The ward is difficult to accompany and attend to and applaud to popularize Nurse's shortage predicament needs analysing and explaining badly

The ward is difficult to accompany and attend to and applaud to popularize 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's shortage becomes the biggest bottleneck
In the ordinary inpatient area, the patient washes hair and has foot, defecation and urination, such life of standing up to 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 as the intersection of the whole province and most great, the intersection of condition and best general hospital, more thanth ward 6 Entrance have ready conditions not to accompany and attend to only too at present in the unit.
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 The nurse job-hops frequently
Nurse's shortage, relate to the fact that domestic to treat again for a long time lightly and attend to. "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, 2,000 more than two salary for more than month, staff of number, take place, their run funds want, " 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.

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