Exploration and practice of individualized nurse to patient ratio in orthopedics department

doi:10.3877/cma.j.issn.2096-0263.2019.02.008

Abstract

Abstract:

Objective

To explore the optimal and the minimum nurse to patient ratios according to the orthopedics characteristics, and to provide reference for clinical nursing human resources allocation.

Methods

Nursing service quality evaluation scale (SERVQUAL), Patients satisfaction questionnaire, Chinese Maslach Burnout Inventory (CMBI) were used to assess the nursing quality, patients satisfaction and the status of paramedics in different nurses to patient ratios, and to analyse the correlation among the results.

Results

The results showed a certain correlation between nurse to patient ratios and nursing quality scores, patients satisfaction ratios, job-burnout-nurse ratios, which can be described by three functions. By means of function calculation, we found that the optimal nurse to patient ratio is 2.8, and the minimum ratio is 0.17 to ensure the high quality nursing service.

Conclusions

The optimal nurse to patient ratio of orthopedics is 0.28 and the minimum ratio is 0.17. Nursing human resources allocation can refer to these ratios in clinical practice.

Key words: Nurse to patient ratio, Nursing, Human resources allocation

Yangyang Zhang, Chunying Hou. Exploration and practice of individualized nurse to patient ratio in orthopedics department[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2019, 05(02): 105-108.

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Figures/Tables 3

References 11

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观察指标（y）	函数模型	R²	F值	P值
护理质量评分	Y₁=-373.4x²+295.69x+50.111	0.895	25.568	<0.01
患者满意度	Y₂=-328.92x²+256.13x+50.952	0.914	31.863	<0.01
护士工作倦怠比例	Y₃=-9297x³+9725.2x²-3177.2x+351.7	0.963	43.932	<0.01

观察指标（y）	函数模型	R²	F值	P值
护理质量评分	Y₁=-373.4x²+295.69x+50.111	0.895	25.568	<0.01
患者满意度	Y₂=-328.92x²+256.13x+50.952	0.914	31.863	<0.01
护士工作倦怠比例	Y₃=-9297x³+9725.2x²-3177.2x+351.7	0.963	43.932	<0.01

观察指标（y）	最佳值	护患比（x）	限制值	护患比（x）
护理质量评分	103.92	0.28	90	0.17
患者满意度	97.07%	0.28	80%	0.14
护士工作倦怠比例	30.71%	0.20	-	-

观察指标（y）	最佳值	护患比（x）	限制值	护患比（x）
护理质量评分	103.92	0.28	90	0.17
患者满意度	97.07%	0.28	80%	0.14
护士工作倦怠比例	30.71%	0.20	-	-

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