我国三级医院护理专科门诊建立与实践现状的调查分析  

The establishment and advanced nursing practice status of Nurse-Led Clinics in tertiary hospitals in China: findings from a national survey

作　　者：高凤莉[1] 丁舒 黄静[3] 董亮[4] 王淑芹[4] 吕扬[4] 段洁盟 李婷婷 张立新 刘均娥[6] 

机构地区：[1]首都医科大学附属北京朝阳医院护理部,北京市100020 [2]首都医科大学附属北京朝阳医院心脏中心,北京市100020 [3]首都医科大学附属北京朝阳医院泌尿外科,北京市100020 [4]首都医科大学附属北京朝阳医院呼吸与危重症医学科,北京市100020 [5]<中国护理管理>杂志社 [6]首都医科大学护理学院

出　　处：《中国护理管理》2017年第10期1297-1302,共6页Chinese Nursing Management

基　　金：<中国护理管理>杂志社护理管理科研基金项目(CNM-2016-01)

摘　　要：目的 :调查我国三级医院护理专科门诊的建立与实践现状。方法 :采用目的抽样法,通过问卷调查我国19个省、自治区、直辖市的330家三级医院。结果 :330家三级医院共开设各类护理专科门诊926个,开设数量排名前5位的分别是PICC护理门诊、伤口/造口/失禁护理门诊、糖尿病健康教育门诊、围产期保健护理门诊和腹膜透析护理门诊。共有2 701名护理专科门诊出诊护士,81.2%的护士具有本科及以上学历。取得卫生行政部门以及相关学术团体的专科认证是多数护理专科门诊岗位的上岗资质要求,分别占55.8%和55.2%。护理门诊现有的收费项目主要是诊疗费,为61.2%。82.1%的医院认为在门诊筹建过程中缺少配套政策的支持,73.6%的医院表示无明确收费标准是护理门诊运营中的主要阻力。结论:护理专科门诊在我国发展前景良好,建议相关部门应尽快制定相关配套政策,以促进我国护理专科门诊的可持续发展。Objective： To investigate the establishment and advanced nursing practice status of Nurse-Led Clinics in tertiary hospitals in China. Method： A convenient sampling of 330 tertiary hospitals was conducted using a self-designed questionnaire, covering 19 provinces （autonomous regions and municipalities） in China. Results： Totally 926 Nurse-Led Clinics were established. The top five clinics were Peripherally Inserted Central Catheter （PICC） care, wound/stoma/ incontinence care, diabetes mellitus health education, perinatal care and peritoneal dialysis care. In total, there were 2701 registered nurses working in the Nurse-Led Clinics. Among them, 81.2% had a bachelor or higher degree of nursing. Specialist nurses qualification authentication of health administration departments or nursing academic associations were necessary for clinic nurses, comprised 55.8% and 55.2% of cases, respectively. 61.2% of hospitals had set up the charging expense for diagnosis and treatment in Nurse-Led Clinics. Notably, 82.1% of them emphasize that a lack of supporting policies was the main difficulty when establishing clinics, while 73.6% reported the major barrier to operate Nurse-Led Clinics was a lack of explicit charge standard. Conclusions： Nurse-Led Clinics in China experience a rapid growth. The effectiveness of Nurse-Led Clinics in service delivery and clinical outcomes are expected. It is suggested that relevant regulations and policies should be set up, in order to improve the practice environment and facilitate the sustainable development of Nurse-Led Clinics in China.

关 键 词：护理门诊 高级护理实践 调查 

分 类 号：R47[医药卫生—护理学]