社区护士岗位设置与职责现状及对策研究.PDFVIP

中国护理管理 特别策划·社区护理发展的探索 Special Planning 社区护士岗位设置与职责现状及 对策研究 ◆ 侯淑肖 尚少梅 万巧琴 刘利群 周薇 金晓燕 王敏 邓述华  [ 摘 要 ] 目的：建立一套适合我国社区卫生服务发展现状和管理模式的，便于实际应 用的社区护士岗位设置方案和职责规范，以对社区护士的工作提供具体明确的指导。方法： 采用访谈法、观察法、个案分析法了解社区护士的岗位设置和职责现状；通过访谈法、问卷 调查法和专家论证法，建立社区护士岗位设置与岗位职责建议方案。结果：目前我国社区护 士的工作岗位没有进行规范的分类，岗位设置不利于社区护理工作任务的完成；岗位职责不 明确，与其他专业人员分工不清晰。结论：建议将社区护士岗位划分为两大类：全科护士岗 ： 位和公共卫生护士岗位；建议全科医师与全科护士的比例为1 （2～3）；公共卫生医师与公 : 共卫生护士的比例为1 1。 [ 关键词 ] 社区护士；岗位设置；岗位职责 [中图分类号] R473.2 Study on Status and Countermeasures of position settings and responsibilities of community nurses / HOU Shu-xiao, SHANG Shao-mei, WAN Qiao-qin, et al. // Nursing 方案和职责规范，从而对社区护士的工 school, Peking University,100191 China /// Chinese Nursing Management- 2011,11(12): 11-13 作提供具体明确的指导，合理设置社区 [ ] Abstract Objective: The purpose of this study was to establish a set of specifications 护理岗位，配备相应的护理人员，提高 for position settings and responsibilities of community nurses which are suitable for the current status of community health services, and could be easily applied in actual operation, 社区护理服务质量和效率，从而为实现 then provide specific and clear guidance to community nurses. Methods: Interview, 社区卫生服务的宗旨和总体目标提供保 observation and typical case study were used to investigate the status of position settings and 障，促进社区卫生服务的可持续发展。 responsibilities of community nurses. Interview, questionnaire and expert appraisal method were used to establish proposals for position settings and responsibilities of community 1 对象与方法 nurses. Results: Currently, the classifications of the work positions of community nurses had 1.1 研究对象 not b