目的：通过对2015年与2018年上海市二级及以上医院麻醉科护理工作运行管理情况的调查对比，为新政指导下的我国麻醉科护理队伍建设与管理提供建议。方法：于2018年10~12月，采用自制的现况调查表，以电子邮件方式对上海市95所二级及以上医院进行调查，并与2015年的调查数据进行对比分析。结果：与2015年相比，各医院麻醉科的业务工作范畴和数量均有增长；麻醉科护士岗位设置情况基本不变，但以麻醉恢复室护理为主的工作内容尤其是工作量有不同程度提高；麻醉科护士的学历层次有显著提高，但仍以初级职称为主；目前进入麻醉科工作的护士58%以上由其他科室转岗而来，编配专职麻醉科护士长的医院较2015年有所增加，护士长在麻醉护士管理中的地位与作用也得到彰显。结论：上海市二级及以上医院麻醉科人力资源配置与业务工作开展近年来有所提升，但发展速度仍然较慢，亟待提高麻醉科护理队伍的内涵质量，适应发展需求，为围麻醉期患者提供专业护理。
Objective: To provide a reference for the construction and management of anesthesiology nursing team in China under the guidance of the new policy, through the comparative analysis of the man-agement of anesthesiology nursing staff in the second-class and above level hospitals between 2015 and 2018. Methods: Investigate 95 hospitals at second-class and above level in Shanghai using a self-made status questionnaire by email during October to December, 2018, and then compare the data with 2015. Results: Compared with 2015, the business scope and workload of anesthesiology departments in all hospitals has increased greatly. The position setting of nurses in anesthesiology is basically unchanged. However, their major responsibility such as nursing care in anesthesia recovery room has been improved to varying degrees. In recent years, the level of education of nurses in anesthesiology has been significantly improved, but the primary title is still the main one. More than 58% anesthesiological nurses are transferred from other departments. The number of hospitals allocating full-time head nurses in anesthesia department increased compared with 2015. And the role and function of the head nurses has also been highlighted. Conclusion: The resource allocation and business development of anesthesiology department in the second-class and above level hospitals of Shanghai have been improved, but the development speed is still slow. It is urgent to improve the connotation and quality of anesthesiology nursing team to meet the development needs and provide professional nursing for patients during peri-anesthesia period.
References
[1]
Stewart, M.W. (2011) Research News: Nurse Anesthesia. Journal of PeriAnesthesia Nursing, 26, 176-178.
https://doi.org/10.1016/j.jopan.2011.03.005
