Wang S J, Li F R, Lu H Y, Chen Y Y, Liu X Z, Chen L H, Wang Y H, Yan Z Q, Feng P, Wu Y, Zhang Y, Shen Z A
Department of Burns and Plastic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China.
Nursing Department, the First Affiliated Hospital of Naval Medical University, Shanghai 200433, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Apr 20;39(4):364-370. doi: 10.3760/cma.j.cn501225-20220613-00231.
To investigate the allocation of nursing human resources in burn centers in China. A cross-sectional survey was conducted. Using a self-designed questionnaire, a survey was carried out from January to March 2022 to investigate the January to December 2021 status of 39 burn centers in China that met the inclusion criteria based on six strategic regions and other regions, including the hospital grade and the region, the number of nurses and opening beds in the burn centers and burn intensive care units (BICUs), the age, working seniority in burn specialty, educational background, professional title, personnel employment, and turnover of nurses and training of newly recruited nurses in the burn centers. This survey covered 30 provinces, municipalities, and autonomous regions in China (excluding Hong Kong Special Administrative Region, Macao Special Administrative Region, and Taiwan region of China). A total of 39 questionnaires were collected, all of which were valid. The 39 burn centers were located in 38 tertiary A hospitals and 1 tertiary B hospital, with 26 burn centers in strategic areas. The nurse/bed ratio of burn centers in the Greater Bay Area of Guangdong, Hong Kong, and Macao was the highest, while the nurse/bed ratio of burn centers in border ethnic minority area was the lowest. Except for the Chengdu-Chongqing Economic Circle, BICUs had been set up in burn centers in other regions. Among the 39 burn centers, the percentage of nurses aged 25 to 34 years was 51.21% (738/1 441), the percentage of nurses worked in burn specialty for less than 5 years was 31.16% (449/1 441), the percentage of nurses with bachelor's degree was 69.74% (1 005/1 441), and the percentage of nurses with nursing professional title was 44.14% (636/1 441), which were the highest. There were significant differences in the employment of nurses, the percentage of permanent nurses in burn centers in the collaborative development zone of Beijing-Tianjin-Hebei was 82.48% (113/137), while the percentage of permanent nurses in burn centers in important military strategic area was only 9.42% (34/361); the turnover rate of nurses was 9.03% (143/1 584), among which the turnover rate of nurses was 18.14% (80/441) in burn centers in important military strategic area. The training for newly recruited nurses in 39 burn centers was mainly based on the guidance of senior nurses and the pre-job education+specialist training. The burn nursing human resources in strategic areas in China are seriously insufficient and unevenly distributed, with unstable nurse team and lack of standardized specialist training. In particular, the nursing human resources in BICUs need to be equipped and supplemented urgently.
为调查我国烧伤中心护理人力资源的配置情况。开展了一项横断面调查。采用自行设计的问卷,于2022年1月至3月进行调查,以了解2021年1月至12月我国39家符合纳入标准的烧伤中心的情况,这些烧伤中心基于六个战略区域及其他区域进行划分,内容包括医院等级和区域、烧伤中心及烧伤重症监护病房(BICU)的护士人数和开放床位数、护士年龄、烧伤专业工作年限、学历、职称、人员聘用、护士离职率以及烧伤中心新入职护士的培训情况。本次调查覆盖了中国30个省、直辖市和自治区(不包括中国香港特别行政区、中国澳门特别行政区和中国台湾地区)。共收集到39份问卷,均为有效问卷。39家烧伤中心分布在38家三级甲等医院和1家三级乙等医院,其中26家位于战略区域。粤港澳大湾区烧伤中心的护士/床位比最高,而边疆少数民族地区烧伤中心的护士/床位比最低。除成渝经济圈外,其他地区的烧伤中心均设有BICU。在39家烧伤中心中,25至34岁护士的占比为51.21%(738/1441),烧伤专业工作年限少于5年的护士占比为31.16%(449/1441),本科学历护士的占比为69.74%(1005/1441),具有护理职称护士的占比为44.14%(636/1441),这些占比均为最高。护士聘用情况存在显著差异,京津冀协同发展区烧伤中心的在编护士占比为82.48%(113/137),而重要军事战略区烧伤中心的在编护士占比仅为9.42%(34/361);护士离职率为9.03%(143/1584),其中重要军事战略区烧伤中心护士离职率为18.14%(80/441)。39家烧伤中心对新入职护士的培训主要以高年资护士带教及岗前教育+专科培训为主。我国战略区域烧伤护理人力资源严重不足且分布不均衡,护士队伍不稳定,缺乏规范的专科培训。特别是BICU的护理人力资源亟待配备和补充。