護理人力運用系統成效評值

The Effects of Nursing Manpower on Computer Systems Control

本研究目的是比較護理人力運用系統的介入，是否會改變各病房間護理人員加班天數與休假達成率的差異性。採準實驗研究方式不同時間之單組後測設計，以南部某醫學中心樣本醫院的22個急性病房為研究對象，依據效果指標-護理人員加班天數及其變異和護理人員的休假達成率，評量護理人力系統運用之成效。以變異數檢定比較介入前、後加班天數變異數之同質性並以單因子變異數分析檢定介入前、後加班天數及休假達成率異同。研究結果顯示，護理人力運用系統能有效減少病房間加班天數的差異程度；病房間的加班天數變異數由介入前87.66顯著減少為57.48；病房間的加班天數較去年同時期平均由5.71天下降為4.04天，共節省了441天的加班費。休假達成率則介入前後無顯著差異。因此，藉由護理人力運用系統介入，減少樣本醫院急性病房的加班天數，降低醫院營運結構的成本支出。

The aim of this study was to evaluate if intervention in the nursing manpower with computer systemscontrol would change a holiday to reach rate and overtime. It adapted appropriately an experimental way todesign the group during different times. The research object was 22 acute sickrooms. The effect index wasovertime and change a holiday to reach the rate, evaluating the effect of nursing computer systems. Wecompared the similarity of deviant value and analyzed the deviant value of coessential certification and accountedcensus data with a single variant factor. The nursing manpower computer systems controlled todecrease the overtime. The variant value of overtime decreased from 87.66 to 57.48. The overtimes decreasedfrom 5.71 to 4.04 days which saved overtime pay for 441 days. The holiday to reach rate showed no significantdifference.In conclusion, the nursing manpower computer system control can decrease the overtime expense andcost. Then equitableness of the rate improves and the quality of life becomes better.