中国护理管理
中國護理管理
중국호리관리
Chinese Nursing Management
2015年
10期
1230-1233
,共4页
杨纯子%汪晖%徐蓉%曾铁英%尹世玉%陈英%余云红
楊純子%汪暉%徐蓉%曾鐵英%尹世玉%陳英%餘雲紅
양순자%왕휘%서용%증철영%윤세옥%진영%여운홍
医院%延伸护理%障碍
醫院%延伸護理%障礙
의원%연신호리%장애
hospital%transitional care%obstacles
目的：了解和分析我国二、三级综合医院开展延伸护理服务面临的障碍，为卫生部门及医疗机构制定延伸护理服务相关政策和流程提供参考依据。方法：通过自设问卷对全国43所综合医院共43位护理管理者和1829名临床护士进行调查。结果：开展延伸护理服务过程中遇到的主要困难为人力资源不足、缺乏国家政策指导和相关法律法规、收费标准不明确、医院社区联网协作机制不健全、护士能力不足、病人对延伸护理服务认知度低等；护理管理者和临床护士、二级医院和三级医院在开展延伸护理服务中面临的障碍有所不同。结论：延伸护理服务在我国综合医院的开展面临着巨大的挑战，须设立延伸护理岗位、专门机构和跨学科团队，制定科学、标准化的延伸护理服务流程，提高病人及家属对延伸护理服务的认知，并制订相应的法律法规与收费政策，加快建立完善的医院社区双向转诊制度，以保证延伸护理服务的顺利实施。
目的：瞭解和分析我國二、三級綜閤醫院開展延伸護理服務麵臨的障礙，為衛生部門及醫療機構製定延伸護理服務相關政策和流程提供參攷依據。方法：通過自設問捲對全國43所綜閤醫院共43位護理管理者和1829名臨床護士進行調查。結果：開展延伸護理服務過程中遇到的主要睏難為人力資源不足、缺乏國傢政策指導和相關法律法規、收費標準不明確、醫院社區聯網協作機製不健全、護士能力不足、病人對延伸護理服務認知度低等；護理管理者和臨床護士、二級醫院和三級醫院在開展延伸護理服務中麵臨的障礙有所不同。結論：延伸護理服務在我國綜閤醫院的開展麵臨著巨大的挑戰，鬚設立延伸護理崗位、專門機構和跨學科糰隊，製定科學、標準化的延伸護理服務流程，提高病人及傢屬對延伸護理服務的認知，併製訂相應的法律法規與收費政策，加快建立完善的醫院社區雙嚮轉診製度，以保證延伸護理服務的順利實施。
목적：료해화분석아국이、삼급종합의원개전연신호리복무면림적장애，위위생부문급의료궤구제정연신호리복무상관정책화류정제공삼고의거。방법：통과자설문권대전국43소종합의원공43위호리관리자화1829명림상호사진행조사。결과：개전연신호리복무과정중우도적주요곤난위인력자원불족、결핍국가정책지도화상관법율법규、수비표준불명학、의원사구련망협작궤제불건전、호사능력불족、병인대연신호리복무인지도저등；호리관리자화림상호사、이급의원화삼급의원재개전연신호리복무중면림적장애유소불동。결론：연신호리복무재아국종합의원적개전면림착거대적도전，수설립연신호리강위、전문궤구화과학과단대，제정과학、표준화적연신호리복무류정，제고병인급가속대연신호리복무적인지，병제정상응적법율법규여수비정책，가쾌건립완선적의원사구쌍향전진제도，이보증연신호리복무적순리실시。
Objective:To investigate the obstacles of transitional care among secondary and tertiary general hospitals. Methods:A total of 43 nursing managers and 1829 clinical nurses in 43 general hospitals were investigated by a transitional care obstacles questionnaire. Results:The biggest obstacles during transitional care included human resource shortage, lack of national policies, laws and regulations, undeifned charging standards, imperfect hospital-community transfer system, ability shortage of nurses and low awareness of patients. Different obstacles were faced between nursing managers and clinical nurses, and between secondary and tertiary hospitals. Conclusion:Great challenges of transitional care existed in hospitals. Hospitals could set up specialized institutions and multidisciplinary teams, formulate standard transitional care procedures, and improve patients’ and families’ conceptions of transitional care. Medical organizations could formulate laws, regulations, charging standards and hospital-community transfer system to promote the development of transitional care.
