫療人員溝通協調。最後，將白班由原有的8-12，2-6班之人力配置改為8-4班，經過一年的改善與努力，護理人員對白班班別滿意度得分提昇為4．25分，介於滿意到極滿意之間。而護理人員希望繼續8-4班的意願更高達100%，顯示運用專案過程解決白班的班別問題，全面提昇護理人員對自班班別的滿意度，因此深獲長官肯定，並於91年起全面推展至其他胃腸科病房。

This project was designed to increase day shift nurses' satisfaction. The method of survey was a developed questionnaire with 5-item Likert scale as the tool. The first result revealed the mean score at 2.13, presenting nurses' satisfaction as uncertain or not satisfied. The reasons for this were regarded as work overload, frequent handing over to the next shift, loss of control of overtime, lack of continuous case caring, interferance with their social plans with friends and plans for further education. Another survey focused on nursing activities, such as duty allocation and content arranging. After communicating and coordinating with the ward manager and staff, the original day class-working timetables from Sam to 12n and 2pm to 6pm was adjusted to a new working timetable from Sam to 4pm. It was carried out for one year and the nurses' satisfaction increased up to a 4.25, beeing satisfied and very satisfied. Moreover, their intentions to carry on with the new day shift timetable increased to 100%. This result demonstrated the experience of handling the problem in day duty class through the process of administering a project shift elevating nurses' satisfaction with day class. Finally, this new day shift working timetable has also been introduced to other wards and highly valued by officials of the hospital.