探討護理人員延遲下班之相關因素

The research results showed: (1) 45% of the nursing staff worked overtime, and the average delay time were 66~83 minutes; (2)The major reasons for overtime were high amount of workload changes in, patients' conditions, and rapid patients' turnover rate in the day and evening shifts, as well as morning meeting delays in the night shift; (3)Most nursing staff wrote nursing records during the overtime period. (4) Based on the percentage and overtime duration, it was estimated that the nurses' shortage was about 20 employees; (5)Extended work hours of nursing staffs were significantly relative to patient-nurse ratio, the number of Cardiopulmonary Resuscitation(CPR) and the procedure of chemotherapy during the shift. This research results would be valuable to human resource allocation and work process reengineering in the nursing management aspect.
This was a survey study in order to explore the extended work hours of staff nurses and their relative factors in a medical center. The study was conducted in a 2900-bed medical center and study cases were recruited by randomized method, selecting the registered nurses who worked in 17 surgical units and 15 medicine units. Structured questionnaires were used including duty logbook, overtime record, and unit record. The data were collected in June and October 2005. Data analysis was based on 2732 logbooks and 640 unit records.