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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Resident work hour changes in children's hospitals: Impact on staffing patterns and workforce needs
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Resident work hour changes in children's hospitals: Impact on staffing patterns and workforce needs

机译：儿童医院的居民工作时间变更：对人员配置方式和劳动力需求的影响

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BACKGROUND AND OBJECTIVE: Changes to the structure and nature of resident duty hour assignments can create compensatory workforce needs in hospital or outpatient settings to ensure appropriate patient care. The objective of this study was to understand what, if any, adjustments children's hospitals have made in staffing and assignments of specific duties during the past 2 years as a result of residency duty hour changes, and what changes are anticipated in the upcoming 2 years. METHODS: Mail survey to chief executive officers and chief operating officers of 114 freestanding children's hospitals or children's hospitals within a larger hospital. RESULTS: Response rate was 65.4%. Respondents from more than half of hospitals (57%, N = 36) reported increasing the overall full-time equivalent (FTE) of hospitalists in response to the 2011 resident work hour changes. Forty-eight percent (N = 30) increased the overall FTE of pediatric nurse practitioners (PNPs), and 42% (N = 27) increased the FTE of neonatal nurse practitioners (NNPs). Most hospitals plan to increase the number of hospitalists (69%, N = 44), PNPs (59%, N = 37), or pediatric attending physicians (56%, N = 35) over the next 2 years. Forty-three percent ( N = 27) of hospitals plan to increase the number of NNPs over the next 2 years, and a quarter plan to increase physician assistants (25%, N = 16) or pediatric house staff (24%, N = 15). CONCLUSIONS: Changes in work hours for pediatric residents appear to have an impact on workforce planning within pediatric hospitals. Decreases in available resident work hours will create an increasing demand, primarily for nonresident physicians, PNPs, and NNPs.
机译：背景与目的：改变住院时间分配的结构和性质可以在医院或门诊病人中创造补偿性劳动力需求，以确保适当的患者护理。这项研究的目的是了解由于住院时间变更而在过去两年中儿童医院在人员配备和具体职责分配上所做的调整（如果有的话），以及在接下来的两年中预期会发生什么变化。方法：将调查邮寄给114家独立儿童医院或较大医院中的儿童医院的首席执行官和首席运营官。结果：回应率为65.4％。超过一半的医院（57％，N = 36）的受访者表示，由于2011年居民工作时间的变化，住院医生的总全时当量（FTE）有所增加。 48％（N = 30）增加了儿科护士执业者（PNP）的整体FTE，42％（N = 27）增加了新生儿护士执业者（NNP）的FTE。大多数医院计划在未来两年内增加住院医生（69％，N = 44），PNP（59％，N = 37）或儿科主治医生（56％，N = 35）的数量。百分之四十三（N = 27）的医院计划在未来2年内增加NNP的数量，四分之一的医院计划增加医师助理（25％，N = 16）或儿科门诊人员（24％，N = 15）。结论：儿科住院医师工作时间的变化似乎对儿科医院的工作人员计划产生影响。减少住院医生的可用工作时间将增加需求，主要是对非住院医生，PNP和NNP的需求。

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