上海市三级综合性医院骨科护理人力资源配置现状及对策研究

Analysis and countermeasure research on configuration of orthopedic nursing manpower resource in grade-Ⅲ general hospital in Shanghai

目的 了解和分析上海市三级综合性医院骨科护理人力资源配置现状,为合理配置和开发护理人力资源提供实证依据.方法 采用问卷调查法进行资料收集,并对资料进行分析.结果 2009年上海市三级综合性医院骨科核定床位数为1866张,实际开放床位数为2007张,在岗护士数为595人（男2人）,按照核定床位数和实际开放床位数计算的床护比分别为1∶0.319和1∶0.296.护士长平均年龄（37.53±6.11）岁 平均工作年限（17.87±6.16）年 大专及以上学历占95.56% 中级职称占62.22%.护士大专及以上学历占75.13%,以初级职称为主占92.10% 年龄主要集中在20～29岁占67.06% 年资集中在10年以内占73.11% 护理员（护工）学历以小学为主占45.83% 年龄集中在40～49岁占60.42% 工作年限集中在6年以上占55.21%.结论 上海市三级综合性医院骨科护理人员配备数量不足,结构配备不合理,缺乏男护士,护理员准入管理有待规范.

Objective To understand and analyze the situation of orthopedic nursing manpower resources in grade- Ⅲ general hospital in Shanghai and provide empirical evidence for appropriate allocation and exploitation of nursing manpower resources. Methods Data were collected by questionnaire and then underwent analysis. Results In 2009,the number of authorized beds was 1866,the actual number of open beds was 2007.The number of nurses was 595 （2 male）.The ratio of ward bed and nurse were 1：0.319 and 1：0.296, calculated by the authorized beds and authorized beds, respectively.The average age of head nurses was （37.53±6.11 ） years old, average working life span was （17.87 ± 6.16） years college degree or above accounted for 95.56% middle professional titles accounted for 62.22%. College degree or above accounted for 75.13% in nurses, junior professional titles accounted for 92.1% age group is mostly concentrated in the 20 to 29 years of age, accounted for 67.06% working life span concentrated within 10 years, accounted foi 73.11%. The education level mainly is primary school in the care workers （carer）, accounted for 45.83% concentrated in the 40 to 49 years of age, accounted for 60.42% working life span concentrated in more than 6 years, accounted for 55.21%. Conclusions There are shortage of orthopedic nursing manpower resources, unreasonable allocated structure, lack of male nurses in grade- Ⅲ general hospital in Shanghai. The management of the care workers should be standardized.