摘要
目的:分析当前我国三级医院的护理岗位管理现状,为进一步提升我国三级医院护理岗位管理工作提供参考。方法:充分考虑各地经济发展水平、级别特点和地域分布情况,便利抽取全国 28个省、自治区、直辖市的162家三级医院进行问卷调查,并对6家三级医院进行实地调研,理三级医院护理岗位设置和人力配置情况。结果:162家三级医院平均注册护士数为946.26人,其中护理管理人员为55.61人(5.88%);护理岗位设置层级以5级居多(69.14%);护理岗位设界基本分为护理管理岗位、临床护理岗位和其他护理岗位三大类,其中临床护理岗位和其他护理岗位设置差别较大:各医疗机构主要依据国家出台政策文件中要求的床护比以及临床工作实际来配置护理人力。结论:不同地域护理岗位分类基本一致但分层管理制度存在差异;各类别护理岗位结构不合理,要以患者为中心深化岗位设置内涵;部分科室护理人力相对不足,尚需要探索更科学的人力配置方法。
Objective:To analyze the current situation of nursing post management in China and provide suggestions for its further development.Methods:Fully consided the economic development level,level characteristics,and regional conditions of each region,we conducted an online questionnaire survey in 162 hospitals nationwide and field research in 6 hospitals to review the nursing position setting and human resource allocation in some hospitals in China.Results:The average total number of registered nurses in the surveyed hospitals was 946.26,of which 55.61(5.88%)were nursing management personnel.Most hospitals had 5 levels of nursing job setting(69.14%),which were basically divided into three major categories:nursing management,clinical nursing,and other positions,with significant variation in the latter two areas.Medical institutions mainly relied on the bed-to-nurse ratio required by national policy documents and actual clinical work to allocate nursing personnel.Conclusion:The classification of nursing positions in different regions is basically the same yet with differences in the hierarchical management system.The arrangement of nursing positions in various categories is unreasonable,and the connotation of post settings needs to be deepened with a patient-centered approach.There is a relative shortage of nursing manpower in some departments,and a more scientific method of manpower allocation needs to be explored.
作者
冯晶晶
刘艳存
姜桐桐
余晓
李宏静
么莉
FENG Jingjing;LIU Yancun;JIANG Tongtong;YU Xiao;LI Hongjing;YAO Li(National Institute of Hospital Administration,Beijing,100044,China)
出处
《中国护理管理》
CSCD
北大核心
2024年第10期1441-1445,共5页
Chinese Nursing Management
关键词
岗位管理
岗位设置
人力资源
护理
nursing post management
position setting
human resource
nursing
作者简介
第一作者:冯晶晶,硕士,副研究员,E-mail:fjing1989@yeah.net;通信作者:么莉,国家卫生健康委医院管理研究所护理管理与康复研究部主任。主持与推动建立了“国家护理质量数据平台”,E-mail:moli_158@163.com。
