Ward - accompany and attend to - difficult to applaud popularization Nurse's shortage predicament needs analysing and explaining badly

Ward - accompany and attend to - difficult to applaud popularization Nurse's shortage predicament needs analysing and explaining badly
Ward - accompany and attend to - difficult to applaud popularization Nurse's shortage predicament needs analysing and explaining badly
In province the People's Hospital does not have 6 inpatient areas accompanied and attended to, 235 sick beds may be said " it is asked that a bed is difficult " . But the reporter knows in the interview recently, though applaud from responsible department of the goverment to the patient both sides, but not accompanied and attended to meeting in popularizing actually " The bottleneck " . Have not accompanied and attended to " It is asked that a bed is difficult " --Nurse shortage become most large bottleneck, in ordinary inpatient area, patient wash hair have foot, defecation and urination, stand up such life attend to, either is finished by relative, or the one that is employed is partial to workers to finish. And not been accompanying and attending to the ward, these are being all finished by professional nurse, so nurse's work load is being heightened. The reporter knows from province the People's Hospital, does not have the inpatient area accompanied and attended to, the nurses' quotas all exceed the public ward far. Regard digesting the department as example, 70 sick bed mix more thanth nurse, most high bed protect than up to 1: 0.75,The lowest one has 1 too: 0.48,And the average level of the whole provincial hospital is just 1 at present: 0.38,Nurse's gap is very great. So, the greatest as the whole province, best general hospital of condition, 6 units have ready conditions not to accompany and attend to only at present in more than 60 ward units. Not accompanying and attending to the ward as rare as phoenix feathers and unicorn's hornly, it is because of nurse's shortage. President of nurses association of Nanjing, Chen XiangYu of head of the nursing department of hospital of Nanjing drum-tower say, in America and Europe developed country, hospital implement, have, accompany and attend to ward, sick bed and nurse than 1: 2 even 1: 3,Nurse and patient can launch the one-to-one service, does not need relatives to worry about at all. In many hospitals of our country, a nurse needs to attend to the patients about 20 pieces in the daytime, and to the evening, this figure must double. The head of the nursing department of the People's Hospital of province takes care of beautifully and says, according to attending to the standard requirement at home at present, the nurse should do much work, such as more than of dozens of of Damien such as water, getting it filled, changing dressings, taking blood pressure, writing doctor's order, propagation and education hang, attend to and live and attend to and all want the nurse to do in treatment, it is unrealistic. "Even patient stipulating according to Ministry of Public Health and nurse 1: 0.4 proportions come to allocate a nurse, the nurse can not be energetic either to come to do so many things, what's more most hospitals can not reach even this proportion now. " Behind nurse's shortage - -The hospital is unwilling to employ a nurse to jump to nurse's shortage frequently, relate to the fact that it is attended to that it is light that it is treated again for a long time that domestic. "The berth nurse who Ministry of Public Health stipulated in 1978 disposes the standard as 1: 0.4. Even the standard this 30 years ago, hospital of a lot of the first, second and third in the big city at present, can't totally reach either. The statistical data reveals, the number of every our country nurses of a thousand people is in the last but two of the whole world ranking, the nurse exceeds 1 million disposing the gap. " But exceed what a reporter expected, though nurse's demand is very large, a lot of hospitals are unwilling to employ and use more nurses. "Not because the hospital does not want to enter more nurses, but can not really afford to raise too many nurses. " One the first, second and third director in Nanjing has calculated an account to the reporter: There are more than 400 retired ex-employees in this institute, mere their annual medical fee is up to more than 8 million yuan, and the financial subsidy is several ten million yuan every year, only accounts for about 8% of the hospital income, staff's salary of more than two months No. more than 2,000 has been sent, it runs funds to all " earn " by oneself Come back; In addition the hospital will develop, buy instrument and equipment, give the staff and go out to receive a training and study etc., need money, where does the money come from? Can only develop resources and reduce expenditures, earn and lack flowers more, it is one of the methods to compress personnel's expenses. "Although ' three fens treat,attend to seven fens ',self-evident in function that be attended to, but most hospital, would rather enter several doctors more, unwilling to enter a nurse too. " Another family great director says frankly: Doctor can diagnose the illness, operate on, prescribe, touch it and pen can make money for hospital, but the nurse is different, " stick to without earning " ,Since the hospital should make money and support oneself, should certainly calculate " put into and produce " Account, employ, enter people one mouth have a meal more, that's why, wish, stock doctor to be unwilling to stock the nurse more. The hospital is unwilling to enter the nurse on one hand, on the other hand there are few and living people manily, the working intensity is large and the salary is not high, also let a lot of young nurses change one's profession. The reporter knows from several large hospitals in Nanjing, usually special secondary school or basic wage of 900-1200 yuan of one month of contract system nurse that the junior college graduated, only 1500 yuan for undergraduate course nurse, but the bonus is not high and unstable. There is a large hospital, there are nearly 30 that enter the nurse and change one's profession or job-hop newly in one year. The expert suggests analysing and explaining the difficult position - -Train the speciality to be partial to worker's social cost minimum to improve nurse's matching, put into enormously, it is not a thing daily. Then, the demand is too enormous to accompany and attend to market and seriously insufficient nurse team, how could analyse and explain the difficult position? The expert suggests, " at present, if train the hygiene professionalism in partial to workersing, undertake the nursery work to stand up, the social cost is minimum. " Nanjing the intersection of drum-tower and the intersection of hospital and logistic Wei, division chief of management office, come flat introduction, U.S.A. implement, have, accompany and attend to a lot of years in hospital, the nursing staff divides the work very clear. The head nurse is responsible for assigning the doctor's order to a nurse, tell the nurse how to do, do what; The registered nurse is responsible for the technical and strong treatment of having an injection, sending medicines etc. to attend to; It is responsible for the patient's daily life to attend to to attend to the assistant. At present in the of our country hospital, lack to attend to the intersection of assistant and this yuan most. At present, there is huge protecting the engineering team of quantity in each hospital. But it is mostly the middle-aged and old women from countryside that these are partial to workers, older, culture is on the low side, lack relevantly and attend to knowledge, " trade regulation " that train briefly by the medium company On duty. Such training, often merely nominal, the hospital does not dare to go all out to use, relatives are worried too. Nanjing the intersection of drum-tower and the intersection of hospital and the intersection of department of general surgery and one expert say, train it partial to workers to be to remedy, accompany and attend to undermanned kind method in teaming specialized. The nurse has certain professional lines, for example, some focuses are excreting the system, reflecting on the skin; How to distinguish much urine and little urine, what is unusual, these slight conditions, only can be perceived and judged by professional training. In partial to workers to training, should strengthen education of the medical professional knowledge more, even certain professional qualification is examined. It is introduced, already there are vocational schools of some nurses in Guangdong, Anhui and other places at present, specially train the hospital attendant of life to be extremely popular in order to replace and partial to workers for the large hospital. (the second high mountain of Zheng Yan)


|