专科护士的培养和实践,任重而道远!

2017-06-27 佚名 医学界

医疗技术日新月异,护士如何在做好基础护理工作的同时,更好地为患者提供高质量的专业照护,需要在未来不断开拓完善。

医疗技术日新月异,护士如何在做好基础护理工作的同时,更好地为患者提供高质量的专业照护,需要在未来不断开拓完善。

查房、打针、铺床、发药等……一般人印象中,护士每天都在重复这些常规的护理工作。然而,随着诊疗技术的迅速发展,护理工作的职责范围与功能已经远远超过了传统领域,护理的专科化成为临床护理实践新的的策略和方向。借鉴国外经验,结合我们实际,建立和发展专科护士制度是提高护理专业技术水平和促进护理专业发展的重要方略,也是与国际接轨的基础。

为了进一步推进护理专科事业的发展,复旦大学附属妇产科医院(以下简称“红房子”)积极开展对外交流。近日,“红房子论坛暨第四届复旦大学附属妇产科医院国际妇产科高峰论坛”上,护理论坛邀请了来自瑞典Karolinska医学院、加拿大多伦多大学、浙江大学、四川大学、交通大学、第二军医大学及其附属医院的多位专家和学者就妇幼政策、专科人才培养、助产教育、循证护理实践、国际间合作等方面的热点问题和国内妇产科护理同仁们进行充分交流和深度剖析。其中,医学界有幸采访到上海市护理学会的理事长徐筱萍女士。

妇产科作为人类健康的起源部分,在整个护理学科分支中占据不可或缺的地位。徐筱萍理事长指出,目前政府已经将护理专业化纳入护理学科发展纲要。现代护士需要具备独立解决问题的能力,而不是纯粹地执行医嘱。红房子在护理专科化发展的工作表现十分出色,对维护女性健康做出了重要贡献。

红房子护理部坚持以患者需求为导向,致力于培养临床型高级实践专科护士。从2011年开始设立助产士门诊,之后又逐步开设妊娠期糖尿病门诊、母乳喂养门诊、淋巴水肿康复门诊、PICC(经外周静脉置入中心静脉导管)门诊等。

历经20余年的发展,现阶段我国专科护士的培养机制逐渐成熟,但在部分地区专科护士的发展仍然存在如下问题。

1、我国专科护士岗位职责有待进一步明确。

目前,专科护士普遍存在重培养、轻使用的问题,护士职责不明确是影响专科护士核心能力发挥的主要因素。解决这一问题的关键在于专科护士的专职化管理。专职化岗位管理是根据临床专科护理领域工作需要,有计划地设立专科护士岗位,充分利用专科特长,体现工作价值。

2、我国专科护士管理体系有待进一步完善。

专科护士的薪酬待遇不能体现其专科价值,这在一定程度上也会影响到专科护士的工作积极性,甚至造成专科护士的严重流失。解决这一问题的关键是医院要根据实际情况建立相应的专科护士薪资体系及奖励机制,在福利待遇上体现其与普通护士的区别,切实提高专科护士的福利待遇。
除此之外,由于目前国内专科护士的培训与认证机构尚不完善,培养专科护士的水平参差不齐。其实这一问题需要从国家政策层面建立健全专科护士认证体系,包括设立专科护士认证的权威机构,明确专科护士培训及认证资质,根据我国国情合理采用多种形式安排培训及考核。

医疗技术日新月异,护士如何在做好基础护理工作的同时,更好地为患者提供高质量的专业照护,需要在未来不断开拓完善。专科护士的培养和实践,任重而道远。

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    2018-08-05 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

    0

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    2017-06-27 thlabcde

    好东西学习了.

    0

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    2017-06-27 131****2916

    不错的文章值得推广

    0