湖北省121所二、三级医院专科护士职能现状调查

Job function of clinical nurse specialists in secondary and tertiary hospitals in Hubei province

目的 :调查湖北省专科护士的工作职能现状,为加强其使用和管理提供参考依据。方法 :使用自制的专科护士职能现状调查表对湖北省121所二、三级医院进行调查,内容包括专科护士数量、分布、工作职能、岗位安排、待遇、医院支持6个方面。结果 :湖北省121所二、三级医院共有专科护士2 235人,其分布排在前3位的专科是手术室(95所,78.51%)、ICU(90所,74.38%)、PICC(84所,69.42%);其工作职能包括临床护理、教学、健康教育、护理管理、延伸服务等。95.04%的医院安排专科护士在白班责任护士岗;62.07%的医院提升专科护士薪资待遇;59.29%的医院为专科护士设置了专科发展路径。结论 :湖北省121所二、三级医院专科护士分布不均衡,其工作职能以临床护理、教学、健康教育为主。各医院仍需要研究人岗匹配的管理体制,加强专科护士护理研究、循证护理等方面能力的培养。

Objective： To investigate the job function of Clinical Nurse Specialists （CNS） in secondary and tertiary hospitals in Hubei province, and to provide references for administration and usage of CNS in China's Mainland. Methods： A total of 121 secondary and tertiary hospitals in Hubei province were investigated using a self-designed questionnaire, which had 6 dimensions of quantity, distribution, role, position, treatment, hospital support of CNS. Results： There were totally 2 235 CNS in 121 hospitals in Hubei province. CNS majorly worked in operating room （95 hospitals, 78.51%）, ICU （90 hospitals, 74.38%） and PICC center （84 hospitals, 69.42%）. CNS played an important role in clinical care, teaching, health education, nursing administration, and transitional care. Totally 95.04% hospitals arranged CNS to work as a charge nurse. Only 62.07% hospitals raised the wages of certified CNS, and 59.29% hospitals set up a career path for CNS. Conclusion： The number of CNS had attained certain scale, despite unbalanced distribution. CNS roles were majorly in clinical care, teaching, and health education. Hospitals administrators need to develop a person-job fit system; meanwhile, cultivate the competencies in nursing research and evidence-based nursing of CNS.