医疗卫生机构执行《护士条例》情况的调查研究

The investigation of the situation on performing Nurses Ordinance at medical and health institutions

目的调查各医疗卫生机构及等级医院执行《护士条例》的情况,以及执行过程中遇到的问题。方法通过网络平台采用问卷调查方法,在全国范围内对61424名护士进行调查,全面了解《护士条例》在实际执行中的具体情况。结果不同所属的医疗卫生机构在护士人格尊严、人身安全的保障方面基本相同,从不同的工作岗位上比较则不全相同,其中急诊护士的人身安全保障力度较弱。除在工资待遇、晋升方面,不同医疗卫生机构之间无差异外,在采取卫生防护措施、享有学术交流的机会、参加专业团体的机会方面,不同的医疗卫生机构、不同的等级医院之间不全相同,差异具有统计学意义(P<0.05);不同医疗卫生机构和不同等级医院,在护士配置方面的现状,差异均有统计学意义(P<0.05)。结论提示各医疗卫生机构应进一步落实国家《护士条例》,从各方面为护士创造条件,保障护士权益,稳定护士队伍,加速护士立法进程,促进护理事业发展。

Objective To understand the implementation status of Nurses Ordinance in medical and health institu- tions or hospitals at various levels,as well as the problems during implementation process. Methods A question- naire survey was conducted using the Internet platform and a total of 61,424 nursing staff across the country were recruited to comprehensively understand the situation of actual execution of Nurses Ordinance. Results Nursing staffs personal dignity and personal security were basically the same in different medical and health institutions,but not identical in different positions,where the emergency nurses＇ personal safety guarantee was weak. Except for salary and promotion which had no difference among different medical institutions,the situations were not the same among different levels of hospitals and medical institutions regarding health protection measures,opportunity of sharing academic communication, and attending professional groups,and the differences were statistically significant（P〈0.05）. With regard to nursing staff allocation,the differences were statistically significant（P〈0.05）. Conclusion The results suggest that medical and health institutions should further implement Nurses Ordinance to create conditions for nurs- ing staff, protect nurses＇ rights and interests,stabilize nurses＇ team,accelerate nursing legislative process,and promote the development of nursing profession.