フルテキストファイル
著者
Miyabayashi Ikuko Department of Nursing, Tottori University, College of Medical Care Technology KAKEN
キーワード
registered nurse
unlicensed assistive personnel
work sampling
抄録
To establish appropriate staffing guidelines, roles, reduced labor costs and reduced cost per unit of service, i) identification of work with appropriate staff members, and ii) development and utilization of a patient acuity system were studied in an acute rehabilitation unit of a hospital in central Illinois. Acuity of patients (n = 127) was categoried by using assisting levels of minimal, moderate and maximal based on the Functional Independence Measure (FIM) score. The FIM score was reevaluated each week. In the 1st month, volume and time studies were done on all rehabilitation patients. In the 2nd month, roles of the registered nurse (RN) and the unlicensed assistive personnel (UPA) were clarified; and in the 3rd month, patients' acuity levels were reestablished and staffing management was adjusted. This system also clearly identified patients' acuity and the role of RNs and UPAs. Hours per unit of RN service was cut from 8.85 to 7.49 per 8 h shift. Cost per unit of service was decreased from $163.6 to $105.2. A total annual savings of $268,410 indicated a big financial impact on the unit with almost the same level of patient satisfaction as before. The results of the study suggest that the work sampling method for a management and organizational development program can be used to objectively assess work load of RNs as a first step.
出版者
Tottori University Faculty of Medicine
資料タイプ
学術雑誌論文
ISSN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta medica
最新掲載誌名
Yonago Acta medica
42
2
開始ページ
171
終了ページ
174
発行日
1999-07
著者版フラグ
出版社版
著作権表記
Yonago Acta medica 編集委員会
掲載情報
Yonago Acta medica. 1999, 42(2), 171-174
部局名
医学部・医学系研究科・医学部附属病院
言語
英語