摘要
该文综合应用专家咨询、文献查阅、个案调查等方法 ,探讨了我国护理人力资源配置上存在的核心问题及其成因 ,并针对问题成因提出了相应的解决对策。文章提出当前护理人力资源管理方面最突出的问题是护理岗位人力配置不足 ,其原因有四 :医院忽视护理岗位的人力配置、测定护理工作量的重要依据发生了较大改变、各级护理所需直接护理时间随病人科别 (内外科 )的不同而有较大变化、患者所需间接护理时间大幅度增加。建议 :解决护理岗位人力配置不足问题需首先科学测定当前护理工作量。在测定护理工作量标准上需明确界定直接护理和间接护理各自的内容 ,考虑科室差别 ,还要实现科学的护理分级 ,以达到按需设岗的目的。同时还需采取措施将非技术工作和低技术工作从护士的工作内容中划分出去 。
The methods of focus group discussion, literatures review and case study were employed to explore the crucial problem and its causes concerning the nursing resources allocation in China. The study results showed that the crucial problem concerning nursing resources managements is the deficiency of nurses in the nursing post, which resulted from four factors: 1. To some extent, the human resources allocation of nursing was ignored by the hospital managers; 2. The standards to determine nursing workload has been greatly changed since 1980's; 3. There was a great variation in direct nursing time between different medical departments; 4. The indirect nursing time has been greatly increased as patients demand. Suggestions: In order to solve the problem of nurse deficiency, it should be highlighted that we should scientifically calculate current nursing workload. It was crucial to make clear the contents of direct nursing and indirect nursing service, take the department difference into account, rationalize nursing grading, and set nursing post by need. To take non technique works and low level technical works away from the nursing working content should be considered as a good way to increase the effective supply of nursing manpower.
出处
《中国卫生资源》
2003年第6期246-248,共3页
Chinese Health Resources
