骨科专科护士岗位管理现状的调查

目的 调查国内骨科专科护士岗位管理现状,为制订专科护士管理制度提供参考和依据。方法 自制问卷,便利抽取国内28个省份的560名骨科专科护士,调查其岗位管理现状及满意度。 结果 在专科护士管理制度方面,49.29%的调查对象所在医院专门设立专科护士管理制度,20.89%的医院专科护士管理制度不透明,各医院在岗位聘用要求、直接管理部分、聘期、专项绩效考核指标、专项激励政策等管理细则上各不相同;在岗位实践方面,74.64%的调查对象培训后岗位未发生变化,仍以临床护理实践为主要工作,骨科高级护理实践活动开展有限;56.96%的调查对象对岗位管理现况表示满意或非常满意,9.46%的调查对象有离职意愿,但大多数（72.86%）调查对象对骨科专科护士的发展前景有信心。 结论 骨科专科护士岗位管理满意度处于中等水平,其岗位管理工作已经起步,高级护理实践活动逐步开展,骨科专科护士队伍职业承诺度高,发展前景较好。未来还需要国家、医院、个人三方共同努力,建立完善、科学、合理的专科护士岗位管理制度,促进骨科专科护士的合理使用。

A survey of the position management status for orthopedic specialist nurses

Objective To investigate the current situation of position management of orthopedic specialist nurses（OSN） in China,and to provide references for the formulation of relevant management systems. Methods A self-designed questionnaire was used to facilitate the investigation of the status and satisfaction of the post management of 560 OSN in 28 provinces/municipalities across the country. Results In terms of the management system of OSN,there were only 49.29% of the participants whose hospitals had special management systems for specialist nurses,and 20.89% of the hospital management system was not transparent. Furthermore,the specific rules in employment,level management,performance appraisal,continuing education and training,and post incentive system in those hospitals were different. As for the postpractice of OSN,74.64% of the participants didn’t change their work positions,and their main jobs were still direct clinical nursing practices,but the development of orthopedic advanced nursing practical activities were limited. Job management satisfaction was 56.96%,and only 9.46% had the intention to leave. Most of them（72.86%）were confident about the development and prospects of OSN. Conclusion The satisfaction of post management is at a medium level,as it is at the initial stage,and the advanced nursing practice activities are gradually carried out. The whole team has high professional commitment and considerable development and prospects. It is necessary for the state,hospitals and individuals to work together with their efforts to establish a scientific,rational and perfect system for postmanagement of OSN,so as to improve the growth and strength of OSN team.