计时制门诊护士实践效果及经济学分析
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女,本科,副主任护师

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绵阳市第三人民医院科研课题(202030)


Practice effect and economic analysis of part time nurses in outpatient department
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    目的 评价计时制护理管理策略的应用效果并进行经济学分析。方法 采用倾向性评分匹配法选取同一所医院计时制护士与非计时制护士各109名,非计时制护士为全日制固定在各科室上班,按月计算劳动报酬,计时制护士额外以接单的方式到门诊提供服务,按小时计算额外劳动报酬。结果 计时制护士职业获益感、职业幸福感及工作满意度得分显著高于非计时制护士(P<0.05,P<0.01)。实施计时制护士管理后,效益/成本比为1.264;计时制护士与非计时制护士职业获益感的成本-效果比分别为0.086和0.200,职业幸福感的成本-效果比分别为0.134和0.321;职业获益感与职业幸福感的增量成本-效果比分别为-3.499和-3.030。敏感性分析结果显示,各敏感指标的变化范围均在10%内,均未发生反转。结论 计时制护士管理策略有利于提高人力资源利用率及护士职业获益感、幸福感和工作满意度,实现医院、科室与个人经济效益三方共赢。

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    Objective To evaluate the practice effect of part time nurses management strategy, and to analyze its economic effect. Methods A total of 109 part time nurses and 109 full time nurses from a hospital were selected by propensity score matching method. The full time nurses worked in fixed departments, and they were paid monthly, while the part time nurses additionally provided services by taking orders in outpatient department, and they were paid extra by the hour.Results The scores of professio-nal benefits,occupational well-being, work satisfaction of part time nurseswere significantly higher than those of full time nurses (P<0.05,P<0.01). After applying part time nurses, the benefit-cost ratio was 1.264, the cost-effectiveness ratio for part time nurses and full time nurses was 0.086and 0.200 in professional benefit, and it was 0.134 and 0.321 in occupational well-being.The cost-effectiveness ratio of the increment in professional benefits and occupational well-being was -3.499 and -3.030. Sensitivity analysis showed that, the cost change of each sensitive indicators was within 10%, and no reverse was noticed. Conclusion Applying part time nurses is conducive to improving nurses′ professional benefits, occupational well-being and work satisfaction, and realizing a tripartite win-win situation of hospital, departments and nurses in economic benefits.

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王娅丽,李嫒,秦健秀,尹利,唐丹红,康强.计时制门诊护士实践效果及经济学分析[J].护理学杂志,2021,36(16):53-56

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  • 收稿日期:2021-03-30
  • 最后修改日期:2021-05-26
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  • 在线发布日期: 2022-09-16