中山市三级甲等医院护理缺失现状调查及原因分析

Status quo of nursing lack in level three first- class hospitals of Zhongshan city

目的调查中山市三级甲等医院护理工作缺失现状，并分析相关原因。方法采用修正后的护理缺失问卷对765名临床护理人员进行问卷调查。结果在护理缺失的项目中，9．86％～39．04％为护理评估缺失，12．05％～44．38％为护理计划缺失，3．29％-46．85％为护理措施缺失，12．19％～22．05％为护理评价缺失。而护理缺失的原因调查中，85．48％～93．84％为人力资源不足，80．00％～80．96％为物资的配备不足，78．08％～86．58％为工作团队效率不高，70．95％～83．84％为护士不良工作习惯，88．90％～93．01％为患者需求的提高。结论护理缺失普遍存在，各环节的缺失程度有所差别。导致护理缺失的原因以患者对护理工作要求越来越高、护理人员不足、患者数量计划以外的剧增为重要因素。

Objective To investigate the status quo of nursing lack in level three first-class hospitals of Zhongshan city, and analyze the relevant reasons. Methods A sample of 765 nurses in 4 tertiary general hospitals completed the modified Missed Nursing Care Survey. Results Assessment, planning, intervention and evaluation were reported to be missed by 9.86%-39.04%, 12.05%-44.38%, 3.29% - 46.85% and 12.19%-22.05% of the survey respondents respectively. Reasons for missed care were lack of labor resources（85.48%-93.84%）, lack of material resources（80.00%-80.96% ）, low efficiency of the team （78.08%-86.58%） , poor work habits （70.95%-83.84%）, and improvement of patients＇ needs （88.90%- 93.01%）. Conclusions Lack of care is widespread, and the degree of lack of each link is different. Reasons lead to the lack of care of nursing staff are higher patients＇ demands to nursing work, shortage of nursing staff and unplanned surge of patients＇ number.