手術室護理人力配置

人力配置直接影響病人安全與醫療品質，本文乃整理國內外文獻，討論手術室護理人力配置與人員素質相關議題，並介紹手術全期護理學會(Association of periOperative Registered Nurses； AORN)對於人力配置所提供的估算方式。建議於規劃手術室護理人力時，在人員數量上應考慮直接與間接照護人力比例，及病人與病情嚴重度的自然增加趨勢；在人員素質上，一併考量專科化與通才的平衡，並建議機構必須時常檢討人力配置之適當性與因應策略，以便靈活運用、彈性反應病人需求，達到手術室最適利用效益。

Patient safety is one of the most important issues recently. Researches show there are highly correlated relationships between patient safety and nurse staffing. However, more staffing means higher cost. Facing the changing world, OR managers need to learn more about nurse staffing. For the article, we have reviewed relative papers, present factors affect staffing concerns and introduced an staffing estimate method published by the Association of periOperative Registered Nurses (AORN). It is suggested that there are needs to consider both direct and indirect workload and the increasing trends of patient number and patient acuity. Besides, OR managers have to find ways to accommodate a variety of specialties according to the characteristics of OR staffs. Finally, staffing plan and strategies should be re-examined periodically to match the patient needs.