【摘要】 目的探讨护理职系改革的实践与效果。方法采用护理职系改革方案,将科室分为3类,护理岗位分为13级,实施岗位津贴、夜班补贴和绩效奖金3部分改革。结果开展职系改革后护士流失率下降(P<0.01);护理人员收入最高科室(临床科室)是最低科室(附属科室)的2倍;中高级职称护理人员分布倾向于临床科室,与改革前比较差异具有统计学意义(P<0.01)。结论护理职系改革强化了护理管理体系的管理职能,有利于人力资源的合理配置和护理队伍的稳定发展,提高护理质量、保证护理安全,并有效解决护理人员收入不均衡的问题。更多还原

【Abstract】 Objective To explore the methods and effects of nursing grade reform.Methods The nursing grade reform program included dividing the departments into 3 classes,dividing nursing positions into 13 levels,and implementing post allowance,night shift allowance and performance bonus.Results The rate of nurses’ dropout decreased(P<0.01).After the reform,the maximum of nurses’ average income was 2 folds of the minimum.The nurses with middle level and above professional titles were more likely to work in the clinical departments(P<0.01).Conclusion Nursing grade reform can enhance management functions of the nursing management system,and is beneficial to allocate human resources reasonably and make nursing staff develop stably,and can improve the quality of nursing and ensure the nursing safety,and can effectively address the uneven income of nurses.更多还原