Discussion on Present Situation and Countermeasures about the development of nursing human resources

Nursing Human Resource Management is part of the human resources is nursing human resources by organizing nurses study, planning, training, and ultimately serve the medical career management stated objectives. Nursing human resource development of our human resources there are insufficient care, nurses configuration structure is irrational, the management system is not perfect, nurses are not high quality is the current status of nursing human resource mauagemenL and problems. This paper proposes a ＂human resource is the first resource＂ human resources management concept, has taken to develop a reasonable management mechanism, improve relevant laws and regulations of nursing human resources development, increase investment in education, strengthen education and training for nurses, the rational allocation of nursing human resources and other measures. In this paper, the connotation of Human Resources Management in the current situation as the starting point of care, from the current situation of nursing human resource development and the problems of the current situation of nursing human resource management and problems of nursing human resources management to discuss and propose appropriate for the development of human resource management solutions.

Human resources allocation for aircraft maintenance with predefined sequence

There are always large-scale items in the maintenances schedule of aircraft system, many of which have been fixed to be done in predefined sequences, which leads the workflow to be sys-tematically complex and makes this kind of problem quite different from all sorts of existing job-selection modes. On the other hand, the human resources are always limited and men have different working capabilities on different items, which make the allocation operation of human resources be much roomy. However, the final total time span of maintenance is often required to be as short as possible in many practices, in order to suffer only the lowest cost of loss while the system is stopping. A new model for op-timizing the allocation if aircraft maintenance human resources with the constraint of predefined sequence is presented. The ge-netic algorithm is employed to find the optimal solution that holds the shortest total time span of maintenance. To generate the ul-timate maintenance work items and the human resource array, the sequences among all maintenance work items are considered firstly, the work item array is then generated through traversal with the constraint of maintenance sequence matrix, and the human resources are finally allocated according to the work item array with the constraint of the maintenance capability. An example is demonstrated to show that the model and algorithm behave a satisfying performance on finding the optimal solution as expected.

Human resource allocation for multiple scientific research projects via improved pigeon-inspired optimization algorithm

Aiming at the complex and restrictive characteristics of human resource allocation in multiple scientific university research projects, an improved pigeon-inspired optimization(IPIO) algorithm is proposed wherein loss minimization and the shortest project delay time are considered as optimization goals. Firstly, mathematical modelling of the problem is carried out, and the multi-objective optimization problem is transformed into a single-objective optimization problem by means of a weighted solution. In the second step, the traditional pigeon-inspired optimization(PIO) algorithm is discretized, and an adaptive parameter strategy is adopted to improve the shortcomings of the algorithm itself. Finally, by comparing the simulation results with the original algorithm and the genetic algorithm in the optimization of human resource allocation in multiple projects, the feasibility and superiority of the proposed algorithm in the optimization of human resource allocation in multi-scientific research projects is verified.

Strategic management in the establishment of a magnet hospital: A nursing staff perspective

Magnet hospital certification has a reputation for being one solution to nurse recruitment and retention. It is a matter of priority for hospitals to identify and enhance the basic organizational social structures which promote the development and maintenance of magnetism. A total of 436 valid self-administered questionnaires were collected from nurses. Paired sample t-tests, importance-performance gap analysis andANO-VAwere applied. The aims of this study were to investigate the key factors in and the gaps between nurses’ perceptions and hospital performance in areas contributing to magnetism. The results showed that Salary structure, welfare, and manpower deployment were the key forces of magnetism influencing nursing practice. Public and private hospitals showed significant differences in manpower deployment and nurse-patient relationships. Nurses who rotated shifts were more dissatisfied with their hospital scheduling system. Therefore, personnel policies and program are the primary forces in the development of a magnet hospital. Considering the demand for flexible scheduling of nurses, providing a supportive work environment, and keeping pace with today’s changing health care environment could achieve better outcomes for nurses, patients, and hospitals. These findings provide a reference to help set priorities for the implementation and development of effective strategies with limited resources. Public hospitals should take the lead in promoting magnet hospitals and set up reasonable salary systems, nursing workforce standards, and administrative support in order to attract and effectively retain nurses.

Patient Safety Culture Post Covid-19 Pandemic: In Perspective of Millennials Human Capital Issues

Background: Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to determine the nature of patient safety culture in a private hospital and explore some unique human resource problems in Malaysia. Methods: In our case study, we use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to measure the 12 dimensions of patient safety culture. The survey received 281 respondents (76% response rate) from all the millennial frontline healthcare providers, including doctors, nurses and allied healthcare providers. The result of the survey was used as the basis to further explore the problems in this hospital. In-depth interviews, observation and document reviews were conducted in relation to human resource problems. This study used IBM SPSS 26 for Windows for statistical analysis and Atlas ti.8 for qualitative analysis of open comments. We used Interpretive Phenomenological Interpretation for analysis of data after triangulation. Results: The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%. The result showed that the staff feels positively toward patient safety culture in this hospital. The dimension that received good performance is “Manager expectation”, “Management support for patient safety” and “Organisational learning”. The dimension with the poor performance was “Staffing”, “Frequency of error reporting”, “Teamwork across units”, and “Handoff and transitions”. The open comments indicated inadequate staffing and nursing retention issues. Interviews, observation and document reviews related to staffing reveal high turnover rates among millennial nurses, high overtime and on-call rates, chaotic units with procedures, doctors’ round, admission and discharges mainly in medical and surgical units causing distraction. Poor shared governance is the biggest challenges that need immediate attention post Covid-19 pandemic. Conclusions: The HSOPSC measurement gave valuable insights on patient safety culture in a private hospital in Malaysia. The overall perception of patient safety culture was satisfactory. The poor positive response rate for “Staffing” dimension and the open comments suggests a need for an urgent need for retention and human resource management strategies to prevent brain drain due to high turnover rates, especially among millennial nurses. The key factors causing dissatisfaction and brain drain among nurses are the lack of shared governance.

基于三维分析框架的我国护理人力资源配置政策研究

目的归纳总结我国护理人力资源配置政策,梳理其发展特点及影响因素,为完善我国护理人力资源配置政策提供新思路。方法采用内容分析法,基于政策工具-政策过程-发展历程构建三维分析框架,对国家层面印发的护理人力资源配置相关政策进行分析。结果共纳入25份政策文本,获取142条政策文本编码。最早的1份政策于1978年印发,2010年及以后共印发19份。从发文部门来看,国务院印发5份,国家卫生健康委员会印发15份,其中5份由2个及以上部门联合印发。在政策工具维度,供给型、需求型和环境型政策工具占比分别为22.54%、4.22%和73.24%。在政策发展维度,政策规划、政策实施、政策监督、政策评价分别占36.62%、50.00%、7.04%和6.34%。结论护理人力资源配置政策应加强需求型政策工具的使用,进一步协调政策工具的内部结构;加强政策过程中的监督和评价功能,加强各方协作,保障护理人力资源合理配置。

蓄力护理经济效力引领护理事业新发展

护士在医疗服务体系中发挥重要作用,作为维护和保障人民群众生命安全和身体健康的重要力量,须同步关注护理的社会效益和经济效力,才能达到改善护理服务的目标。文章基于对国内外护理经济效力研究现状的剖析与比对,深化社会对护理经济价值的理解及认同,并从护理经济教育、角色拓展、新领域融合发展3个方面探讨了护理经济效力的促进策略,为护理高质量发展探寻新动力。

血液透析护理人力资源配置方法探索与现况调查

目的探索血液透析护理人力资源配置计算方法,了解血液透析护理人力资源配置现状,为医疗行政部门完善相关管理政策提供依据。方法建立血液透析护理人力资源配置护患比计算方法,采用自行设计的调查问卷对陕西省178所医院血液透析室护理人力资源情况进行调查。结果陕西省血液透析室全天护患比为1∶6.09(4.93,7.03),达到时点护患比1∶6.67的医院122所(68.54%)。不同性质、等级、开设班次医院全天护患比达标率比较,差异有统计学意义(均P<0.05)。81.46%医院血液透析护理人力资源年实际配置总人数达到理论配置总人数。结论陕西省血液透析总体护理人力配置及时点护理人力资源配置整体基本达标。建议在血液透析护理人力配比及各班次时点排班时,参考时点护患比临界值及护士人力资源总体配置数量计算方法,合理安排护理人力,以减轻护士工作压力,确保患者的透析质量和安全。

2012—2021年我国专业公共卫生机构人力资源配置状况及公平性分析

目的:分析我国专业公共卫生机构人才队伍建设情况,为加强我国公共卫生人才队伍建设提供参考。方法:基于《中国卫生健康统计年鉴》数据,采用描述性统计分析、基尼系数和卫生资源集聚度等方法,分析2012—2021年我国专业公共卫生机构人才数量、质量及不同地区人力资源配置公平性。结果:2012—2021年,全国专业公共卫生机构人员数年均增长率为4.10%,每千人口专业公共卫生机构人员数年均增长率为3.71%;2021年,我国专业公共卫生机构人力资源按人口配置的基尼系数为0.1002,按地理面积配置的基尼系数为0.6706,21个省份的卫生资源集聚度值大于1。结论:十年间我国专业公共卫生机构人力资源总量稳步增长,质量有较大提升,但与预期发展目标尚有差距,不同专业公共卫生机构人力资源发展不均衡,公共卫生人力资源配置中人口公平性优于地理公平性,且省际差异显著。

职业韧性在发展型人力资源管理实践与护士建言行为间的中介作用

目的探讨发展型人力资源管理实践与护士建言行为的关系,以及职业韧性的中介作用。方法便利抽取河南省7所三甲医院的328名护士,采用发展型人力资源管理实践量表、职业韧性量表和建言行为量表进行调查。采用AMOS26.0软件建立中介效应模型。结果发展型人力资源管理实践、职业韧性、建言行为总分分别为68.70±6.26、94.16±8.80、33.65±8.35。职业韧性在发展型人力资源管理实践与护士建言行为之间起部分中介作用,中介效应占总效应的54.5%。结论护士建言行为、职业韧性及医院发展型人力资源管理实践均处于中等水平;发展型人力资源管理实践可直接促进或通过职业韧性间接影响护士的建言行为。医院应采取发展型人力资源管理策略,提升护士的职业韧性,从而提高其建言行为。

基于岗位分析与工时测定的医院健康体检(管理)中心护士人力资源配置研究

目的:构建医院健康体检(管理)中心护士人力资源配置方法,为完善健康体检(管理)中心的规范化管理提供指导。方法:通过文献回顾,利用岗位分析和工时测定相结合的方法,梳理北京市某三甲综合医院体检中心主要8项护士岗位工作。其中不以流程作业方式运行的岗位包括护士长岗位、体检服务台、市场外联岗位;以流程作业方式运行的静脉采血、心电图等岗位,采用工时测定法计算该院健康体检中心2023年11月至2024年1月各岗位完成每次检查所需工时,并推算所需护士数。结果:结合岗位分析与工时测定,测算该院体检中心护士人力合理配置应为20人。结论:根据研究结果,该体检中心调整护士配置人数,有效提高了体检工作质量与人员工作效率,为其他医院健康体检(管理)中心护士人力资源合理配置提供了有益的借鉴,对推动健康体检规范化管理具有重要意义。

劳动力流动赋能城乡融合:理论机制与实证检验——基于安徽省6县1002个农户的问卷调查

城乡融合在构建新型城乡关系中发挥着基础性作用,劳动力流动则为城乡融合目标的实现提供了新的可能。安徽省作为传统的农业大省及全国农村劳动力转移大省,城乡融合问题是制约其经济发展的重要因素。因此,基于微观调研数据,探究安徽省劳动力流动对城乡融合发展的影响,并通过机制分析检验资源配置和人力资本在劳动力流动赋能城乡融合过程中的间接作用。研究发现:劳动力流动显著促进了城乡融合发展,这一结论在经过一系列严谨检验后依然成立;劳动力流动可以通过优化资源配置、聚集人力资本等路径有效推动城乡融合;劳动力流动对城乡融合发展的促进效应存在明显的区域异质性,尤其在对政策相对不完善地区的城乡融合促进上,其效应更为显著。基于此,为进一步全面深化改革、促进城乡融合发展、推进中国式现代化建设,提出应统筹资源配置、促进城乡产业融合,激发人才活力、增强城乡一体意识,完善市场规则、健全按要素分配制度,深化土地改革、推进新型城镇化建设,增强政策导向、规范劳动力有序流动等建议。

护理动态岗位管理系统在优化护理人力资源管理中的应用

目的探讨护理动态岗位管理系统在医院门诊采血岗的应用效果。方法护理部联合院内多个部门开发护理动态岗位管理系统,对实施该系统前后的护士和患者进行问卷调查,比较系统上线前后患者就诊等待时间、护理管理调配人员时间、一次调配成功率的差别。结果实施护理动态岗位管理系统后,患者就诊时间缩短,患者满意度提升;护理管理人员调配人力所需要时间缩短,一次调配成功率提高。结论护理动态岗位管理系统的实施,有利于缩短患者就诊时间,提升患者就医感受,提高护理管理效率,增强护理人员职业价值感。

某医联体内35个医疗机构医院感染人力资源配置情况及改进策略

目的:调查医联体内35个医疗机构医院感染人力资源配置情况,提出改进措施,为完善医联体内医院感染预防控制体系提供依据。方法:采用自设问卷调查医联体内35个医疗机构人力资源配置情况、感染控制核心能力。依据调查结果制定并落实改进措施,进行前后对照研究,观察改进效果。结果:各级机构医院感染人力资源配置均存在结构不合理,专职人员数量配置不足、专职人员核心能力欠缺,实施相应改进措施后核心能力均有所改善。结论:医联体内医院感染人力资源配置不足,应加强人才培养、优化整合医联体内人才资源,提升医联体内各级医疗机构的医院感染预防控制能力。

核医学科病人护理的人力资源配备与医院功能及任务的关联性研究

目的:探讨核医学科病人护理的人力资源配备与医院功能、任务的关联性。方法:采用问卷调查和实地观察相结合的方法对某地区两家大型综合医院进行访问与调查。试验组(n=10)对核医学科护理人员进行专门的培训和教育,对照组(n=10)保持核医学科护理人员原有的培训和配置不变,不进行特殊干预。结果:试验组理论知识考核、技能操作考核、基本护理操作、特殊护理操作、放射性药物处理评分均明显高于对照组(P<0.05);试验组沟通能力、团队协作能力、解决问题能力均明显高于对照组(P<0.05);试验组满意度高于对照组,(P<0.05),试验组护理差错发生率、病人并发症发生率均明显低于对照组(P<0.05);试验组岗位分布情况优于对照组(P<0.05),试验组工作负荷小于对照组(P<0.05)。结论:针对核医学科护理人员进行专门的培训和教育,显著提高了护理人员的专业技能、综合素质以及病人满意度,降低了护理差错发生率和病人并发症发生率。同时,在岗位分布和工作负荷方面表现更优。

湖北省医疗机构护工队伍建设现状调查

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。

汕头市、区二级疾病预防控制中心人力资源配置现状分析

目的通过对汕头市、区二级疾控中心的人力资源相关数据进行比较分析,了解疾控中心人力资源配置现状,为汕头市各级疾控中心人才资源配置及专业队伍建设提供参考。方法通过标准表格收集汕头市2022年12月—2023年5月1个市级和7个区(县)疾控中心的人力资源数据,采用描述性方法对疾控中心人员的性别、年龄、职称、学历学位和专业背景等情况进行分析。使用Excel和GraphP ad Prism软件进行数据统计及差异比较分析。结果汕头市、区二级疾控中心人员性别构成较均衡,男女比例分别为48.1%和51.9%,差异无统计学意义(χ^(2)=0.66,P=0.42)。市级疾控中心35岁以下人员占比较区(县)级CDC高(分别为35.5%和18.9%),二级疾控中心人员年龄构成差异有统计学意义(χ^(2)=16.68,P<0.001)。市级疾控中心人员学历以本科、硕士为主,占77.6%;但区(县)疾控中心职工学历严重失衡,以本科、大专为主,硕士人员比例仅为1.7%,二者学历构成差异有统计学意义(χ^(2)=87.43,P<0.001);市级疾控中心人员职称集中在中级、高级职称,占比为55.2%,无职称人员占比为10.3%;区(县)疾控中心人员职称主要集中在中、初级,占比为71.4%,无职称人员占比为21.0%,二者专业技术职称构成差异有统计学意义(χ^(2)=33.99,P<0.001);二级疾控中心职工专业背景均以卫生专业为主(77.4%),二者专业背景构成差异无统计学意义(χ^(2)=1.35,P=0.24)。结论汕头市、区二级疾控中心在编人员总量不足,其中区(县)疾控中心职工总体学历偏低,人才配置不平衡,高层次人才总体缺乏;当地政府应当重视疾控人才队伍建设,提高已有专业人员的专业水平,积极引进高层次人才,切实做好本市各级疾控中心的人力资源规划。

人工智能在人力资源调配智能决策中的应用

人工智能在现代社会发展过程中,无论是对现代社会的生产方式或者是对现代人的生活方式都产生出不同程度的影响。人工智能现如今已经被广泛应用在很多领域中,对人力资源管理也会产生一定的影响和作用。本文的目的是研究人工智能时代下人力资源调配的智能决策。本研究主要利用案例分析法和数据分析法探索人工智能在人力资源调配智能决策中的应用,分析了人工智能和人力资源调配得相关概念,根据现下背景分析了人工智能在当前人力资源调配中得应用优势,探究人工智能与人力资源调配如何结合,来更好的实现人力资源调配的智能决策。实验结果表明,将人工智能与人力资源调配结合在一起可以使管理者实时监控人力资源配置情况,尽可能地实现信息化调控,具有实时动态性,并且可以充分挖掘人力资源潜力,提高了管理者地工作效率和管理效能,实现企业或者高校的高质量快速发展。

2015—2022年全国三级妇幼保健院卫生人力资源配置状况分析

目的了解2015—2022年全国三级妇幼保健院的卫生人力资源配置状况,为进一步加强妇幼保健院人才队伍建设和管理提供依据。方法通过全国妇幼保健机构监测系统收集数据,对全国所有三级妇幼保健院的卫生人力资源情况进行描述性分析。结果2015—2022年全国三级妇幼保健院卫生技术人员数量不断增加,年平均增长率为10.2%;高学历和高职称卫生技术人员占比逐年上升;卫生技术人员占比达标的三级妇幼保健院所占的比例已提高到93.8%;医护比已超过1∶1.4。结论我国三级妇幼保健院的卫生人力资源配置状况呈现良好的上升趋势,为提高妇幼保健院整体服务水平与服务能力奠定了基础。

基于CiteSpace的国内外公立医院人力资源配置研究热点与前沿分析

目的探析国内外公立医院人力资源配置领域的研究情况、热点变迁及前沿趋势,为国内该领域研究方向提供参考借鉴。方法基于中国知网(CNKI)数据库和美国科学网(web of science,WOS),借助CiteSpace工具对国内外公立医院人力资源配置研究文献进行可视化分析,包括文献作者、机构、关键词的共现和聚类分析,以及突变度检测。结果纳入中文样本文献1417篇,外文981篇。国内该领域研究更注重医疗改革与管理、资源配置与分级诊疗、信息化与效能提升等主题,国外则更关注员工满意度、卫生系统与质量、工作环境与医务人员等主题。未来趋势方面,国内研究重点关注降本增效强化公立医院公益性视角,国外研究则开始探索政治概念在该领域发挥的作用。结论相较于国外,国内还需继续提高理论水平和本土化水平,不断拓展该领域研究外延,探寻学科交叉的可能性,向人工智能与自动化技术在医疗服务中的应用、异质性工作队伍管理、管理技术和创新应用研究方向探索。