重庆市30家“优质护理服务示范工程”重点联系医院护理人力资源调查与分析

目的:了解重庆市30家"优质护理服务示范工程"重点联系医院(以下简称"重点联系医院")护理人力资源现状,为卫生行政部门制定政策提供依据。方法:采取自制调查表对30家重点联系医院的护理部主任以无记名的方式进行调查。结果:护士占卫生技术人员的53.67%,非护理岗位占3.46%,病房床护比为1∶0.44,基本达到部颁标准(50%、1∶0.40),监护室床护比为1∶1.73,低于部颁标准(1∶2.5～3);开展优质护理服务前后实际开放床护比没有统计学差异。在护士结构中,学历以大专及其以上为主(84.38%),职称以初级为主(83.66%),工作年限以5年以内为主(51.79%),年龄以20～29岁为主(61.66%)。护士长以中级职称、大专及其以上学历、年龄30～49岁占多数。护理部主任以高级职称、本科学历、年龄40～50岁、任职年限5年以内占多数。护士流失率在5%以内的有22家(73.33%),流失率为6%～10%的有7家(23.33%)。结论:重点联系医院病房护士配置数量基本达标,监护室配置护士不足。护士队伍以学历高、职称低、年龄轻、工作年限短、编制外占多数为主要特征。

Human resources status among 30 key contact hospitals with high quality nursingservice in Chongqing

Objectives: To investigate human resources status among 30 key contacthospitals with high quality nursingservice and to provide policymaking references formedical administration departments. Methods: We took anonymous investigations in 30key contact hospitals with high quality nursingservice and analyzed the data with SPSS17.0software. Results: Nurses accounted for 53.67% of all the medical staff and non-nursingposition took a percentage of 3.46%. Ward bed/nurse ratio was 1:0.44 which basicly met theannounced standards(50%,1:0.40). ICU bed/nurse ratio was 1:1.73 which was lower than theannounced standards (1:2.5~3).There was no statistic difference between ward bed / nurseratios before and after delivering high quality nursing service. Most nurses were with juniorcollege degree or above educational background(84.38%), with elementary professionaltitles(83.66%), with no more than 5 years’ working experience (51.79%) and 20~29 yearsold(61.66%). Most head nurses were 30-49 years old, with junior college degree or aboveeducational background and with intermediate professional titles. Most directors of thenursing departments were 40-50 years old, with senior professional titles, with bachelordegree and with no more than 5 years’ position experiences. Twenty-two hospitals(73.33%)had a turnover rate of no more than 5% and 7 hospitals(23.33%) had a turnover rate between6%-10%. Conclusion: Ward nurses allocaiton quatity basicly meet the announced standards,but ICU nurses were insufficient. Most nurses are with high educational background,low professional titles, young limited working experiences and outsider of establishmentstrength which should be improved in future.