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

摘要：

目的 深入了解国内三级综合医院静脉治疗专科护士队伍的培养及使用情况，为静脉治疗专科护士队伍的发展和规范化管理提供参考。方法 采用便利抽样法，于2023年11月使用自行设计的静脉治疗专科护士队伍现状调查表对三级综合医院的静脉治疗专科护士负责人进行调查。结果 共收集问卷1 097份，其中有效问卷958份，问卷有效回收率为87.33%。958所三级综合医院共有15 249名静脉治疗专科护士，以本科为主（13 346名，87.52%），且多数拥有10年以上工作经验（10 294名，67.51%），主要工作内容为PICC与输液港的置管与维护。在静脉治疗专科护士的管理方面，68.37%的医院有公开透明的遴选办法，73.17%的医院对培训合格的静脉治疗专科护士实施定期考核，68.79%的医院对培训合格的静脉治疗专科护士提供再培训。静脉治疗专科护士认证多由省（市）护理学会负责，聘任途径为任命制。在待遇方面，67.22%的医院给予全部培训费用的报销，但47.60%的医院在静脉治疗专科护士培训前后无待遇变化。此外，79.33%的医院开设有静脉治疗专科护理门诊，静脉治疗专科护士主要在全院范围内工作，多以兼职形式独立出诊，主要收费项目为治疗费和材料费。结论 国内三级综合医院的静脉治疗专科护士队伍规模较大，学历水平较高。然而，在静脉治疗专科护士的工作内容拓展、培养、考核、再培训和待遇保障等方面仍需医院和管理部门给予更多关注和支持，以进一步加强静脉治疗专科护士队伍的建设，推动其持续发展。

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