Staffing Based on Nursing Care Needs of the In-Patient Wards : A Case Study of Chetsamian Hospital ,Ratchaburi Province

Abstract

ABSTRACT

          Objective : The  aims  were 1. to study the amount of nursing needs of the patients by classifying  their  types,  2. to study the rate at which the nursing personnel should be of Chetsamian  Hospital, 3. to compare the rate of nursing personnel that should be between the formula of Nursing Division ( Minister of Public Health )   and the formula of Warstler.

          Method : This is a descriptive research. The sample group  consisted  of 1,589  in-patients , admited to Chetsamian Hospital  from  October 2018 to September 2019.  Data collection  was  done  using the  forms  of  five types of patient classification according to Warstler and the records of nursing activities  which had passed the verification of the contents  from 3 qualified people.  The data  were  analyzed  using  descriptive  statistis,i.e., frequency distribution, percentage ,and the standard deviation.

          Results : 1. An  average  of  nursing needs of all types of patients  was  at 3.44 ( SD = 1.16 ) The nursing needs of all, if  at 3.44 was  the  patients’ nursing needs in  a  third  part of the day  ( 8-hours-shift : morning-afternoon-night) , would be 3.44 x 3 = 10.32 people.

1. According to the Warstler formula, a quantity of nursing needs of all types of patients was at 3.44. The nursing  needs of all, if  at 3.44  was  the  patients’ nursing needs in a  third  part  of the day, would  be 3.44 x 3 = 10.32 people. The nursing needs of the patients  for performing  the actual work against the call were  2.34 people ; thus the  relevant total  nursing  needs    would  be  2.44x3 =7.02  people  per  day. Lack  of  nursing  manpower for  keeping  up  with  total  nursing  needs  per  day  would  be  10.32-7.02 = 3.30 people.
2. Comparing the rate of nursing personnel between the formula  of  Nursing Division  with  the  formula  of  Warstler  at Chetsamian Hospital revealed  that  both  methods  yielded  a  similar  quantity  of  the  nursing needs ,i. e. , about  10  people. In  conclusion , there  was  no difference  between  the  both  formulas. The  results  suggested  to bring out a classification and distribution of patients  in  order  for appropriate assignments , adjusting the proportion of the individual personnel currently available to the amount of work,  use of such information for  decision on the allocation, changing  the capacity planning to fit the workload in each period and planning the next capacity of the future rate.

          Conclusion : The research  studied   nursing needs of the inpatients  by classifying  their  types , as  well  as comparing  rating of the  personnel  between Nursing Division’s formula   and  warstler’s formula. Lack  of  the practicing nurses  at   Chetsamian  Hospital  per  day  equals 3,  and there is no difference between the  both  formulas