Present situation of nurses allocation in emergency department in Beijing tertiary hospitals-a cross-sectional study
10.3760/cma.j.issn.1674-2907.2016.31.030
- VernacularTitle:北京市三级甲等医院急诊科护士配置现状的横断面研究
- Author:
Yucui ZHAI
1
;
Haoqin REN
;
Ying WANG
;
Kai GUO
;
Dongmei CHEN
Author Information
1. 100700 北京陆军总医院急诊科
- Keywords:
Nursing administration research;
Cross-sectional study;
Allocation of human resources;
Emergency Department
- From:
Chinese Journal of Modern Nursing
2016;22(31):4554-4557,4558
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the present situation of nurses allocation in emergency department in Beijing tertiary hospitals, and provide reference for the optimization of human resources allocation. Methods The cluster sampling method was used and 19 hospitals were selected as the test units. We conducted a cross-sectional study about the emergency department setting, the baseline data and allocation situation of emergency nurses, the reason of nurses for leaving, etc. Results The hospitals with emergency visits >100 thousand/year accounted for 84.21%. The ratio of the number of nurses in emergency and the total hospital beds was (3.97-10.40) ∶100, while the ratios of the number of nurses and beds in emergency department were:intensive care unit (ICU):(0.6±0.3), rescue area:(0.7±0.3)∶1, observation area:(1.9±0.7)∶1, infusion area:(15.7±14.6)∶1 and triage area:(49.0±21.0)∶1. Male nurses accounted for 7.50% of the total number of the nurses, nurses under 35 years old accounted for 79. 30% and nurses with working time below 3 years accounted for 26.12%. The ratio of the primary, secondary and senior nurse was 1∶0.15∶0.01. The risk factors of nurses′quit were working load and personal threats, and the protection factors included the low welfare benefits and lack of professional sense of belonging (P<0.05). Conclusions As a result of overload in emergency department, the nursing human resource is in shortage, and the ratio of nurses and beds is higher than the standard ratio. The current main problems of nurses allocation in emergency department are: lack of male nurses, younger in age of the nursing team, and unqualified. The reasons of nurses′ quit are working load, personal threats, low welfare benefits and lack of professional sense of belonging.
