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Table 5 Norm estimation of the required number of nursing staff based on the type of ward and type of hospital

From: The design of an estimation norm to assess nurses required for educational and non-educational hospitals using workload indicators of staffing need in Iran

Ward

Type of hospital

Standard workload (patients/year)

CAF*

IAF**

Required nurse (number)

The Norm or coefficient for required nurse estimation

Patient care

Cardiopulmonary resuscitation

Patient transfer

According to standard workload

By applying category allowance standards

By applying individual allowance standards

General surgery

Educational

468.85

922.08

212.79

1.18

1.29

38.3

45.19

46.48

0.95

Non-educational

502.95

922.08

212.79

1.17

0.22

5.9

6.9

7.12

0.88

Ear, nose, and throat

Educational

653.34

922.08

212.79

1.13

0.51

10.91

12.28

12.79

0.67

Non-educational

740.96

922.08

212.79

1.11

0.02

0.51

0.57

0.59

0.57

Orthopedic

Educational

502.95

922.08

212.79

1.17

1.57

43.11

50.43

52

0.88

Non-educational

614.72

922.08

212.79

1.13

0.15

3.49

3.96

4.12

0.71

Brain and neurosurgery

Educational

448.58

922.08

212.79

1.19

0.97

30.01

35.85

36.82

1.01

Non-educational

521.93

922.08

212.79

1.16

0.03

0.8

0.93

0.96

0.86

Gynecology and obstetrics

Educational

496.93

922.08

212.79

1.17

0.97

26.88

31.5

32.47

0.89

Non-educational

597.03

922.08

212.79

1.14

0.66

15.46

17.62

18.28

0.73

Urology

Educational

482.48

922.08

212.79

1.18

0.88

25.23

29.73

30.61

0.92

Non-educational

535.4

922.08

212.79

1.16

0.13

3.34

3.87

4

0.82

Eye surgery

Educational

797.95

922.08

212.79

1.1

0.78

13.47

14.83

15.61

0.53

Corneal transplantation

Educational

703.28

922.08

212.79

1.12

0.02

0.55

0.62

0.64

0.6

Open heart

Educational

395.18

922.08

212.79

1.23

0.78

27.05

33.18

33.97

1.16

Oral and maxillofacial surgery

Educational

560.72

922.08

212.79

1.15

0.04

0.9

1.04

1.08

0.8

Kidney transplantation

Educational

324.17

922.08

212.79

1.29

0.23

10.1

13.03

13.27

1.48

Liver transplantation

Educational

214.35

922.08

212.79

1.3

0.06

2.46

3.2

3.26

1.54

Bone marrow transplantation

Educational

186.49

922.08

212.79

1.64

0.33

2.4

3.94

4.27

3.81

Plastic surgery

Educational

466.22

922.08

212.79

1.19

0.15

4.44

5.27

5.42

0.96

CCU

Educational

252.24

922.08

212.79

1.41

0.51

11.78

16.58

17.09

2.12

Non-educational

281.31

922.08

212.79

1.35

0.55

13.64

18.42

18.79

1.85

ICU

Educational

195.72

922.08

212.79

1.59

0.75

34.68

55.3

56.05

3.05

Non-educational

202.9

922.08

212.79

1.56

0.47

7.93

12.39

12.86

3.07

NICU

Educational

251.48

922.08

212.79

1.41

0.71

29.09

40.98

41.7

2.09

Non-educational

255.35

922.08

212.79

1.4

0.37

8.13

11.39

11.76

2.09

Burn ICU

Educational

166.94

818

188.77

1.78

0.14

6.32

11.23

11.38

3.95

PICU

Educational

198.06

922.08

212.79

1.58

0.87

38.5

60.98

61.85

2.98

Non-surgery ICU

Educational

192.1

922.08

212.79

1.61

0.56

22.62

36.49

37.05

3.23

Surgery ICU

Educational

197.59

922.08

212.79

1.59

0.39

13.75

21.8

22.19

3.22

Open heart ICU

Educational

186.49

922.08

212.79

1.64

0.71

31.41

51.61

52.32

3.28

Nephrology

Educational

463.62

922.08

212.79

1.19

0.32

14.75

17.5

17.83

0.97

General medical

Educational

461.04

922.08

212.79

1.19

0.78

24.63

29.26

30.05

1.02

Non-educational

493.97

922.08

212.79

1.17

0.52

14.52

17.04

17.56

0.9

Neurology

Educational

453.48

922.08

212.79

1.19

0.71

16

19.08

19.78

1.01

Non-educational

474.21

922.08

212.79

1.18

0.41

9.65

11.41

11.82

0.95

Cardiology

Educational

446.17

922.08

212.79

1.2

0.41

13.32

15.92

16.33

1.06

Non-educational

474.21

922.08

212.79

1.18

0.47

13.93

16.46

16.93

0.96

Infectious diseases

Educational

342.92

922.08

212.79

1.27

0.48

19.41

22.66

25.14

1.39

Non-educational

395.18

922.08

212.79

1.23

0.2

6.95

8.53

8.73

1.17

Pediatric

Educational

448.58

922.08

212.79

1.19

0.78

24.2

28.91

29.68

1.01

Non-educational

474.21

922.08

212.79

1.18

0.54

15.73

18.59

19.13

0.94

Psychiatric

Educational

791.61

818

188.77

1.1

1

22.9

25.23

26.22

0.53

Pediatric psychiatric

Educational

545.33

818

188.77

1.15

0.12

3.98

4.59

4.71

0.79

Infant

Educational

499.92

922.08

212.79

1.17

0.27

3.77

4.41

4.69

0.91

Non-educational

560.72

922.08

212.79

1.15

0.32

4.87

5.6

5.92

0.81

Post angiography

Educational

453.48

922.08

212.79

1.19

0.4

9.04

10.78

11.18

1

Dermatology

Educational

838.25

922.08

212.79

1.15

0.36

4.13

4.52

4.88

0.53

Burn

Educational

265.78

818

188.77

1.38

0.4

18.02

24.85

25.25

1.93

Gastroenterology

Educational

410.83

922.08

212.79

1.22

0.36

18.07

21.98

22.24

1.1

Lung

Educational

421.25

922.08

212.79

1.21

0.32

15.43

18.67

18.98

1.07

Rheumatology

Educational

576.3

922.08

212.79

1.15

0.32

11.6

13.28

13.6

0.75

Toxicology

Educational

337.35

922.08

212.79

1.28

0.79

32.61

41.62

42.41

1.42

Pediatric kidney

Educational

395.18

922.08

212.79

1.23

0.44

12.06

14.79

15.23

1.17

Pediatric oncology and hematology

Educational

378.94

922.08

212.79

1.24

0.96

34.76

43.06

44.01

1.22

Pediatric surgery

Educational

421.25

922.08

212.79

1.21

1

32.45

39.25

40.25

1.08

Pediatric gastroenterology

Educational

455.97

922.08

212.79

1.19

0.26

7.68

9.14

9.39

0.99

Pediatric neurology

Educational

448.58

922.08

212.79

1.19

0.27

8.47

10.12

10.39

1.01

Hematology

Educational

488.16

922.08

212.79

1.18

0.35

14.69

17.27

17.62

0.91

Immunology

Educational

525.24

922.08

212.79

1.16

0.06

1.64

1.9

1.96

0.83

Oncology

Educational

482.48

922.08

212.79

1.18

0.29

12.87

15.16

15.46

0.91

Cardiovascular surgery

Educational

453.48

922.08

212.79

1.19

0.66

32.81

39.1

39.76

0.98

Thorax surgery

Educational

474.21

922.08

212.79

1.18

0.27

12.03

14.22

14.49

0.96

Endocrinology

Educational

448.58

922.08

212.79

1.19

0.15

6.9

8.24

8.39

0.99

  1. *CAF is a multiplier that is used to calculate the total number of health workers, required for both health service and support activities
  2. **IAF shows required nurse number to perform additional activities