ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (3): 290-296.doi: 10.3761/j.issn.2096-7446.2025.03.005

• 急危重症护士培养及管理专题 • 上一篇    下一篇

浙江省医疗机构急诊科护理人力资源现状的调查研究

王萍(), 卢志红, 王钰炜, 王飒, 张玉坤, 方珏, 周帅帅, 金静芬()   

  1. 310009 杭州市 浙江大学医学院附属第二医院急诊医学科（王萍，卢志红，王钰炜，王飒，张玉坤，方珏，周帅帅），护理部（金静芬）
  • 收稿日期:2024-03-19 出版日期:2025-03-10 发布日期:2025-03-03
  • 通讯作者: 金静芬，E-mail：zrjzkhl@zju.edu.cn
  • 作者简介:王萍：女，本科，副主任护师，E-mail：2201037@zju.edu.cn

Investigation on the current status of nursing human resources in emergency departments of medical institutions in Zhejiang Province

WANG Ping(), LU Zhihong, WANG Yuwei, WANG Sa, ZHANG Yukun, FANG Jue, ZHOU Shuaishuai, JIN Jingfen()   

  1. Department of Emergency，The Second Affiliated Hospital of Zhejiang University School of Medicine，Hangzhou，310009，China
  • Received:2024-03-19 Online:2025-03-10 Published:2025-03-03

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摘要：

目的 了解浙江省医疗机构急诊科护理人力资源的配置现况，为进一步加强急诊科护理队伍建设提供参考依据。方法 采用简单随机抽样法，于2022年9月—10月选取浙江省11个地级市的104所医院，采用浙江省医疗机构急诊科护理人力资源配置现状调查表对急诊科护理管理者进行调查。结果 急诊抢救室床护比平均为1∶2.6；2 735名急诊护士中，年龄<25岁占21.06%，本科学历占73.02%，研究生学历仅占0.54%，高级职称护士仅占3.11%；104所医院中，设有监护室的医院占49.04%，设立助理护士岗位的医院仅占7.69%，急诊科护理管理者研究生学历仅占1.00%；不同级别医疗机构编制总床位数、编制抢救室床位数、抢救室护士总人数、编制留观床、编制监护室床、平均每日就诊量及平均每日抢救室收治患者数量各组间差异具有统计学意义（P<0.05）；不同级别医疗机构护士的年龄、职称、学历、夜班频次、护理管理者职称构成比差异具有统计学意义（P<0.05）。结论 浙江省急诊科护理人力资源配置的人数符合国家相关文件要求，护士学历以本科为主，护士构成以年轻化、职称呈现“金字塔”为特点。亟需增加一线助理护士岗位及二、三级医疗机构急诊重症监护室床位的建设；同时，护理管理者学历存在提升的空间。

关键词: 急诊科, 护理人力资源, 护理管理研究, 培训

Abstract:

Objective To understand the current situation of the allocation of nursing human resources in the emergency departments of medical institutions in Zhejiang Province，and to provide reference for further strengthening the construction of nursing team in the emergency departments. Methods 104 hospitals from 11 prefecture-level cities in Zhejiang Province were selected by simple random sampling method from September to October 2022，and the nursing managers of emergency departments were investigated by using the questionnaire of nursing human resources allocation in emergency departments of medical institutions in Zhejiang Province. Results The average ratio of bed to nurse in emergency room was 1 ∶ 2.6. Among the 2 735 emergency nurses，21.06% were under 25 years old，73.02% had bachelor’s degree，0.54% had master’s degree，and only 3.11% had senior professional title. Among the 104 hospitals，49.04% had ICU，only 7.69% had assistant nurses，and only 1.00% had nursing managers with postgraduate degree in emergency departments. There were significant differences among different levels of medical institutions in total number of beds，number of beds in emergency and rescue rooms，total number of nurses in emergency and rescue rooms，observation beds，ICU beds，average daily visits and average daily number of patients treated in emergency and rescue rooms（P<0.05）. There were significant differences among different levels of medical institutions in the age，professional title and educational level of nurses（P<0.05）. The night shift frequency of nurses in different levels of medical institutions was statistically different（P<0.05）. There was statistical significance in the composition ratio of nursing managers’ professional titles among the emergency departments of different medical institutions（P<0.05）. Conclusion The number of nursing human resources in the emergency departments of Zhejiang Province meets the requirements of relevant national documents. The nurses’ education is mainly bachelor’s degree，and the composition of nurses is characterized by youthfulness and a “pyramid” of professional titles. There is an urgent need to increase the number of assistant nurses for front-line personnel and the construction of emergency intensive care unit beds in secondary and tertiary medical institutions. At the same time，there is room for improving the education level of nursing managers.

Key words: Emergency Department, Nursing Human Resources, Nursing Management Research, Training