Medical institutions should gradually establish a nursing post management system, and implement nursing post management according to the principle of "setting posts according to needs, selecting people according to posts, employing them according to posts, and scientific management" to realize the transformation of nurses from identity management to post management. It is necessary to scientifically set up nursing posts according to the actual situation of the unit, and implement nurse manpower allocation, training and assessment based on nursing posts. Posts that do not have the characteristics and tasks of nursing work and do not include nursing duties, such as posts in party and government work groups, finance, medical insurance, logistics and other departments, do not belong to nursing posts.
Medical institutions should establish a system of nurses' human resources allocation and flexible allocation to ensure clinical nursing needs. Effective measures should be taken to give priority to the provision of clinical nurses, and the number of clinical front-line nurses should not be arbitrarily reduced. In principle, the number of nurses in clinical nursing posts shall not be less than 95% of the total number of nurses in the hospital. According to the characteristics of clinical departments, the severity of patients' illness and the workload of clinical nursing, and according to the overall nursing work mode of responsibility system, nurses with appropriate number and reasonable structure are allocated.
The ratio of nurses to actual open beds in secondary and above hospitals is not less than 0.5: 1, and the ratio of nurses to actual open beds in intensive care unit is not less than 2.5-3. 1. Encourage the implementation of flexible scheduling of nurses, and flexibly and dynamically increase the manpower of nurses in time periods and departments with heavy nursing workload. It is necessary to formulate the emergency deployment plan of nurse manpower according to the actual situation to ensure that the emergency needs of clinical nursing can be effectively met in emergencies or special circumstances.
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Fully arouse the enthusiasm of nurses. Medical institutions should conscientiously implement the policies and measures of the state to mobilize the enthusiasm of medical staff, implement the Nurses Regulations and other relevant provisions, and ensure that nurses obtain wages, welfare benefits, social insurance, health protection and other legitimate rights and interests. Ensure the implementation of policies and measures to ensure the treatment of nurses according to law and ensure the safety of nurses' practice. According to the relevant requirements, internal and external nurses should make overall consideration in the aspects of nurse post setting, income distribution, professional title evaluation, management and use. It is necessary to gradually improve the incentive mechanism for nurses, tilt towards clinical front-line nurses in performance distribution, professional title promotion, education and training, and stabilize the team of clinical nurses.
Scientifically carry out the evaluation and employment of nurses. According to the requirements of graded diagnosis and treatment, different functional orientations and the characteristics of nursing work, medical institutions should scientifically formulate evaluation standards for nurses, strengthen clinical orientation, pay attention to nurses' clinical work experience, work performance, professional ability and professional ethics, and weaken evaluation indicators such as scientific research, papers and English. Guide nurses to base themselves on clinical practice, study hard, deepen clinical nursing practice and improve clinical professional ability.
Promote the development of nursing informatization. Medical institutions should promote the informatization construction and innovative development of smart hospitals in accordance with relevant requirements, vigorously promote the informatization construction of nursing, and promote the deep integration of information technology and nursing work. With the help of information technology, we can actively optimize the nursing service process and service mode, improve the efficiency of nursing work, reduce the workload of nurses and ensure the quality and safety of nursing. Guided by problems and demands, a nursing management platform with functions of nursing business operation, nurse manpower allocation, on-the-job training, performance appraisal and quality improvement will be gradually established to provide information technology support for scientific and meticulous nursing management in medical institutions.
Notice of the General Office of the National Health and Wellness Commission of the Central People's Government on Further Strengthening the Nursing Work in Medical Institutions