A line of graduate nursing is still rare. At that time the nurse in the clinical more is to do the doctor's instructions, the doctor let do what, as soon as possible the arrangements for the implementation of the transaction. &rdquo, Li Baohua, director of the nursing department of No.3 Hospital of Peking University, said to the head of Chinese hospital.
Until now, hospitals in many parts of the country were still the same as Li Baohua. Lack of professionalism, the level of income nurses have been unable to go up. The survey report shows that the monthly income of more than 8000 yuan accounted for only 4.5% of the nurses; 76.5% of nurses monthly income of less than 5000 yuan; 37.6% of the monthly income of nurses is less than 3000 yuan.
The lack of access to the road and the lack of competitiveness in the workforce make many mature practitioners leave the nursing profession at a given age. Fujian Shaxian County belongs to Sanming City, and it is also the hometown of famous catering industry in china. Zhan Jifu, deputy director of the Finance Department of Fujian Province, told the director of Chinese hospital, "experienced nurses leave the hospital and there is a precedent for the catering industry.".
In fact, these nurses who have gone through long-term clinical practice are the ones with the most professional ability when they leave. Some have rich clinical experience of nurses, patients in private even dare to seek medical treatment for them.
This situation needs to change.
Hospital nurse professional speed
While nursing education is changing constantly, the nursing specialization in hospitals is constantly exploring, especially some large hospitals have explored some mature paths.
“ specialist nurses are certified by the Chinese Nursing Association and the Beijing nursing association. For example, intensive care specialist nurses need to undergo a month of theoretical training, two months of clinical practice training, examination and approval to obtain the certificate. There are more than 160 specialist nurses from different specialties in the hospital, and professional training courses have also been held. ” Beijing Chaoyang Hospital affiliated to Capital Medical University (hereinafter referred to as “ Chaoyang Hospital &rdquo); Zhang Yan, deputy director of nursing department, told the president of Chinese hospital.
While the specialized nurses are developing, the exploration and development of nurse regulation are also developing step by step. For a long time, standardized training of nursing staff is basically organized by the hospital, often in the selection section after regulation training, mainly within the hospital rotation.
In 2016, the new nursing personnel training program was introduced, and new nurses required two years standardized training to master the basic theory, basic knowledge and basic skills in clinical nursing work.
Hospital nurses compliance training will be on the right track, to further refine the training process management, establish the training archives management: the future of post access, the hospital to understand the compliance training information through training files, and reasonable arrangement of work. Shang Shaomei pointed out that regulation will ensure the baseline of the nurses' technical level.
“ now the assessment ability of nurses has increased, with the initiative to observe and feedback the awareness and ability of patients. When neurological nurses evaluate their condition, they may take flashlights to observe changes in the pupils, feed back the patient's progress, and use a lot of knowledge learned at school. &rdquo, Li Baohua points out.
Supporting measures
In the context of professional upgrading of nursing professional skills, Shang Mei felt that the Chinese nursing profession rising channel exploration can take another step forward, for example, in a small scope to explore the release of prescription rights.
In fact, the international nurse prescribing rights of exploration, now the pace has gone further. The United States explored the cultivation of NP as early as 1970s, and by 2017, all States awarded NP with varying degrees of prescribing rights. The future direction of the reform is to further expand the right of prescription. Shang Shaomei appeared in the 2017 new school this batch of postgraduate training, long-term target localization is the advanced practice nurse, CO prescribing “ according to this location, now is the first to let them through learning are up to the requirements of ”. However, considering the reality of Chinese, she also believes that advanced practice nurse prescribing the final landing, but also need more mature conditions to follow &rdquo “. In the past, hospitals did not set up special posts, nor did the government release the right of prescribing. It required a series of changes in the industry environment. Therefore, it is necessary to connect the hospital with the hospital and to seek technical cooperation in the training and post setting of the hospital. It is also necessary to actively contact the government and suggest that the government should release the limited prescription right.
However, the exploration of specialist nurses and nursing clinics has laid a foundation for further exploration in this direction. She hoped that their students can not only qualified nurses, but also further become care experts capable of limited responsibility requires prescription right in the field of some diseases, especially in the selected area of diabetes management.
Moreover, this steady exploration and breakthrough has not only been supported by hospitals and doctors, but also affirmed by the government. The national health care medical affairs authority director Li Dachuan had an internal meeting in May of this year pointed out that the professional field can choose strong social demand, have a certain foundation to carry out the pilot.