全面放开“二孩”政策对某市二级甲等医院护理人力资源冲击现况调查研究  

A survey of the ＂two children＂ policy on the impact of class Ⅱ hospitals of a city＇s nursing human resources

作　　者：黄燕 黄旭 

机构地区：[1]湖北省咸宁市第一人民医院急诊科,437000

出　　处：《中国实用护理杂志》2018年第4期302-306,共5页Chinese Journal of Practical Nursing

摘　　要：目的了解全面放开“二孩”政策对基层二级甲等医院护理人力资源冲击现况，为基层医院护理人力资源合理配置的管理决策提供依据。方法选取湖北省咸宁市24所二级甲等医院进行为期2年的护理人力资源情况跟踪及监测。结果实际床护比为1：0．37；≤45岁护士占大多数，达到89．7％（3398／3789）；2016年护士休假89d，2015年休假103d，2016年较2015年少14d；2016年护士日人均分管床位12．1张，护理操作212．35次，健康宣教17．9次，护理文书书写25．1次，电话回访5．7次，杂事42．4次，2015年分别为6．8张、156．21次、7．8次、15．3次、2．2次、21．5次，2016年和2015年比较差异有统计学意义（χ2=4．126～14．866，均P〈0．05），2015年编制护士离职3人、非编制护士离职51人，2016年分别为21、139人，2016年和2015年比较差异有统计学意义（χ2=15．429、3．921，均P〈0．05），2015年护士总体工作满意度为（3．76±0．19）分，2016年为（3．06±0．12）分，2016年和2015年比较差异有统计学意义（t=4．236，P〈0．01）。结论因全面“二孩”政策，加之医院护理服务质量的进一步提升，使护士工作量增加、离职倾向增加和护士总体工作满意度下降，与基层二级甲等医院护理人力资源之间的矛盾更加凸显。政府及医院护理管理者必须采取适合各自医院的有效对策积极应对，保证人力资源不足时的护理质量和护理安全，满足人民日益增长的护理健康需求。Objective To investigate the status of the full liberolization of the ＂two children＂policy of nursing human resources base on Class Ⅱ Hospitals, and provide advice of nursing human resources on basic hospital management decisions. Methods Selected 24 Class Ⅱ hospitals in Xianning city for 2 years of nursing human resources tracking and monitoring. Results The proportion of actual beds and nurses was 1 ： 0.37. Nurses less than 45 years old account for the majority, reaching 89.7%（3 398/3 789）. Comparing with 2016 （89 days） and 2015 （103 days）, nurses took fewer vacations （14 days）. In 2016, the nurse in charge of 12.1 beds, 212.35 times of nursing operation, 17.9 times of health education, 25.1 times of nursing documents, 5.7 times of calling, 42.4 times of the chores, in 2015, the nurse in charge of 6.8 times,156.21 times, 7.8 times, 15.3 times, 2.2 times, 21.5 times. Corresponding, in 2016 and 2015 was statistically significant the difference（χ2=4.126-14.866, all P 〈 0.05）. The turnover rate of nurses was 3 in 2015 and 51 in non-organization nurses in 2015, and 21 and 139 respectively in 2016 respectively. The difference was statistically significant χ2=15.429, 3.921, all P〈 0.05）. In 2015, the basic satisfaction degree was （3.76±0.19） points, and it was （3.06±0.12） points in 2016. The difference between 2016 and 2015 was statistically significant （χ2=4.236, P 〈 0.01）. Conclusions Due to the overall ＂two children＂ policy, and further improve the quality of nursing service of the hospital, the nurse workload increases, turnover increased and nursing occupation satisfaction decreased. The contradiction between the nursinghuman resources and the Class Ⅱ hospitals in grass-roots level is more prominent. Government and hospital care managers must take effective measures for their hospitals to respond positively respectively to the quality of care and safety of care in the context of inadequate human resources and to meet the growing needs of the people＇s

关 键 词：护理 人员开发 “二孩”政策 现况 

分 类 号：R47[医药卫生—护理学]