A study on the nursing manpower requirement in a medical unit in Queen Elizbeth Hospital

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A study on the nursing manpower requirement in a medical unit in Queen Elizbeth Hospital


Author: Chan, Yuen-lai
Title: A study on the nursing manpower requirement in a medical unit in Queen Elizbeth Hospital
Degree: M.Sc.
Year: 1996
Subject: Nurses -- Supply and demand -- China -- Hong Kong
Nursing -- China -- Hong Kong -- Personnel management
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Pages: iv, 169 leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1235639
URI: http://theses.lib.polyu.edu.hk/handle/200/3565
Abstract: Nurses are the largest workgroup in the hospital with nursing staff cost consists of over 40% of total Hospital Authority's staff cost. Under the Hospital Authority financial management policy, nurses are no exception to others, are facing the threat of further cut in nursing budget. Nursing care demand in the hospital is always high, ageing population in Hong Kong together with unlimited hospital admission have increased the workload pressure on the nurses. Stressful working environment brings the nursing staff to seek ways to justify their nursing workload demand. This research is a nursing manpower study in a medical unit in Queen Elizabeth Hospital in Hong Kong. It is attempting to establish a patient classification staffing system to quantify the nursing care provision through the existing practice of nursing in the study unit. The patient classification staffing system was established based on the framework of the North West Region Staffing Method (United Kingdom) with modification done after collecting nursing experts' opinion. The patients were classified into four categories according to the scoring of the determiners. All nursing activities study was conducted to identify the nursing practice characteristics and nursing care time consumption in each activity. Direct care sampling on selected patients from each patient classification category was conducted at the same time as the nursing activities study. Nursing staffing requirement was concluded by drawing all data obtained through patient classification, nursing activities study and direct care sampling. The patient classification staffing system reveals the characteristics of the patient population in the study unit and the nursing care demanded by this patient population. The nursing activities study reflects the particularities of the nursing care practices and staff mix in the study unit. 74.5% of nursing time is used in providing direct nursing care to patients. Trained nurses to untrained nurses ratio is 88% to 12%. The adoption of the workload index predictively can be used to guide daily adjustments in the staffing levels and encourages the creative use of nursing resources by making nurse managers continuously aware of excess or deficient staffing Patient classification staffing system is in the right direction of the Hospital Authority nursing manpower planning. It is a management tool to quantify nursing care supplied through the existing nursing practice, not the ideal practice. Further justification of the nursing care requirement would demand separate quality monitoring system to evaluate the quality of outcome of care.

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