湖北省医疗机构护工队伍建设现状调查

Investigation of the current construction situation of nursing workers in medical institutions in Hubei province

目的调查湖北省医疗机构护工队伍建设现状,以促进护工行业的规范化发展。方法2023年8-9月,以便利抽样方法,抽取湖北省17个地市州医疗机构的护理管理者及护工,采用由中华护理学会决策咨询工作委员会编制的医疗机构调查问卷及护工调查问卷进行调查。结果有效调查1398所医疗机构,其中仅395所医疗机构配备有护工。护工队伍人员结构以女性、年龄≥50岁、初中及以下文化程度、<5年工作年限为主;工作模式偏向一对一服务、24 h制、非固定休息;应聘渠道主要为通过他人介绍,以患者自聘和社会化管理为主;管理机构主要是第三方中介公司(62.62%);培训覆盖率达78.27%,以岗前一次性培训为主,考核率为49.62%;薪资水平以2000~5000元为主;53.78%的护工没有缴纳或由自己缴纳保险;近60%的医疗机构对护工服务态度及服务质量满意。结论医疗机构的护工管理制度待完善,人员结构待调控,协调机制待优化,队伍建设续航能力待保障,劳动保障待健全。有必要建立护工管理体系,统一准入标准,构建科学化工作模式,创新培训与考核制度,构建科学合理的劳动保障制度,以促进优质护理服务。

Objective To investigate the current construction situation of nursing workers in medical institutions in Hubei province in order to promote the standardized development ofdic the nursing workers industry.Methods Nursing administrators and nursing workers in medical institutions in 17 prefectures and states in Hubei province were selected by convenience sampling method from August to September 2023,and then they were surveyed by a questionnaire for medical institutions and a questionnaire for nursing workers compiled by the Decision-making Consultation Work Committee of the Chinese Nursing Association.Results A total of 1,398 medical institutions were effectively surveyed,of which only 395 were equipped with nursing workers.The staffing structure of the nursing workers was dominated by females,age≥50 years,middle school education or below,and<5 years of nursing work experience;the working mode was mainly 1-to-1 service,24 h system,and unscheduled rest;the channels of recruitment were mainly through referrals by other people,with a focus on patients′self-recruitment and socialized management;the management agencies were mainly the third-party intermediary companies(62.62%);the training coverage rate was 78.27%,mainly consisting of pre-service one-time training,with an assessment rate of 49.62%;the salary level was mainly 2,000~5,000 yuan;53.78%of the nursing workers did not pay or had their own insurance paid;and nearly 60%of the medical institutions were satisfied with the service attitude and service quality of the nursing workers.Conclusion The management system of nursing staff in medical institutions needs to be improved,and the staff structure also needs to be regulated,furthermore,there is something that should be done to optimize the coordination mechanism,and to guarantee the sustainability of team building.It is necessary to establish the management system of nursing workers,unify the access standards,construct scientific working modes,innovate the training and assessment system,and construct a scientific and reasonable labor security system to promote quality nursing service.