襄阳地区三甲医院神经内科护士流失原因分析及对策(1)
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[摘要] 目的：探讨襄阳地区三甲医院神经内科护士流失的原因，并制订相应的对策。方法：对2008～2010年襄阳地区三甲医院流失的神经内科护士的情况进行问卷调查分析。结果：工作负荷过重、收入与付出悬殊较大、工作压力大等原因是造成神经内科护士流失的主要原因。流失护士中有50%是起着中流砥柱作用的25～35岁者、护师及大专学历者。护士流失率有逐年增加的趋势。结论：管理者应采取有效措施缓解神经内科护士压力，促进护理队伍稳定及护理质量的提高。这些措施可包括增加人员配备、提高护士薪酬、加强业务培训、实行人性化管理等。
[关键词] 神经内科；护士；流失；对策
[中图分类号] R192 [文献标识码] A [文章编号] 1673-7210(2012)01(a)-109-03
Analyzing and measures on the factors of turnover of nurse in the department of neurology of the third class A hospital in Xiangyang district
QI Zhihua1,2, LIANG Junhua1
1.Xiangyang Hospital Affiliated to Hubei Medical College, Hubei Province, Xiangyang 441000, China; 2.Department of Neurology, the First People's Hospital of Xiangyang City, Hubei Province, Xiangyang 441000, China
[Abstract] Objective: To investigate on factors of turnover of nurse in the department of neurology of the third class A hospital in Xiangyang district, and to develop appropriate countermeasures. Methods: Questionnaire survey and analysis were conducted to the losses nurses of neurology department in the third class A hospitals in Xiangyang district from 2008 to 2010. Results: Work overload, wide disparities between input and output of the nurses and work pressure were the main reasons for neurology nurse losses. 50% of the nurses that left were the cornerstone forces, who were 25 to 35 years old, and were of senior and tertiary qualifications. There was also increasing trend of nurse turnover rate. Conclusion: Managers should take effective measures to alleviate the pressure of neurology nurses and thus to maintain stability of nursing team and improve the quality of care. These measures may include increasing staffing, increasing nurses' pay, strengthening business training and humane management and so on.
[Key words] Neurology; Nurses; Loss; Measures
神经内科是各大医院中较繁忙的科室之一，以脑血管意外患者居多[1]。而脑血管意外起病急，病死和病残率高，基础护理量大，神经内科护士的工作负荷和心理压力也较其他科室护理人员重。襄阳地区三所三甲医院中神经内科都是各家医院中的大科室，可近几年护理人员频繁换岗甚至离岗，导致护理人才流失。虽然有新分配人员填补，但是他们资历过浅而且现有护理人员仍有要求换岗的想法，致使护理队伍根基不稳，护理人员结构不合理，严重影响了科室的护理质量，制约了科室的发展。为此，笔者采用发放问卷和单独讨论的方法，对2008～2010年襄阳地区三所三甲医院神经内科护士流失的原因进行分析探讨并制订出相应的对策。
1 对象与方法
1.1 调查对象
调查对象为2008～2010年襄阳地区三所三甲医院(中心医院、市一医院、市中医院)离开神经内科护理岗位的护士。对象纳入标准：①调离前在神经内科工作时间超过6个月；②自愿参加本课题研究的调离者 ......
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