北京地区神经外科护士工作现状的调查

Investigation on the status of neurosurgery nurses in Beijing

目的了解神经外科护士人员结构及使用情况现状，为规范神经外科护士的分层级使用提供理论基础。方法根据神经外科护理工作特点自行设计调查问卷，对北京地区144名三级甲等医院神经外科护士进行工作内容调查，进行统计学分析。结果初级职称护士占82．64％，专科及以下学历护士占76．38％，5年以下工作年限护士占40．28％；不同学历、职称、工作年限护士间基础护理及常规护理工作差异无统计学意义（P〉0．05）；不同学历、职称、年限护士护士在文件书写、康复训练、精密仪器操作及临床实习带教差异有统计学意义（P〈0．05）。结论专科护理安全存在隐患，全员参加基础护理工作，工作经验、业务水平与适当年龄共同兼备的护士成为专科护理和教学科研的主要力量。

Objective To investigate the constitution and status of neurosurgery nurses in Beijing, and to provide evidence for the standardization of the hierarchical use of neurosurgery nurses. Methods A self-designed questionnaire based on characteristic of neurosurgery nursing work was used to investigate 144 neurosurgery nurses＇ status and their working content. The data were analyzed with software SPSS 13.0. Results 82. 64% of the nurses had a primary title, and 76. 38% of them had a technical secondary school or junior college education background, 40. 28% of the nurses had been worked for less than 5 years ; Nurses with different education backgrounds, title or length of service had no significant difference in ＂routine work＂ （ P 〉 0. 05 ） ; There were significant differences between nurses in ＂professional work＇, such as ＂writing nursing document＂,＂ rehabilitation training＂, ＂operating precision instrument＂, etc, and in guiding clinical practice （P 〈 0. 05） . Conclusions Hidden danger exists in neurosurgery nursing work. All nurses are participating in basal nursing. Nurses with considerable working experience, professional level and age bracket become the main force in specialized nursing, teaching and nursing research.