Project of Improving Nurse Staff Working Overtime in Medical Word

Monday, 22 July 2013

Hsiu-Hui Lei, RN
Department of Nrsing, Chi-Mei medical center, Taiwan, Taiwan
Shu Hui Hu, RN
Department of Medical, Chi-Mei medical center, Tainan, Taiwan

Learning Objective 1: We can learn communication skill, such as ISBAR skill.

Learning Objective 2: We can learn how to simplify nursing record and problem-solving skill.

Background and problems

Nurse staff a crucial role in patient care. However, they are so responsible that they work overtime. This study began on May 2010; it focused on their time of leaving work. The result shows that 90.6% related to 30 minutes late, and work satisfaction decreases 38.9%. To analyze the problems, we realized several reasons, such as complicated nursing records, time on shift-change is too long and so on.


To project was designed to decrease the leaving work time.


To solve the problem, we worked on three vital factors. First of all, teaching nurses how to communicate with medical staff with specific skills such as ISBAR communication skill. Second, we simplify shift-change procedure. Lastly, unify nursing record forms.


The result showed that overtime rate has decreased form 90.6% to 21.86%. Also, the satisfaction was up to 85%.


Hopefully, through this improvement, we will be able to solve the problems of working overtime and the quality of work, and share this sort of problem with other staff.