上海市社区卫生服务中心护理人力资源现况研究

The analysis on the current status of nursing human resources in community health service centers in Shanghai

目的调查上海市社区护理人力资源配置现状,为社区卫生服务中心合理配置护理人员提供依据。方法采用自设问卷,对上海市城区、城郊结合部、郊区246家社区卫生服务中心进行护理人员人力资源现状调查。结果上海市246家社区卫生服务中心医护比1︰0.89。其中城区医护比1︰1.05,城郊结合部医护比1︰1.01,郊区医护比1︰0.54;每万人口注册护士数全市5.28名,其中城区6.20名、城郊结合部4.75名、郊区5.49名;上海市社区卫生服务中心共有护士12462名,全部为女性,家庭团队全职护士4741名,家庭团队兼职护士2969名。结论上海市社区卫生服务中心护理人员数量不足、郊区尤为突出,护理队伍相对年轻化、高级职称比例有待提高,专科护理培养需进一步加强。管理者应落实社区卫生服务中心护士配备标准,重视高层人才、专科人才、“一专多能”护理人才培养与能力提升,拓展专科护理培养类型,进一步提升上海社区护理服务质量,满足基层卫生健康工作发展需求。

Objective To investigate the present situation of nursing human resources in Shanghai,to provide a basis for the rational allocation of nursing staff in community health service centers.Methods By used a self-designed questionnaire,a survey was conducted on the current status of nursing staff human resources in 246 community that including health service centers in urban areas,suburban areas,and suburban areas of Shanghai.Results The ratio of medical care in 246 community health service centers in Shanghai was 1︰0.89.Among them,the ratio of medical care in urban area was 1︰1.05,the ratio of medical care in suburban area was 1︰1.01 and the ratio of medical care in suburban area was 1︰0.54.There were 5.28 registered nurses per 10,000 population in the whole city,including 6.20 in urban areas,4.75 in suburban areas and 5.49 in suburban areas.There were 12462 nurses in Shanghai community health service center,all of whom were female.And 4741 were full-time nurses in the family team and 2969 were part-time nurses in the family team.Conclusion The number of nursing staff in Shanghai community health service center is insufficient,especially in the suburbs,the nursing team is relatively young,the proportion of senior professional titles needs to be improved,and the training of specialized nursing needs to be further strengthened.Managers should implement the nursing staffing standards of community health service centers,attach importance to the cultivation and ability improvement of high-level talents,specialized talents,and"one specialty and multiple abilities"nursing talents,expand the types of specialty nursing train⁃ing,and further improve the quality of community nursing service in Shanghai to meet the development needs of grassroots health work.