Purpose:The Purpose of the study is to lay foundation for reasonable legal nursing manpower staffing by building the nursing manpower-staffing model.
Method:The System dynamics approach was adapted to build a simulation model for calculating reasonable legal nursing manpower-staffing. The model was built up on Vensim 5.0b DSS.
Result:The results in the basic circumstance are in following. The level of nursing service quality, patient satisfaction, and nursing organization proficiency maintains higher and turnover intention also maintains lower at the tertiary hospitals with the ratio of bed to nurse 2.5:l-3.0:l than at any other situations. The level of nursing service quality, patient satisfaction, and nursing organization proficiency maintains higher, and turnover intention maintains lower at the secondary hospitals with the ratio of bed to nurse 3.0:l-3.5:l than at any other situations in the fundamental form. The results in the simulation circumstance are in following. As author raises the operating rate of bed into 95-100%, and cut skilled nursing staff down, the level of nursing service quality, patient satisfaction, and nursing organization proficiency drops slightly, and turnover intention also rises slightly. However with time the results show improvement.
Conclusion:In terms of economic efficiency on tertiary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.0:1(2.6:1 if calculating in terms of the ratio of patient to nurse). In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable legal nursing manpower-staffing is 3.5:1(3.0:1 if calculating in terms of the ratio of patient to nurse).
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