李巧芬 王燕 尹逊国 龙丽芬 包丽芬 史建琼 田梅 孟月仙 周娟娟 谢丽萍 詹少虹 陈立英

[摘要] 目的 通过调查，分析曲靖市各级医疗机构护理人力资源配置情况，为卫生行政管理部门为医疗机构合理配置护理人力，保障护理工作质量及医疗安全提供依据。 方法 通过调查问卷，对全市有法人代表的23个市、县（区）、乡镇、企业、民营医院、社区卫生服务中心等医疗机构的护理管理部门及4382名护士进行调查，应用SPSS17.0统计软件进行统计分析。 结果 虽然床护比基本达标，临床护理岗位人员人力资源缺乏依然存在，人力资源不足依然是困扰护理管理的首要因素，护理队伍结构不合理，护理人员身份多元化，编制内护士比例逐渐降低，对护理职业的认同感及薪酬的满意度不容乐观。 结论 多途径、多渠道增加护理人员，尤其是编制内护士。有计划的重点培养一批护理骨干，在护理队伍中起好承上启下的引领、带动作用。尽快建立编制外护士管理标准，稳定护理队伍。改善护理人员待遇，尤其是技术职称的评定和聘任，不能与医疗机构其它卫生专业技术岗位形成巨大差距。

[关键词] 护理；人力资源；现状调查

[中图分类号] R47   [文献标识码] B   [文章编号] 2095-0616（2014）08-

Current status survey of nursing human resources allocation in Qujing City of Yunnan Province

LI Qiaofen1  WANG Yan1  YIN Xunguo2  LONG Lifen1  BAO Lifen1  SHI Jianqiong1TIAN Mei1  MENG Yuexian1  ZHOU Juanjuan1  XIE Liping1  ZHAN Shaohong1CHEN Liying1

1.Qujing Nursing Association of Yunnan Province, Qujing 655000, China; 2.Affiliated Qujing Hospital of Kunming Medical University, Qujing 655000, China

[Abstract] Objective To provide reference for the health administration department to allocate rational nursing human resources to the medical institutions and for the guarantee of nursing work quality and medical safety through investigating and analyzing the nursing human resources allocation situation at all levels of medical institutions in Qujing. Methods Through questionnaire survey, the nursing management departments of 23 medical institutions such as the city, county (district), township, corporate and private hospitals and community health service centers and 4382 nurses were investigated. SPSS17.0 software was used for statistical analysis. Results Although the bed-nurse ratio basically met the standards, lack of clinical nursing staffs still existed and human resources insufficiency was still the dominant factor hindering nursing management. Irrational nursing team structure, diversified nursing staff identities, decreased proportion of nurses on the establishment and unoptimistic sense of approval and satisfaction to remuneration also existed among the nurses. Conclusion The number of nursing staffs should be increased through multiple approaches and multiple channels, especially nurses on the establishment. A batch of nursing cadres should be cultivated according to plan so that they can play the leading and guiding role as the link between the preceding and the following in the nursing team. The management standards for nurses not on the establishment should be developed as fast as possible in order to stabilize the nursing team. The remuneration of nursing staffs should be improved and particularly the evaluation and appointment of technical titles shouldnt have a huge gap to the other health professional technical positions in medical institutions.

[Key words] Nursing; Human resources; Current status survey

曲靖市地处滇、黔、桂三省结合部，现有人口637万，少数民族48万，注册医疗机构112个。随着人事制度改革的不断深化，护理队伍结构发生了重大变化，在等级医院评审和开展优质护理服务过程中，护理人力资源配置是摆在各医疗机构护理管理者和广大护理人员面前亟待解决的难题。……