7所三级甲等医院儿科护理岗位设置现状的调查分析

Analysis of the status quo of pediatric nursing post setting of 7 hospitals

目的探索国内三级甲等医院儿科病房护理岗位设置现状，分析各岗位在临床工作中的实际应用效果，为重新调整和设立儿科护理岗位提供事实依据。方法采用便利抽样法，对全国7家具有儿科病房的三级甲等医院基本情况和儿科病房现有护理岗位设置情况进行问卷调查，并对调查结果进行分析。结果各医院儿科病房护理岗位设置不全相同，儿科病房护理岗位包括3大类：管理岗位，教学岗位和临床岗位。管理岗位包括护士长、副护士长和护士长助理；教学岗位包括教学秘书和临床总带教岗；共设有7种临床护理岗位：总务班、责任白班、长夜班、小夜班、大夜班、晚早班、辅助白班。有些护理岗位虽然在岗位名称和工作时间方面存在差异，但是工作内容基本一致。结论目前我国儿科护理岗位管理还处于探索阶段，还没有形成统一完善的岗位管理体系。儿科护理岗位设置应从循证的角度，以满足患者需求为导向，一切以从临床需要出发为第一原则，在全面落实责任制护理的基础上，综合考虑各种因素，进行科学合理的设岗。

Objective We tried to investigate the current status of pediatric nursing post setting and analyze the practical application effect in the clinical working practice for the foundation of readjusting and setting up the pediatric nursing positions. Methods By convenient sampling method, the general condition and current post setting situation in the pediatric wards of 7 hospitals with self-designed questionnaires were investigated. The results underwent analysis Results The nursing post setting in pediatric wards of 7 hospitals were not all the same, nursing posts in the pediatric ward included three categories： management positions, teaching positions and clinical positions. Management positions included the head nurse, deputy head nurse and head nurse assistant; teaching positions included the teaching secretary and chnical total teaching nurse; the seven kinds of clinical nursing positions were office job, day shift, night shift, evening shift, midnight shift, late- morning shift, auxiliary job. Though some nursing jobs differed in the position names and working hours, their job contents were nearly identical. Conclusions Pediatric nursing post setting management in our country is still in the exploratory stage at present, it has not form a unified perfect job management system. Pediatric nursing positions should be set from the perspective of evidence- based theory, satisfying the demands of patients as the guidance, coming from clinical needs as the first principle, in the full implementation of the accountability for nursing and based on comprehensive consideration of various factors, so that the post setting can be scientific and reasonable.