二级医院护理人力资源现状调查与分析

目的:描述我国二级医院护理人力资源现状。方法:应用自行设计的问卷对我国内地30个省(自治区、直辖市)948名二级医院护士长进行调查。结果:临床科室床护比为1:0.32,重症医学科床护比为1:1.99;护士年龄以20～30岁为主,学历以大专为主;采用责任制护理的科室占70.99%,每名护士平均负责10.35名患者,仅24.65%的科室配有护工;一年内护士离职率为4.00%,主要原因为转向其他医院或行业;有32.17%的科室实行绩效考核。结论:二级医院护士配置不足,护士年轻化严重,学历、职称普遍偏低,绩效考核体系不完善。建议增加二级医院护理人力配置,提高护士学历水平,加强后勤支持系统的建设。

Human resources sinus and analysis among the Second Grade hospitals in China

Objective： To describe the current status of the human resources management among the Second Grade hospitals. Method： Totally 948 head nurses from different Second Grade hospitals in 30 provinces were investigated by a self-designed questionnaire. Results： Nurse allocation： bed/nurse ratio was 1：0.32 in clinical department and 1：1.99 in ICU; most nurses were 20 to 30 years old and graduated mainly from junior college; about 70.99% departments adopted responsibility nursing system and one nurse took care of 10.35 patients on average, and only 24.65% departments had care workers; nurse turnover rate in the past year was 4.00%, and the main reason was transferring to other hospitals or other business; only 32.17% departments had performance appraisal system. Conclusions： Bed/nurse ratio is far less than the announced standards and nurses are in the status of being young, low educational background and job titles. The performance appraisal system is imperfect. We should increase nursing manpower, improve the level of nurses＇ educational background and titles and strengthen the construction of the logistical support system.