摘要
目的了解我国三级甲等医院麻醉专科护士岗位管理的现状。方法于2022年1月至2022年3月采用自制问卷及方便抽样法,对我国内地三级甲等医院麻醉专科护士岗位管理的现状进行横断面调查。结果发放问卷154份,回收137份,回收率89%,剔除36份。本调查涉及我国25个省级行政区的101家三级甲等医院,综合医院比率90%。83%的医院有单独的麻醉护理单元,53%的医院麻醉专科护士比率≥10%,94%的医院有专科护士岗位管理制度,超过50%的医院具有专科护士的岗位职责、分层级管理制度、岗位待遇差异体现等,低于50%的医院实施有聘期和专职的专科护士任职,50%的医院符合麻醉专科护士服务的倡导范围。55%的医院开展了麻醉专科护士资格认证,37%的医院为麻醉专科护士培训基地。96%的医院制订了麻醉专科护士的发展规划。结论目前我国三级甲等医院的麻醉专科护士岗位管理虽已初具雏形,但其岗位管理的制度体系及专职化管理有待加强。
Objective To evaluate the status of position management of anesthesia specialist nurses in China.Methods From January 2022 to March 2022,a cross-sectional survey was conducted using a self-made questionnaire through convenience sampling to assess the current situation of position management of anesthesia specialist nurses in tertiary hospitals in China's mainland.Results A total of 154 questionnaires were distributed,137 of which were recovered,the response rate was 89%,and 36 questionnaires were excluded.The survey involved 101 tertiary hospitals in 25 provincial administrative regions in China,and 90%of hospitals were general hospitals.Eighty-three percent of hospitals had separate anesthesia care units,anesthesia specialist nurses accounted for≥10%of nurse anesthetists in 53%of hospitals.Ninety-four percent of hospitals had the position management system of specialist nurses,more than 50%of hospitals had position responsibility and hierarchical management systems and showed difference in position benefits.Less than 50%of hospitals had employed and full-time anesthesia specialist nurses.Fifty percent of hospitals conformed to the advocacy scope of anesthesia specialist nurse service.Fifty-five percent of hospitals carried out the qualification certification of anesthesia specialist nurses,and 37%of hospitals were the training bases for anesthesia specialist nurses.Ninety-six percent of hospitals formulated the development plan of anesthesia specialist nurses.Conclusions The position management of anesthesia specialist nurses has begun to take shape in tertiary hospitals in China at present,but the institutional system of position management and specialized management need to be strengthened.
作者
关丽娜
杨建军
张亚云
Guan Lina;Yang Jianjun;Zhang Yayun(Department of Anesthesiology,Pain and Perioperative Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2023年第7期827-831,共5页
Chinese Journal of Anesthesiology
关键词
麻醉手术护士
护理管理研究
横断面研究
Nurse anesthetists
Nursing administration research
Cross-sectional studies