"Everyone has been sent to the hospital, why do you have to hire a nurse? "Resonated with netizens after its publication
Cancelling nurses, reducing nursing costs and reducing the burden on patients
□ Our reporter Chen Lei Wen Lijuan
Everyone has been sent to the hospital, why do they still need a nurse?
Why can't the work of nurses be undertaken by hospitals and nurses?
On January 7, the "Rules of Law Daily" published "Everyone has been sent to the hospital, why do you have to hire a nurse?
” article, aroused widespread concern in the society, and many readers commented below the report: “Resolutely support the abolition of nurses” and “support assistant nurses to replace nurses”.
Recently, experts interviewed by reporters believe that the comments of readers reflect the aspirations of the common people to reduce the burden of escort, and reflect the urgent needs of the common people. It is hoped that the relevant competent authorities will pay attention to this issue and start the pace of reform as soon as possible.
Resonate with netizens
Support the cancellation of carers
A netizen "yzlukcv" who lives in a small third-tier city once hired a 24-hour nurse to take care of a relative who fell ill after falling ill.
The nurse was introduced by an acquaintance, and the cost was 200 yuan per day and meals were included.
"Middle-aged people are helpless. There are old people and young people. They don't dare to lose their jobs. They are afraid that if they lose their jobs, they will not be able to find jobs at this age. My monthly salary is not enough to pay for nursing care." "yzlukcv" commented Introduced his experience of hiring a nurse, bluntly "helpless and sad", and shouted "support the hospital to increase the number of assistant nurses".
Netizen "Bean and Qi" felt the same way.
Recently, her mother was hospitalized and hired a nurse for a month, costing nearly 8,000 yuan.
"My salary in one month is not that much, but it's impossible for me not to go to work." Qi Tucao said that her mother also complained a lot about this, because in their time hospitalization did not require family members to accompany you in the hospital. No need to pay for a caregiver.
In the comment area, there are many netizens who have introduced similar experiences.
Many people expressed "support for the abolition of carers" and "support for assistant nurses to replace carers".
Regarding the reasons for the support, some readers explained that it was because "the money was not enough to hire a nurse", some were because "the nurse was paid for but the attitude was bad or the service was unprofessional", and some readers thought that "nursing is what nurses should do. Why should the patient pay extra to hire?"
Netizen "Honey" said: "Where are the expensive nurses? There is only XX hospital. That guy listed a price of 280 yuan a day, but in fact it was 500 yuan a day. I don't need to use it at this price. Fortunately, my father stayed for 5 days, or else I'm bankrupt." Netizen "Chinchilla Forest" commented: "The nursing staff is expensive, the quality of nursing staff is poor, and the patients cannot get good care."
Low entry barriers
Poor professionalism
Nursing groups have a long history.
As early as the 1990s, due to my country's economic and social development, the continuous improvement of people's living standards and needs, combined with the increase of only children, the socialization of hospital logistics, and the shortage of human resources, nursing workers were born and gradually formed a "nursing worker army".
With the rapid development and growth of the nursing group, problems such as poor professional quality, arbitrary charges and even patient abuse have been accompanied by problems, which have been criticized by the society.
The reporter's investigation found that the occurrence of these problems has a great relationship with the low entry threshold and irregular training of the nursing group.
When some housekeeping companies recruit nurses, there are no restrictions on education and relevant experience. The age is preferably 40 or 50 years old. It is enough to bear hardships and stand hard work and have quick hands and feet; You can go to work directly; although some housekeeping companies provide pre-job training for nurses, most of them are formalized and formalized, and they have not carried out systematic and professional training.
According to a number of industry insiders, nursing work seems simple, but serving special groups in special places actually requires high professionalism.
If there is no systematic and professional study and training, there are great risks and hidden dangers in carrying out nursing work.
Netizen "Cloud" said: "Nursing is a deformed existence. The patient is in the hospital, and medical care should be done by the hospital. Life care is an important part of rehabilitation. It is unprofessional for people without any medical knowledge and skills to do it. If the nurses represent the hospital, the hospital should be responsible for training and paying wages."
Some netizens asked whether it is possible to consider whether the nurses should be directly managed and hired by the hospital, and they should be employed after professional training. Nursing also belongs to the category of nurses, but different levels of nurses (workers) are allocated according to the patient's condition, and the cost of nursing at different levels is different. .
According to Wang Yue, a professor at the School of Medical Humanities of Peking University, "Everyone has been sent to the hospital, why do you have to hire a nurse?
After the article was published, it resonated with many readers, reflecting the aspirations of the common people to reduce the burden of escort.
Therefore, on the basis of the voices of the common people, it is expected that relevant departments will issue a reform plan as soon as possible.
set nurse assistant
Establish a grading system
公开数据显示，近年来，虽然我国注册护士数量不断增加，2020年底已达到470多万人，每千人口拥有注册护士数近3.4人，但仍远不及欧盟、美国和日本的标准。欧盟制定的每千人口注册护士数基本标准为8人以上，美国、日本分别为9.8人和11.49人。世界上大多数国家的护士占总人口的比重约为5‰。此前有媒体报道称，我国目前尚缺数百万名护士。
“护士缺，但有的医院不愿意招，因为招多了分钱就少了。医院不愿意负责，什么都推给护工。”网友“r08a7qk”在评论中说道。
医疗护理资源落后于服务需求，加上医疗行业市场化导向的改革，给了护工发展的空间。但在诸多网友和受访专家看来，护理资源不足并不是护工存在的理由。
有网友提议，提高护士待遇，增加护士数量，取消护工；有的提出设置助理护士，取代护工。
北京大学护理学院教授李明子说，随着我国护理学科高等教育以及职业教育体系和规模的日益完善，有必要深入研究护理人员的职能范围，建立护士分级使用制度，由注册护士负责病人整体护理，新设“助理护士”负责病人生活护理，取代护工，同时拓宽护士职业发展空间，在注册护士之上增设高级执业护师等，既满足病人对护理服务的需要，又使护士提升成就感和自我价值。
她认为，既不应该让注册护士负责喂饭擦身等生活护理，也不应该由护工负责本应该由护士承担的基础护理，建议通过护士分层和分级执业来解决这一问题。
此外，李明子建议，要进一步加大政府对医院投入的落实，建立政策引导机制，依照不同的科室特点、工作量、病人病情等，按照不同的床护比配备相应的护士资源，确保护理队伍稳定。
王岳在接受记者采访时也提出，当下护工从业人员数量庞大，从建立一套系统的医疗辅助人员制度的角度出发，可以从中遴选出一批优秀人员，推动向助理护士方向发展。同时，将护士进行分级，根据不同服务内容赋予不同级别的护士相应权限，比如高级执业护师可以拥有部分处方权，助理护士则负责生活护理和帮助。
It is worth noting that the cancellation of nursing staff is not a one-time event, and requires a transition period. How to protect the rights and interests of patients and their families?
Many readers proposed to "reduce nursing expenses" or "set up nursing insurance".
Netizen "0xw894m" said: "Medical insurance does not cover nursing expenses. It would be unreasonable to use hospital nurses to charge nursing fees, but hiring outsourced nursing workers seems logical. But the expenses must be reduced, especially for one-person nursing care. For many people, it is really unreasonable to charge several hundred yuan a day."
"I look forward to the introduction of mandatory policies by the state, the establishment of assistant nurse positions, and the reduction of the burden on patients." Netizens called for "the pleasant summer of photosynthesis".