Abstract: Objective To study the working conditions of nursing staff using the overall nursing efficiency model in order to provide reliable evidence for the optimal allocation of nursing human resources. Methods A total of 28 departments of four tertiary first-class general hospitals in Tianjin were selected to investigate the level of working ability，workload and quality of nursing service by convenience sampling. Excel was used to build database and statistical analysis was done according to the formula. Results The overall nursing efficiency in Tianjin was 39.91% ，the level of working ability was 43.63% ，the workload was 95.11% ，and the nursing service quality was 96.15%.The workflow level is 0.764 and the operational level is 0.395 to 0.834.Conclusion The overall nursing efficiency in tertiary first-class general hospitals in Tianjin needs to be improved，the level of nursing workflow is acceptable， the level of nursing operation needs to be improved，the overall workload is heavy， and the time of effective direct care are less.

Key words: Nursing Staff, Workload, Nursing Service Quality, Nursing Administration Research

摘要： 目的 采用护理人员综合服务效率模型对护理人员整体工作状况进行调查，为护理管理者对护理人力资源的优化配置提供可靠的依据。方法 采取便利抽样法，抽取天津市4所三级曱等综合医院的28个科室，对科室护理人员的工作能力水平、工作负荷、护理服务质量进行现状调查。采用Excel建立数据库，计算分析护理人员综合服务效率。结果 天津市4所三级曱等综合医院护理人员综合服务效率整体水平为39.91%,工作能力水平为43.63%,流程水平为0.764;搡作水平为0.395-0.834;工作负荷为95.11%;护理服务质量为96.15%。结论 天津市三级曱等综合医院护理人员综合服务效率水平有待提高，流程水平尚可，搡作水平有待提高，总体工作负荷较重，直接护理时数较少。

关键词: 护理人员, 工作负荷量, 护理服务质量, 护理管理研究