广州市护士多点执业的现状访谈与分析

发布时间：2018-05-30 17:31

本文选题：护士 + 多点执业　；参考：《中华护理杂志》2017年10期

【摘要】：目的了解广州市护士多点执业开展的现状、广州市护理人员对护士多点执业的态度和意愿、护士多点执业的益处以及广州市在开展护士多点执业过程中遇到的问题。方法于2016年10月便利选取广州市4所综合医院、1所专科医院和2所社区卫生服务中心的护理人员进行半结构式访谈,以现场录音和笔录的形式记录访谈资料,资料转成文本后采用定量分析法进行分析。结果共纳入研究对象55名,其中护理管理人员24名,临床护理人员31名。54名(98.18%)研究对象对护士多点执业持支持态度,20名(36.36%)研究对象有进行多点执业的意愿。研究对象认为护士多点执业带来的益处主要是促进护理人员的成长与发展、促进护理人力资源的流动和合理配置、增加护理人员的收入;主要存在的问题是增加医疗机构管理的难度和影响护理质量、可能会使第一执业单位卷入医疗纠纷中。研究对象认为影响护士多点执业顺利开展的因素主要有相关法规制度不健全、护理服务质量难以控制、对多点执业护士的培训与管理不到位等。结论护理人员虽对护士多点执业支持度较高,但因相关政策、制度及相应保障措施不健全等原因,护士多点执业意愿较低。今后应继续探讨护士多点执业面临的问题,改进相关制度和完善保障措施,进一步推进护士多点执业的实施。
[Abstract]:Objective to understand the present situation of nurses' multi-practice in Guangzhou, the attitude and willingness of nurses to multi-practice in Guangzhou, the benefits of multi-practice of nurses and the problems encountered in the process of carrying out multi-practice of nurses in Guangzhou. Methods in October 2016, nursing staff from 4 general hospitals and 2 community health service centers in Guangzhou were selected to conduct semi-structured interviews. The interview materials were recorded in the form of live recording and recording. The data were transformed into text and analyzed by quantitative analysis. Results A total of 55 subjects were included, including 24 nursing administrators and 31 clinical nurses. The object of the study is that the main benefits brought by multi-practice of nurses are to promote the growth and development of nursing staff, to promote the flow and rational allocation of nursing human resources, and to increase the income of nursing staff. The main problem is to increase the difficulty of medical institution management and affect the quality of nursing, which may involve the first practicing unit in medical disputes. The main factors affecting the smooth development of multi-point practice of nurses were: the relevant laws and regulations were not perfect, the quality of nursing service was difficult to control, and the training and management of multi-point practicing nurses were not in place. Conclusion although nurses have a high degree of support for multi-point practice, nurses have a low willingness to practise multi-point because of the unsound related policies, systems and corresponding safeguards. In the future, we should continue to discuss the problems faced by nurses in multi-point practice, improve the relevant system and perfect the safeguard measures, and further promote the implementation of multi-point practice of nurses.
【作者单位】：北京市北京协和医学院护理学院;中华护理学会护理研究室;
【基金】：中国科协2016年承接政府转移职能与科技公共服务工程资助项目(2016GGFZ002)
【分类号】：R47

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