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

Table 2 Annual working time calculating for nurses

Row	Factor	Calculations
1	Number of days in a year	365 days
2	Number of Fridays per year	52 days
3	The number of public holidays per year	24 days
4	The average vacation used in a year	18 days
5	The average of sick leave used in a year	3 days
6	The average of maternity leave used in a year	10 days
7	The average of non-employment days for incentive leave, mission, etc. in a year	1 day
8	The average of working days available in a year	365 − (52 + 24 + 18 + 3 + 10 + 1) = 257 days
The average of working hours available annually without decreasing hours due to the Productivity Improvement Act		257 × 7.33 = 1 884 h
9	A deduction of 4 h per week according to Section 2 of the Productivity Improvement Act (4 × 52 = 208)	1 887 – 208 = 1 676 h
9	Adjustment of the working hours available under the third section of the Productivity Improvement Act (1.5 times calculated of the nights and official holidays)	0.77 Adjustment factor
10	Considering 40 h of compulsory extra working hours per month (40 × 12 = 480)	1 676 + 480 = 2 156 h
The average of working hours available annually considering the adjustment factor		2 156 × 0.77 = 1 660 h
Hours of nurses’ annual presence at the hospital by applying extra working hours with a deduction of 15% of the working time for allowed unemployment (allowance), rest and personal affairs, fatigue, and delays during work		1 660× 85% = 1 411 h
The average of annual available working days		1 411 ÷ 8.5 = 166 days

ISSN: 1478-4491