护士信息化排班软件功能的构建研究

发布时间：2018-02-04 02:50

本文关键词： 护士排班信息化软件　出处：《重庆医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：护士排班是较为复杂的组合优化问题,如何通过排班提高排班效率、优化护理人力配置、降低医院运营成本,是各医院不断致力改善和研究的课题。目前,护士信息化排班在国外发展日益成熟并取得显著效果,但在国内,护士信息化排班尚处于探索阶段。因此,亟需开发适合医院护士排班现状和未来发展需求的护士信息化排班软件,在这个过程中,护士能参与的且最重要的步骤是软件功能设计,功能设计的成功将为后期计算机学科实施软件编程和应用奠定基础。而功能设计立足于对护士排班现状的了解,并充分分析排班相关因素和约束条件之上。为解决以上问题,本研究从以下两部分进行：1.护士排班现状调查。2.护士信息化排班软件功能的构建。第一部分护士排班现状调查目的了解某医院护士排班现状,分析护士排班存在的问题,提出对策,实施规范化管理。方法运用文献研究法、头脑风暴法及预调查确定护士排班调查表,对该院40个科室实施调查,包括：排班权限、排班周期、班次、班次的工作时间,频率、班次所需要的护士数量、班次所对应的护士资质要求。此外,收集和分析各班次工作职责和各科室的排班表。结果(1)排班权限：40个科室均为分权式排班,即由助理护士长及以上人员排班；(2)排班周期：该院34个科室实施每周排班,4个科室采用每两周排班,2个科室应用月排班。(3)班次：该院共115种班次,其中85种特殊班次占总班次的74%,30种其他班次占总班次的26%。(4)工作时间段：该院共99种工作时间,有4种情况每日正常工作时间超过12h。(5)休假情况统计：该院至少有27种休假情况的表达方式。(6)标识符号：各科室在排班表上用不同形状和颜色的标示符号表示“备请班”、“抢救班”等,呈现多样性。(7)排班表组成要素：各科室均不同,尤其是病房和门诊的排班模板差别较大。结论针对以上问题,采取措施实施规范如下：(1)结合排班权限,统一“排班需求登记本”实施排班。(2)鼓励科室采用更长的排班周期,如每2周排班和月排班。(3)采取统一班次名称、取消欠规范的班次等措施后,共有102种班次,包括77种特殊班次和25种其他班次。(4)取消工作时间超过12h的班次。(5)制定14种休假情况的表达方式。(6)制定统一的标识符号。(7)制定全面的、实用的排班模板。总之,护士排班现状存在诸多问题,缺乏标准化、规范化,需要引起管理者的重视,采取有针对性的措施进行管理。第二部分护士信息化排班软件功能的构建目的基于前期研究结果,分析护士排班相关因素和约束条件,与信息科合作设计护士信息化排班软件功能,为开发护士信息化排班软件奠定基础。方法通过文献研究法、焦点团体访谈设计护士信息化排班软件功能。结果护士信息化排班软件的功能包括：基础资料、护士排班功能、人力资源调配、查询和统计功能、系统设置功能、消息通知和提醒功能。结论护士信息化排班软件功能的设计基本符合医院护士排班发展需要,也为软件的编程和应用提供基础条件。
[Abstract]:Nurse scheduling is a combinatorial optimization problem is more complex, how to improve the efficiency of scheduling through scheduling, optimization of nursing manpower allocation, reduce the operation cost of hospital, the hospital is constantly working to improve and research. At present, the nurse scheduling information in foreign mature development and achieved remarkable results, but in China, the nurse scheduling information is still in the exploratory stage therefore, it is necessary to develop suitable for the status quo and future development needs of the hospital nurse scheduling nurse information scheduling software, in this process, and the most important step is the nurse can participate in the software design, functional design success will lay the foundation for later application software programming and computer science. And the functional design based on nurse scheduling the understanding of status quo, and fully analysis on relevant factors and scheduling constraints. To solve the above problems, this study from the following two part. The line: 1. construction of nurse scheduling.2. survey nurse information scheduling software function. The first part of the investigation status of nurse scheduling objective to understand the status quo of nurse scheduling in a hospital, analysis of nurse scheduling problems, put forward the countermeasures, the implementation of standardized management. Using the method of literature research, brainstorming and pre questionnaire survey to determine nurse scheduling, including the implementation of the survey, 40 departments of the Hospital Authority: scheduling, scheduling cycle, frequency shift, time, frequency, the number of flights to the corresponding flight nurse, nurse qualification requirements. In addition, the collection and analysis of the frequency of job duties and the various sections of the scheduling table. Results (1) scheduling permissions: 40 the Department is decentralized scheduling, namely long assistant nurses and above personnel scheduling; (2) scheduling cycle of 34 Departments: the implementation of weekly scheduling, 4 departments with every two weeks ranked class, 2 departments should For the scheduling. (3): the hospital a total of 115 flights flights, including 85 kinds of special trips accounted for the total frequency of 74%, 30 other flights accounted for the total frequency of 26%. (4): the total working time of 99 hours, 4 cases of normal daily working time is more than 12h. (5) leave the hospital statistics: there are at least 27 kinds of expressions of vacation. (6) symbol: departments with the symbols of different shapes and colours said "please prepare the scheduling table in the class", "class rescue", showing diversity. (7) scheduling table elements: each room different, especially the wards and outpatient scheduling template difference. Conclusion according to the above problems, the implementation of standardized measures taken are as follows: (1) combined with the scheduling authority, unified scheduling needs the registration of the implementation schedule. (2) encourage departments using longer scheduling cycle, such as scheduling and scheduling every 2 weeks (3). Take the same frequency The name, specification and other measures to cancel owe flights, a total of 102 flights, including 77 special flights and 25 other flights. (4) to cancel the working time more than 12h shifts. (5) expression to develop 14 kinds of vacations. (6) symbol to formulate a unified formulation (7). All the practical scheduling template. In short, there are many problems of nurses' working status, lack of standardization, standardization, need the attention of managers, management and take targeted measures. The second part of the construction of informatization to nurse scheduling software function based on the previous research results, analysis of the related factors of nurse scheduling and constraint conditions. The function of cooperation with the Department of information design information nurse scheduling software, lay the foundation for the development of nurse information scheduling software. Methods through literature research method, the function of focus group interview design information scheduling software. Results the nurse nurse information Shift the functions of the software include: basic information, nurse scheduling function, human resource management, query and statistical functions, system settings, message notification and reminder function. Conclusion the functional design of nurse information scheduling software is basically in line with the needs of hospital nurse scheduling development, also provide the basis for programming and application software.

【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R47

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