关键词: 专科护士, 横断面研究, 影响因素分析, 护理管理研究

Abstract:

Objective To investigate the current working situation of specialist nurses（SN） in secondary and tertiary hospitals in mainland China,so as to provide references for usage and administration of SN.Methods Two hundred and twenty-six hospitals in 24 provinces （cities or autonomous regions） were investigated using a self-designed questionnaire developed by Department of Continuing Education of Chinese Nursing Association（CNA）.Results Three thousand and eighty SNs worked on clinical nursing positions,accounting for 75.2% of all SNs in the investigated hospitals trained by CNA. SNs in 72.6% of the hospitals worked throughout the hospital,and in 41.1% of the hospitals SNs worked outside the hospital. In the aspect of working content,SNs in over 80% of the hospitals had participated in making care plans for critical patients,discussion of intractable cases,nursing consultation,teaching and researching. Besides,SNs in 59.3% of the hospitals had worked in nursing outpatient clinics. However,only 17.3% of the SNs undertook scientific research tasks as project leaders. Compared with secondary hospitals,more tertiary hospitals provided chances for SNs to work outside the hospital,in nursing outpatient clinics,make care plans for critical patients,undertake nursing teaching and scientific research tasks as project leaders（P<0.05）.Conclusion SNs worked mainly on clinical practice position. The workplace of SNs had been expanded. The working abilities of SNs had been improved. However,SNs’ scientific research ability needs to be enhanced. Compared to those in secondary hospitals,nurses in tertiary hospitals worked in more workplaces,and have been better used.

Key words: Specialist Nurse, Cross-sectional Studies, Root Cause Analysis, Nursing Administration Research