自主排班的效益──對護理人員和組織雙贏

Self-Scheduling: A Win-Win for Nurses and Organizations

本篇文章探討「護理自主排班」制度的實施效益，強調其對護理人員與醫療組織雙方皆具有正面影響。在傳統輪三班制度下，護理人員承受高工時與身心壓力，成為高離職率的主因。自主排班可提供彈性選擇，提升工作與生活平衡，進而提升工作滿意度與留任率。然在推動上，仍面臨如傳統文化根深、技術系統不足、排班公平性等挑戰。臺灣部分醫院已導入Google表單、Teams等數位工具以提升排班效率與透明度。彰化基督教醫院以分階段推動策略建立規範並強調團隊溝通，展現成功實施範例。科技的進步尤其人工智慧的應用，為智能排班提供新的可能，惟需結合組織文化轉變與主管支持，方能達成制度長期穩定。總結而言，護理自主排班為友善職場與提升照護品質的重要策略，有助於創造護理與組織的雙贏局面。

In this article, the authors explore the benefits of implementing the‘nurse self-scheduling’system, highlighting the positive impact of this system on both nursing staff and healthcare organizations. Under the traditional three-shift system, nurses work long hours and endure physical and mental stressors, contributing to high turnover rates. The inherent flexibility of self-scheduling has been shown to enhance work-life balance, thereby improving job satisfaction and retention rates. However, challenges remain, including ingrained traditional workplace norms, inadequacies in legacy technical systems, and concerns about scheduling fairness. Some hospitals in Taiwan have introduced digital tools such as Google Forms and Teams to enhance scheduling efficiency and transparency. Notably, the phased approach implemented at Changhua Christian Hospital emphasizes team communication and has successfully established new workplace norms supportive of self-scheduling practices. Although technological advancements, especially in the realm of artificial intelligence, offer new potential for intelligent scheduling, sustainable implementation of self-scheduling systems will require organizational cultural shifts and managerial support. In conclusion, nurse self-scheduling represents a key strategy for creating friendly workplaces, enhancing care quality, and achieving a win-win for nurses and organizations.