Investigation and analysis of current nursing human resource management at tertiary hospitals in Guiyang in the face of the universal two-child policy

Abstract

Objective To understand the current situation of nursing human resources at tertiary hospitals in Guiyang city, and to recommend on strategies for nursing human resource management under the universal two-child policy. Methods Stratified sampling method was adopted, and 141 head nurses were sampled from 5 tertiary hospitals in Guiyang city for a customized questionnaires survey. The survey aimed at learning the nursing human resource allocation and work scheduling model in the face of growing number of pregnant and puerperal nurses. Results The 141 departments surveyed in Guiyang tertiary hospitals had a total of 2 667 nurses and 6 604 beds, with a nurse-bed ratio of 0.4: 1 for the hospital in general, but only 34.1% of the departments reached this standard. The number of second-time pregnant nurses and second-time maternity leave nurses posed a significant impact on nursing human resource management (P<0.05). Conclusions Currently tertiary hospitals in Guiyang city seriously lack nursing human resource and the allocation was uneven. With the implementation of the universal two-child policy, the increased number of pregnant and maternity leave nurses placed a great pressure to clinical departments, It is recommended that nursing managers increase the number of nurses, raise bed-nurse ratio up to national requirements, recruit and retain male nurses, call back retired and capable nurses, and minimize factors affecting human resource stability; establish a survey mechanism to learn nurses fertility intention, avoid excessive concentration of pregnant nurses over the same period, and make a reasonable scheduling, for nursing quality stability. Key words: Questionnaires; Universal two-child policy; Nursing staff; Human resource allocation; Pregnant and puerperal nurses