Strategy Of Stability And Development Of Nursing Staff In Shanghai Research

[OBJECTIVE]Nursing staff,carrying with major tasks,have the great influence in the medical service process,or even in the medical health system.Hence,the nursing staff constriction is not only important to the hospital operation,but also for medical health system in Shanghai.As the increasing of hospital size and public needs to the medical service quality.Only the best nursing staff can provide more efficient medical service as a team in function.The disposition of the Shanghai nursing staff is still relatively short.The composition of nursing staff isn't appropriate in Shanghai.Also,the nursing staff average age appears to be focusing prior forties.Furthermore,the academic structure obviously needs to be improved.The nursing degree is heavily unbalanced.Only small portion of the staffs held with bachelor degree or above,and others came from technical institutions.Due to nursing staffs' low wages,high work-load,high pressure, high risk,frequent routine training and examine,those lead to seriously outflow of the nursing staff.From the study of human resource surveys,working environment analysis and on-site job training of every levels hospital in Shanghai during 2004～2007,this research can provide decision makers to have better understanding of the overall requiring reinforced quality and stability of nursing staff.[METHODS]By cross-sectional study,and analysis the difference on the construction status of nursing staffs between urban and rural areas with the use of Analytic Hierarchy Process(AHP) and Structural Equation Model,this research focus on the different influences from personnel posts,in-service education,occupational status,and psychological conditions of nursing staffs in Shanghai.The core methods of materials are as following:1^st:Collect the Statistics Yearbook,reports and other relevant information at home and abroad for nearly a decade.2^nd:Investigate 10 third-class hospitals,20 second-class hospitals and 20 community health centers through random sampling and pick up 30%of the nursing staffs for the investigation.3^rd:Invite experts on nursing management,nursing care,nursing education to improve the research design,and provide suggestions on the stability and development of nursing staffs.[RESULTS]1.The allocation of hospital nursing staff should be improvedAccording to the report,the percentage of Shanghai's nursing staff in hospital health technicians are under 50%.There are nearly 1/3 impermanent staff in the nursing work forces.It is one of the major reasons to the unstable nursing staff maintenance.Technical school graduates appear to be the core work force of nursing staffs in Shanghai.Even colleague or university degree holding nursing staff is occurred inexperienced to the job.2.The nursing staff's job trainings must be focused on effectThe investigation shows,among the nursing staff in Shanghai at all levels, 67.84%accepted higher education during services.From the latest education,many staff members focus on the nursing professional in university degree through correspondence,adult school and night school.The study motive is to self-elevate and full-fill the needing skills for work.From hospitals' point of view toward advanced education,only fifty percent of the nursing staffs believe hospitals provided assist and reward system,which is still considered quite low.In Shanghai,among 74.52%of the hospital nursing staff accepted and adopted continue education.However,in the recent year,only 0.07%accepted on-job training. Nursing staff's continuous education and career training are mainly focus on professional nursing techniques.Nonetheless,the nursing staffs of Shanghai are not impressed with continued medical educations and proportions of continuous education still far less than expected.3.Psychological state of nursing staff must be concernedThe results showed that the average satisfaction score of nursing staff toward co-workers was higher than those toward payment and social status.The results also revealed the average score of the turnover intention of nursing staff was relatively high.Besides,the every satisfaction scores of second level hospital are highest,but which is the lowest in the third level hospital.Compare with Shanghai city and Shanghai county,the second level hospital and community health center of city are obviously higher satisfaction than county.In conclusion,the occupational psychology of nursing staff of Shanghai isn't reach into good status.It is worthy to be concerned by hospital manager and health policy maker.[RECOMMENDATIONS]1.Based on rational personnel allocation,the hospital administrator should strongly encourage the current nursing staff to participate in continuous education, and provide help to promote the knowledge and skill levels,at the same time, improving nursing staff's academic structure,managing and research abilities.2.The hospital administrator should developed the proper career plan according to the age of service seniority,ability and education background.Hence,the nursing staff will have the opportunity of obtaining the career promotion.Hospitals should assisting and providing resources for nursing staff to develop scientific research ability,set up institute grade and participate in scientific research project,encourage the nursing staff to carry on scientific research,promote the nursery workers to introduce new ideas,new technology,and giving full support to well represented nursing staff.By all means,it can significantly retain experienced staff,and certainly improved the nursing staff structure.3.The hospital and government should pay attention to the nursing staff's remuneration distribution of the labor service,offer the incentive measure in good time,and implement the system of equal pay for equal work strictly.In order to ensure the contract system nurse's work benefit and quality of the care,those loyalty attending to the job and hospital deserve fairness of raising of remuneration and welfare,which will stabilize nursing staff's changing.4.Nursing administrator must strengthen the staff's professional attitude, responsibility consciousness,consider for others,and abilities to against stress by pay close attention to the subordinate personals' demand at the same time,help to solve the conflict between family and work,introduce nursing staff relatives' praise activity regularly,and affirm with thanks to the dedicating unselfishly of relatives,strengthen the support of nursing staff's family.Healthy psychological development of the young nursing staff will improve steadily,promote and attend to whole staff team quality.5.Hospital should provide chance of offering to nursing staff to contribute great efforts by improve the nursing staff's professional skill and social responsibility. Improving public impression and emphasizing the professional functionality of the nursing staff via utilizing in written or short film to the public with newspaper,media, etc.As the result,public will establish good image of the nursing staff,and that will adding more social support to nursing staff,promoting self-confidence.6.Hospital administrator should keep the records of leaving nursing staff and analysis the reason of leaving.On which basis will help the nursing staff's building of contingent and management to reduce the consumption of running off,the medical risk of reduction hospital and hygiene resource of the nursing staff.7.Settlement and implementation plan of training goal draft in continuation medical education and in-service training of the nursing staff can make them meet the needs of work and demand abilities.Also,strengthen the appraisal of educational course and result,offering correspondent incentive measure and assistance in participating in trainers.