Abstract

Objective To build the dynamic management system of nursing staff allocation in general pediatric wards based on working hours measurement. Methods 30 general pediatric wards of 25 general or children hospitals of upper first class were selected to measure working hours. Depending on the average nursing hours required for pediatric patients in different care levels by each positions, we achieved the nursing staffing formulas. Results 7 nursing posts under double-shift turn and three-shift turn were collected. The average hour that nursing posts provide for one different nursing grade patient was made out. Taking a ward which had 20 patients as nursing grade one and 20 patients as nursing grade two for example, it would need 8-9 responsible nurses, 2-3 long night shift nurses, 1-2 general affairs nurses, 2 night assistance nurse, 1 day assistance nurse by double-shift turn, meanwhile, it would need 8 responsible nurses, 4 early night shift nurses, 3 late night shift nurses, 1-2 general affairs nurses by three-shift turn. Conclusions Using the formulas based on measurement of working hours to calculate the number of nursing staff could provide a way to help the managers. Key words: Nursing care; Pediatric wards; Measurement of working hours; Nursing staff allocation

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