Abstract
Objective To investigate the status of the full liberalization of the two childrenpolicy of nursing human resources base on ClassⅡHospitals, and provide advice of nursing human resources on basic hospital management decisions. Methods Selected 24 Class Ⅱ hospitals in Xianning city for 2 years of nursing human resources tracking and monitoring. Results The proportion of actual beds and nurses was 1∶0.37. Nurses less than 45 years old account for the majority, reaching 89.7%(3 398/3 789). Comparing with 2016 (89 days) and 2015 (103 days), nurses took fewer vacations (14 days). In 2016, the nurse in charge of 12.1 beds, 212.35 times of nursing operation, 17.9 times of health education, 25.1 times of nursing documents, 5.7 times of calling, 42.4 times of the chores, in 2015, the nurse in charge of 6.8 times,156.21 times, 7.8 times, 15.3 times, 2.2 times, 21.5 times. Corresponding, in 2016 and 2015 was statistically significant the difference (χ2=4.126-14.866, all P<0.05). The turnover rate of nurses was 3 in 2015 and 51 in non-organization nurses in 2015, and 21 and 139 respectively in 2016 respectively. The difference was statistically significant (χ2=15.429, 3.921, all P<0.05). In 2015, the basic satisfaction degree was (3.76±0.19) points, and it was (3.06±0.12) points in 2016. The difference between 2016 and 2015 was statistically significant (χ2=4.236, P<0.01). Conclusions Due to the overall two children policy, and further improve the quality of nursing service of the hospital, the nurse workload increases, turnover increased and nursing occupation satisfaction decreased. The contradiction between the nursing human resources and the Class Ⅱ hospitals in grass-roots level is more prominent. Government and hospital care managers must take effective measures for their hospitals to respond positively respectively to the quality of care and safety of care in the context of inadequate human resources and to meet the growing needs of the people's health care. Key words: Nursing care; Human resources; Two children policy; Status
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