基于工作量指标法对医院感染人力资源需求量的探索

Exploration of human resource needs for hospital-associated infection based on Workload Indicators of Staffing Need

  • 摘要: 目的 运用WHO推荐的工作量指标法(WISN),评估某三级医院医院感染管理科在2021年(疫情期间)与2024年(疫情后)的人力资源配置需求与工作负荷变化。方法 收集南京市高淳人民医院医院感染管理科在2021年及2024年的工作量数据,严格遵循WISN方法的标准步骤,系统量化工作负荷并转化为具体人力需求,计算并比较两个年份的WISN比值、人员需求及各类工作构成的时间分配。结果 研究显示在相同6人配置下,2021年该科理论需求为7人,WISN比值为0.86,表明人员短缺;2024年WISN理论需求降至5人,比值升至1.2,表明人员相对充足。感染控制活动是工作负荷的主要来源,且支持性与额外活动(如培训、会议等)的占比在不同时期变化显著,职业类别调整因子(CAF)从2021年的1.94降至2024年的1.70,个人类别调整因子(IAF)从0.60降至0.45,反映出疫情后工作结构的简化与应急任务的减少。结论 医院感染管理科的人力配置应基于动态、精确的工作量评估,而非单一的床位数比例。WISN方法能有效量化工作负荷,转化为具体人力需求指标,为医疗机构实现人力资源的科学化、精细化配置提供可靠依据。

     

    Abstract: OBJECTIVE To assess the human resource allocation needs and workload changes of the Hospital-associated Infection Management Department of a tertiary hospital between 2021 (during the pandemic) and 2024 (post-pandemic) with the Workload Indicators of Staffing Need (WISN) recommended by the World Health Organization (WHO). METHODS Workload data of the Hospital-associated Infection Management Department of Nanjing Gaochun People's Hospital in 2021 and 2024 were collected.Strictly following the standard steps of the WISN method, the workload was systematically quantified and converted into specific human resource needs.The WISN ratio, staffing needs and time allocation for various work compositions were calculated and compared between the two years. RESULTS The study showed that with the same staffing of six individuals, the theoretical need based on workload was 7 individuals in 2021, and the WISN ratio was 0.86, indicating insufficient personnel.In 2024, the theoretical need for WISN was 5 individuals, and the ratio rises was 1.2, indicating sufficient personnel. Infection control activities were the main source of workload, and the proportion of supportive and additional activities (such as training, meetings,etc.) changed significantly over time. The Career Adjustment Factor (CAF) decreased from 1.94 in 2021 to 1.70 in 2024, and the Individual Adjustment Factor (IAF) decreased from 0.60 to 0.45, reflecting the simplification of work structures and reduction of emergency tasks after the pandemic. CONCLUSIONS The human resource allocation of the Hospital-associated Infection Management Department should be based on dynamic and precise workload assessments, rather than a single bed-to-staff ratio. The WISN method can effectively quantify workload and convert it into specific human resource need indicators, providing a reliable basis for medical institutions to achieve scientific and refined allocation of human resources.

     

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