精神科病院における卓越した看護管理者の人員配置に関する思考過程の明確化

Assignment of appropriate staff is a very important role of the as nursing administrator. The purpose of this research was to clarify a staff assignment process based upon the thought process of distinguished nursing administrators in psychiatric hospitals in order to create a computerized system towards improving patient care outcomes. Participants were seven nursing administrators in psychiatric hospitals which have psychiatric acute care unit and dementia care unit etc. in Japan. A semi-structured interview procedure was using to determine the requirements necessary for systematizing process of designing the staff assignment, and survey contents were “method of information gathering required for staff assignment determination”, “what information required for decision-making”, and “how to evaluate from the collected information”. This study used the qualitative analysis of narratives from participants. As a result, the daily record for unit management, interview, personnel information and patient information through the work schedule were collected, and nursing administrator had determined quantitative and qualitative number of staff assignment through the process of three steps of assessment. As a one important issue for staff assignment, it became clear a lot of nursing administrator’s precious time was spent in gathering, organizing and analyzing information for staff assignment determination.