Community's nurse: How should our duty reflect

Community's nurse: How should our duty reflect
Community's nurse: How should our duty reflect
The intersection of staff reporter and HaoHua Zhang, recently, Beijing the intersection of Municipal Health Bureau and relevant director reveals, there are 3242 community's nurses in all in Beijing. Calculate according to the standard that every 3000 permanent resident population should allocate a community nurse, actual needs of the residents of this city are 7100 community nurses, the gap proportion of community's nurse's number exceeds 54%, difficult to meet community resident's demands. It is not merely Beijing, a lot of community health organs in all parts of the country all face community's nurse's difficult problem in short, and the one that directly related to this is, what kind of duty a lot of community nurses already on duty bore when should work to oneself in community's hygiene on earth to full of puzzledly. " it is not the professional work of nursing that we have done a large amount of " Xiao Li is a nurse of one community health Center in Wuhan of Hubei, she attending to working experience in more than 10 years states frankly, after acting as community's nurse, have met many difficulties in the real work by oneself. It is unclear for post to make a reservation and duty unidentified to let Xiao Li surround trival matters often, it is very limited to really play to the time that the community serves resident. She says: "Most of nurses of community around me all take upon oneself several posts, should manage the dispensary, do the financial affairs, also look at the visit of the hospital bed set up at a patient's home. We make to attend to professional work a large amount of, this pair raise community, it attends to quality and the intersection of community and growth of nurse to be very unfavorable. But the hand of the community health Center is limited, can't find better solution either for the moment. " Xiao Li says, the present community nursery work content lays particular stress on and takes second prevention as the core, relatively limit. Such as having an injection, visit looking at in the family, give medicine, physical examination,etc., the nursing activity relying mainly on first class prevention launched with the nurse of community of western countries has a long way to go. It is introduced, 40% of the nurses offer medical treatment service for healthy crowd and patient in the subordinate community in Britain. More important, the ones that divide the work in working content are indeterminate and what the post is set up is not concrete, the ones that have resulted in attending to assessment criteria of quality are fuzzy directly. One community health station nurse Xiao Wang in Beijing tells reporters, it is likewise the graduate of the nursing speciality, the student that go to the hospital to work is well paid more than oneself, they will often also have a chance of training. Though in ability two year, she has already thought that has the disparity greatly with classmate by oneself. The salary of one month is less than 2000 yuan, there are few chances to learn to receive a training, it is difficult for the professional title to promote Much to work together because the treatment is bad, work hard and change one's profession. Xiao Wang wants to beat a retreat several times, can not be actually been easy to look for in order to be been advised with the work that is stabilized mother. Xiao Wang say oneself work not made can reflect the intersection of community and duty of nurse totally either at ordinary times. For example while launching the health education, always feel work stays on the top layer, become a mere formality, transmit some health knowledge to residents at most, before implementing distance greatly. Set up health file to just check in order to deal with higher authorities sometimes, has not really used the file and lived. Attend to, pay attention to getting therapeutic implementation of measure even more to the doorstep, to the intersection of resident and psychology and also relatively little guidance that recover. "Do not have an injection for the patient briefly, supervise patients to take medicine definitely in work of community's nurse. Their focal point of work should be to launch health education and health promotion, have difference greatly with the clinical nurse's duty. " New statement of Li Zhi, director of Beijing Fangzhuang community health Center. He thinks, community's doctor is the person opening the health prescription for residents, but community's nurse is the real implementation person of these prescriptions, they are main executors of community's health promotion work. World Health Organization once proposed three major principles that the community attends to: Community's nurse must meet sense of duty of service demand of the hygiene in the community; The weak group in the community should be classified as the preferential serivce object; Plan and assessment that the serivce object that the community attends to must participate in the hygiene service. This kind of assessment means that carries on the appraisal of psychological or physiological, society and environment to individual and his relative, understand the individual, health demand of the family, group and whole community, by guaranteeing the community attends to the implementation of the plan. The nursing education of community of our country is nearly still a blank according to statistics, in the Beijing nurse that every community medical organization works at present, have only 50% of the academic certificates at or above the junior college level, there is accounting for 35% of professional title of the above-mentioned intermediate. Li Zhi new statement, a lot of the intersection of community and nurse from transfer, come over while being clinical, also need to retrain before being on duty, but the nursing education of community of our country obviously lags behind. The relevant caregiver thinks, the nursing education of community of our country is nearly still a blank, seldom a school trains the special community to attend to talents so far. The course structure to the medium-sized nursing speciality of health school was adjusted in 1993, 1997 in our country, set up the contents of the humanities and prevention and health care, but only accounts for about 5% of total course. Because the community attends to necessary knowledge more, knowledge is special in architectural comparison, the nurse who the medium-sized health school trains out is difficult to well launch the nursery work of community. With the development of social economy of our country, people have new understanding on healthy meaning, hope to improve life quality, know more healthcare knowledge, get community's medical worker's convenient, high-quality service. Community's nurse's duty must turn to and promote the health, prevent disease, get well and lighten the agony. This requires the country to strengthen the cultivation to that the community attended to talents, train the quantity such as increasing, the strictness launches the community or public health nursing education including sociology, psychology, gerontology, ethics,etc. systematically, improve community's nursing staff's whole quality.


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