Nurse Staffing in a Medical-Surgical Unit, a Private Hospital
Keywords:Nurse, Nurse Staffing Medical., Unit Surgical Unit
The purposes of this descriptive research were to determine the nursing workload in each classification, and to determine the appropriate staffing in medical-surgical unit based on nursing workload. The research samples consisted of 12 registered nurses, 7 practical nurses and 608 patients admitted in unit during data collection. Three sets of research tools were used: 1) the patient classification form and the accompanying manual; 2) the nursing activity dictionary; 3) the record sheet indicating the time when a nursing activity was performed which was tested for content validity with CVI score at 1 and the score of the interrater reliability of the record sheet between the researcher and the first research assistant was at 0.80 and that between the researcher and the second research assistant was at 0.78. The major findings were as follows:
1. The mean scores of nursing workload time per patient in 24 hours for the medical-surgical 2, 3 and 4 level were 3 hours, 4.24 hours and 6.27 hours respectively.
2. The number of nursing personnel needed in medical-surgical unit based on nursing workload were 29 nursing staff members, composed of 18 registered nurses and 11 practical nurses.
3. The ratio of registered nurses: practical nurse in day shift, evening shift and night shift were 5: 3, 4: 3 and 4: 2 respectively.
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