7対1看護体制導入後の急性期病院一般病床における看護師の人員配置に対する評価

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  • Evaluation study of the nurse staffing situation in the general ward of an acute hospital after introduction of the nursing system of one nurse for every seven inpatients
  • 7タイ1 カンゴ タイセイ ドウニュウゴ ノ キュウセイキ ビョウイン イッパン ビョウショウ ニオケル カンゴシ ノ ジンイン ハイチ ニ タイスル ヒョウカ

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It has been５years since an introduction of the nursing system of one nurse for every seven inpatients. The aim of this study was to determine whether this nursing system leads to meet the demands of the inpatients and to clarify improvement factors in adequate personnel distribution. Participants were１９６head nurses of２８acute hospitals in the Chugoku and Shikoku regions in Japan. As a result of analysis, the numbers of nurses have been increased by the introduction of this system. However, the employing of a large number of new nurses with almost no experience, it caused shortage of personnel, and reduction in nursing service quality. Also, as inclined allocation of personnel was not conducted according to the degree of nursing care need, imbalanced personnel allocation was observed in survey data. Furthermore, there was no significant correlation between bed occupancy rate and the number of nurses ; therefore it was thought that there is not staff placement depending on busyness of nurse. For the adequate personnel allocation and careful nursing system, it was thought that calculation of the number of nurse placement based on appropriate measurement of nursing care need and evaluation of nurses’ competence was necessary.

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