摘要
目的 了解我国手术室护理人力资源管理现状,为我国手术室护理管理、人力资源配置、护理教育与培训等提供参考依据.方法 采用分层抽样法,于2021年7月采用自制的中华护理学会手术室护理人力资源调查问卷作为研究工具,对我国31个省、自治区、直辖市的2 201所医院的一般情况、手术工作量、人力资源配置、手术室管理、手术室信息化建设、护理教育与培训等内容进行调查.结果 2 201所医院中,三级医院1 021所(46.39％)、二级医院1 117所(50.75％)、一级及以下医院63所(2.86％).手术间数量＜30间的医院2 056所,占93.41％;年手术例次数＜2万例的医院1 991所,占90.46％;手术室护士的学历以本科学历为主(66.93％,43 359/64 780),本科及以上学历共占67.99％(44 045/64 780);职称以护师为主(42.66％,27 632/64 780);手术间数量:手术室护士数量(中位数)为1:2.43;78.96％(1 738/2 201)的医院手术室由护理部或医院管理.1 479所(67.20％)医院手术室设立了麻醉恢复室,高于2016年调查的59.34％(1 210所),差异有统计学意义(x2=226.701,P＜0.01).手术室已开展岗位管理及能力分级管理的医院分别占74.69％(1 644/2 201)、87.87％(1 934/2 201);已开展日间手术及机器人手术的医院分别占47.80％(1 052/2 201)、7.68％(169/2 201).36.98％(814/2 201)的医院已通过信息化评价体系认证;64.61％(1 422/2 201)的医院已使用手术室信息管理系统;医院手术室信息系统中有智能化功能的占整体医院的2.54％(56/2 201);77.24％(1 700/2 201)的医院参与了手术室专科护士资质培训.结论 截至2021年7月,我国大部分医院手术间数量＜30间,年手术例次数＜2万例,手术室护士的学历和职称分别以本科、护师为主;＞60％的医院设立了麻醉恢复室,且拥有手术室信息化管理系统.同时,我国医院手术室已广泛开展了岗位管理、能力分级管理等多元化护理管理模式.
Abstract
Objective To understand the current status of human resources in Operating Room nursing in China,so as to provide reference for nursing management,human resource allocation,nursing education and training in Operating Rooms.Methods Using the stratified sampling method,a self-made Operating Room nursing human resource survey questionnaire of Chinese Nursing Society was used as a research tool in July 2021 to investigate the general situation,surgical workload,human resource allocation,Operating Room management,Operating Room information construction,nursing education and training of 2 201 hospitals in 31 provinces,autonomous regions and municipalities of China.Results Among the 2 201 hospitals,there were 1 021 tertiary hospitals(46.39％),1 177 secondary hospitals(50.75％),and 63 primary and below hospitals(2.86％).There were 2 056 hospitals with less than 30 Operating Rooms,accounting for 93.41％.There were 1 991 hospitals with an annual number of surgical cases less than 20 000,accounting for 90.46％,the educational background of Operating Room nurses was mainly undergraduate(66.93％,43 359/64 780),with a total of 67.99％(44 045/64 780)having a bachelor's degree or above.Nurses were the main professional titles(42.66％,27 632/64 780).Number of Operating Rooms:the number of Operating Room nurses(median)was 1:2.43 and 78.96％(1 738/2 201)of hospital operating theatres were managed by Nursing Departments or hospitals.A total of 1 479 hospitals(67.20％)established anesthesia recovery rooms in their Operating Rooms,which was higher than 59.34％(1 210 hospitals)surveyed in 2016,and the difference was statistically significant(x 2=226.701,P＜0.01).74.69％(1 644/2 201)and 87.87％(1 934/2 201)of hospitals carried out post management and capacity classification management in Operating Rooms,respectively.Day surgery and robotic surgery were performed in 47.80％(1 052/201)and 7.68％(169/2 201)hospitals,respectively.36.98％(814/2 201)of the hospitals passed the information evaluation system certification and 64.61％(1 422/2 201)of the hospitals used the Operating Room information management system.In the Operating Room information system of the hospital,2.54％(56/2 201)had intelligent functions.And 77.24％(1 700/2 201)of hospitals participated in the qualification training of Operating Room specialist nurses.Conclusions By July 2021,the number of Operating Rooms in most hospitals in China is less than 30,and the annual number of operating cases is less than 20 000.The educational background and professional title of Operating Room nurses are mainly undergraduate and nurse.More than 60％of hospitals have set up anesthesia recovery rooms and have information management systems for Operating Rooms.At the same time,Operating Rooms in Chinese hospitals have widely implemented diversified nursing management models such as post management and ability grading management.
维普
万方数据