Fundamental research on the calculation method of the number of nurses required in order to perform a safe nursing care

由于室外护理比室内更安全，需要医疗变化，因此本研究旨在为建立基于护理判断的员工安全护理分配新指标提供基础数据。目的：为找出安全提供门诊化疗所需护士人数的计算方法，明确门诊化疗室护士的操作实际情况及操作环境的实际情况。通过对某治疗室的时间研究调查，以及工作人员对工作护士的听力理解和检查，获得了该治疗室的基本资料。经调查并获得伦理委员会批准，对数据进行统计处理。结果：在来访者强制化疗前，根据医生的医学检查结果，开始了部分药物的抗肿瘤药物混合和治疗室制剂的混合，并进行了角色分配、合作组织和信息共享。门诊化疗室内护士的工作顺序为人员之间的“联系、指示、调整”、“资料收集、查表”、“记录”、“护理相关会议”、“查点滴药物及指示”。CEF在“建议与指导”、“实施静脉滴注”、“检查与观察患者病情”上花费的时间较多，而不是PTX，并且根据医疗方法进行“实施静脉滴注”、“检查滴注”、“检查患者状态与观察”的次数较多。从现在开始，我反复调查，并进一步分析了每次治疗所需的时间和次数，并认为有必要计算所需的人员数量。

Since being cared more safely than the inside where medical treatment changes was called for, this research aimed at obtaining the fundamental data for creating the new index about the staff assignment for safe care offer based on nursing judgment. Purpose: In order to find out the calculation method of the number of nurses required since a visitor chemotherapy is offered safely, clarify a nurse's operating actual condition in a visitor chemotherapy room, and the actual condition of operating environment. The fundamental data about a treatment room was obtained by time study investigation, and the listening comprehension and inspection from the staff for the nurse who works to method: "visitor chemotherapy room." After investigation obtained the approval of the Ethics Committee, Data processed statistically. Result : Before visitor chemotherapy enforcement, in response to a doctor's medical examination result, mixing of the antineoplastic drug in a medicine part and preparation in a treatment room are started, and sharing of a role assignment, cooperation organization, and information was made. The business of the nurse in the visitor chemotherapy interior of a room was the order of "the connection, directions and adjustment" between the personnel, "information gathering and a chart check", "record", "a care related meeting", and "a check of intravenous drip medicine and directions." The CEF had spent many hours on "advice and instruction", "implementation of intravenous drip", and "a check and observation of a patien's condition" rather than PTX, and it was a tendency with much number of times of "implementation of intravenous drip", "a check of dropping", and "a state check and observation of a patient" according to the medical treatment method. Investigation was repeated from now on, and I analyzed further the time and the number of times required for every cure, and think that there is the necessity of tying to calculation of the required number of staffs.