Research on the calculation of nursing workload under nursing vertical management——based on Delphi method and analytic hierarchy process
ZHANG Qianqian
DAI Weiying
ZHENG Xuetong
PENG Fucong
BAO Benlin
LI Miao
YU Zeyang
JIN Yana
WANG Hong
XU Li
LIU Bin
ZHANG Yang
XIAO Zhijian
XIE Wenjun
Abstract：Objective To construct a nursing work category weight index system in tertiary hematology hospital,so as to provide scientific and reliable objective data for calculating nursing workload and promote the development of hospital nursing vertical management.Methods From July to August 2023,a multi-department research group was formed,using the"directory of essential medical service items"as a foundation to extract nursing work categories.The category framework of nursing service items was preliminarily established based on literature analysis,survey of multiple hospitals,and combined with the actual situation of the hospital under study.Delphi expert consultations were conducted.Through the Analytic Hierarchy Process (AHP),the subjective scores by expert consultaion were converted into quantitative objective data,to determine the index system of nursing work items and the weight of each index.Results The recovery rates of valid questionnaires in the two rounds of expert consultation were both 100％,with expert authority coefficients of 0.905 and 0.900,respectively.The Kendall's W coefficient of concordance ranged from 0.100 to 0.603,except for the dimension of"direct nursing time"in two rounds of level-1 index(P>0.05),the others were P<0.01.The final weighted indicator system comprised three first-level indicators,24 second-level indicators and 175 third-level indicators,with a satisfactory consistency in the matrix model constructed using AHP (CR<0.1).Conclusions The established weighted indicator system for nursing work categories in a tertiary hematology hospital is scientific,reliable,comprehensive and professional.It can provide authoritative data for calculatin nursing workload and provide reference for other medical institutions.
Keywords：Vertical ManagementNursing workloadIndicator weightDelphi methodAnalytic Hierarchy Process(AHP)
Publication Date：2024-11-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 516-522 )