How on earth is the head nurse's ability

How on earth is the head nurse's ability
How on earth is the head nurse's ability
It is indispensable that one celebrates the function in stabilizing nurse's team, raising nurse's working efficiency, improving protecting suffering from concerning etc. of colony of head nurse of department of hospital newly, however, we find in the investigation of the near future, there are many problems in head nurse's building of contingent, should arouse the attention from administrator. The professional title is low to participate in the decision short newest research of difficult term of office to reveal, 80% of the department head nurses are above the age of 35, 2/3 of the people hold a post for over 5 years. Department head nurse account for at the age of 35-44 50.6%, accounting for 27.6% at the age of 45-54,that head nurses less above the age of 55. These department nurse it grows up to be in to do very well work, study, usual mostly, rich experience, there is certain prestige that is promoted, employed. It accounts for 1/3 to work as the department head nurse within 5 years of service life, 1/3 of the head nurses hold a post for service life as 6- 10 years, over 10 years for other 1/3 of the people. Many hospitals have unwritten regulations, the head nurse will come down from the executive position at 50 years old and even 45 years old, in order to keep the young vigor of head nurse's team, and stimulate the young nurse's working motive force, but this has dampened many old head nurses' working enthusiasm. The high and professional title of the education is low more than half department's head nurses have undergraduate course education, 30% of the department nurses have education of junior college, more than half person is the undergraduate course of the university, 5% people have graduate student's education, and special secondary school and the following education are fewer than ten percent. It means department's head nurse's education are generally relatively high, have corresponding specialty and higher personal quality. But we find, have advanced the intersection of department and considerable 30% nurse of title for technical personnel in investigation. The intermediate professional title accounts for nearly 70%, the high title accounts for more than twenty percent, there are more than ten percent of the professional titles still as the nurse practitioner. As everyone knows, it is not a high title that the chief of the office of clinical department seldom has, but the high title person is still the minority in department's head nurse's colony, in second hospital and private hospital, department's head nurse of the high title is still as rare as phoenix feathers and unicorn's horn. Because the professional title can reflect levels such as professional knowledge and skill,etc. to a certain extent, the professional title of department's head nurse's colony is unfavorable to attending to managing poorly, influence its ability and and other personnel's interpersonal relationships of making decisions on one's own to work too. The head nurse is in the department develops, nurse's training and use, distribution of awards,etc., should have the same right and prestige as chief of the office of the department. Participate in the work to leadership arrangement of the hospital on the low side of the intensity of the decision of the hospital, 10.5% of the department head nurses express clearly that there is larger leeway to consult, 55.8% depend on situation, 33.4% people say that has not conferred the leeway. The investigation result means: The important decision in many clinical departments is decided by head of the department, power is to flow unidirectionally, department's head nurses participates in decision chances few. But some hospital heads of the department can always fully consult with the head nurse, Corey has a thing to have a meeting, the head nurses must all participate in, and should put forward the suggestion. The few investigations of many management of self problem find different kinds of, different department's head nurses of rank hospital differ greatly in working as the way, managerial style, making policy to participate in etc., this has produced greater influence on the attitude of obtaining employment too. Not unifying guidance in attending to the management style by office procedure, 78.2% people choose " participating in type " ,52.0% people have chosen " authorizing type " ,25% people have chosen " The persuading type " ,A few people have chosen " The ordering type " . Nearly 80% choose the first line nurse how to participate in the decision style of leadership, has fully reflected the democratic consultation and pooled our ideas and made concerted efforts, 50% of the department head nurses have chosen the appropriate mandate to the ward head nurse or clinical nurse, this is that a democratic style of leadership comes to stimulate working enthusiasm too. The role changes in attending to the management in time incompletely, 9% of the department head nurses have often felt to lose oneself, there are 38.4% people " sometimes " Feel the meeting to lose oneself. The young head nurse just changed to attend to a administrator from clinical workers, the role changed the time of need, of various fields to work and is at the stage of fumbling, the administrator role is fuzzy. Many head nurses are often busy except ward, it is not enough to deepen wards, influence attending to the management function seriously, thus has hindered the head nurse's role from being complete. Attending to management is not paid attention to the main reason to limit department's head nurse's development, lie in that attending to management is not paid attention to, show: Training the route to be rare has 72.4% people to think that limiting the head of one's own development is to " lack the system management to train " . 34.9% of the department head nurses think, primary route that oneself obtains managerial knowledge is " teaching oneself " . Head nurse managerial knowledge to accept system train chance little, mainly by try to find out experience in the work. It is mainly consulted old head nurse by oneself that many department's head nurses reflect, or train in internal management which our institute launches. The professional background of most heads of the nursing department, administrative staff of all kinds of nursing inclusive of head nurse basically learns to attend to coming from, not accepting specialized nursing management education in the school, this exercises restraint in attending to the specialization intensity of the management team to a great extent. Examining has 21.5% people to claim to comment on the way unreasonably that limiting the head of one's own development is to " it is unreasonable to examine and comment on the way " . Many medical organizations have not made the implementing regulation which examine department's head nurse, in personal quality, vocational work, the intersection of scientific research and teaching, the intersection of department and management, the intersection of person who test and assess and to check and rate comparatively extensive respect synthetically. The evaluation index system of examination was not engaged and exempted as head nurse's post, the intersection of business and professional title promote and engage, appraise and choose excellent recommendation, cadre choose, go out, receive a training of take an advanced study, realistic basis that post changes and employs. The hospital leads the supporting not to enough for in hygiene administrative department and hospital of the government organize the management system, attend to the rank of executive position on the low side. Ministry of Public Health attend to to responsible for organization for cure the intersection of nursing and under the policy department management, regional a department of public health ' Office) In order to cure the policy, the public hospitals at all levels scarely have and attend to the Vice President that come from. The words right of the nursery work is on the low side in such an organization framework. When department's head nurse can not get the hospital leader and effective support of the doctor colony, attending to managerial ability will weaken greatly, the head nurse loses enthusiasm and creativity of attending to management too. Head nurse's overall qualities remain to improve at present most head nurses choose from the clinical nurse, attend to the technical operation expert, there are certain ability to work and achievement, but have inadequate experience in analyzing the problem, solving the problem, organizing and coordinating etc., unable to make subordinately convincedly, it is difficult to guarantee to attend to operating normally to operate high-efficiently. In addition, because of clinical nurse's shortage, attend to the management at ordinary times strenuously, most department head nurses have no time to attend to too Managerial knowledge took a large amount of time in study. It is a science to attend to management, the medical organization should increase department's head nurse's temporarily released from one's regular working or chance that the partly released from one's regular work system management is trained, in order to know that attends to the laws, characteristics of management on the whole. Engage, use in the Cheng in the intersection of department and head nurse, except professional skill, should strengthen politics, the intersection of thought and the intersection of morals, organizational management, health,etc. and the intersection of respect and investigation of quality. Hospital leaders should change idea and decision mode, increase department's head nurse and participate in the chance that the hospital attends to decision. (author coordinates department's associate professor of social science of medical college for Beijing)


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