关键词: 三级综合医院, 静脉治疗, 专科护士, 多中心调查, 护理管理研究

Abstract:

Objective To gain an in-depth understanding of the construction and use of the intravenous therapy specialist nurse teams in tertiary general hospitals in China，and to provide a reference for the development and standardized management of the intravenous therapy specialist nurse teams. Methods A convenience sampling method was used to survey tertiary general hospitals across the country in November 2023 using a self-designed questionnaire on the current status of the intravenous therapy specialist nurse teams. Results A total of 1，097 questionnaires were collected，of which 958 were valid，with a response rate of 87.33%. The survey results showed that there were 15，249 intravenous therapy specialist nurses in 958 tertiary general hospitals. These nurses generally had a bachelor’s degree（13 346，87.52%） and most had more than 10 years of work experience（10 294，67.51%）. Their main tasks included PICC and PORT placement and maintenance. In terms of the management of intravenous therapy specialist nurses，68.37% of hospitals had an open and transparent selection method，and 73.17% of hospitals implemented regular assessments，and 68.79% of hospitals provided retraining opportunities. The certification of intravenous therapy specialist nurses was mostly undertaken by provincial and municipal nursing associations，and the appointment method was the appointment system. In terms of remuneration，67.22% of hospitals reimbursed all training costs，but 47.60% of hospitals had no change in remuneration before and after training. In addition，79.33% of hospitals had intravenous therapy specialist nursing clinics. Intravenous therapy specialist nurses mainly worked throughout the hospital，mostly independently on a part-time basis，and the main charges were treatment costs and material costs. Conclusion The team of intravenous therapy nurses in tertiary general hospitals in China is large in size and has a high level of education. However，hospitals and management departments still need to pay more attention and support to the expansion of the work content，training，assessment，retraining and salary guarantee of intravenous therapy nurses in order to further strengthen the construction of intravenous therapy nurses and promote their sustainable development.

Key words: Tertiary General Hospital, Intravenous Infusion Therapy, Specialty Nurses, Multicenter Survey, Nursing Administration Research