The health ministry about print and distribute "nursing career development plan for China (2011-2015)" notice

Health ministry of China www.moh.gov.cn the 2012-01-06 17:38:03

Health medical ZhengFa [2011] no. 96

        All provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps health bureau: to promote nursing career in "1025" period of healthy development, maintenance on people's health and life safety, and combining the current Chinese nursing career development present situation, our organization established the China nursing career development plan for (2011-2015) ", hereby printed and distributed to you, please earnest implementation.

December 31, 2011

        China nursing career development plan outline (2011-2015). Doc

China nursing career development plan outline (2011-2015)

        To meet people's increasing demand and the health of the economic and social development for nursing career development new requirements, according to "1025" period of health development and deepening the reform of medical care system planning, and the medical and health personnel development planning medium and long term (2011-2020) ", with China's nursing career development situation, problems and face situation and challenge, formulate the planning programs.

        A, "eleventh five-year plan" period nursing career development present situation

        The "eleventh five-year plan" period, is very unusual health development of five years, is also nursing career development achieved remarkable results period. After five years of hard work, completed the China nursing career development plan outline (2005-2010) "define the main objectives and tasks, and promulgated the" nurse ordinance, according to law, strengthen the nurse team construction, improve clinical nursing service ability, speed up the backbone of specialized nursing training, and constantly improve nursing scientific management level. Especially with the reform of medical care system in deepening, nursing career breakthrough. The nurse team quantity increased substantially. As at the end of the "eleventh five-year plan", our country registered nurse total to 2.05 million, a 52% increase over 2005, history was the fastest growing number of nurses period. Per population nurse number from 1.06 in 2005 to improve to 1.52 in 2010. The hospital care than by 2005 the 1-0. 97 up to 2010 years of 1:1. 16. Public hospital, level 3 hospital care than to 1:1. 36 of the second class hospitals, achieve 1:1. 13, hospital medical issue gradually reverse proportion the cart before the horse. College degree or above in our country has the nurse accounted for 51.3% of the total, a nurse from technical secondary school as the main body to team to technical secondary school, college, bachelor of education multi-level direction. Each province (autonomous region, municipality directly under the central government) in accordance with the requirements of health, vigorously developing the intensive care, emergency aid in the fields of the standardized training specialist nurses, the nurse team professional technology level enhances unceasingly. In the reform of public hospitals, hospital of all types and at all levels to implement the "high quality nursing service demonstration project" activities of high-quality curriculums to implement reform nursing service mode, implement responsibility system as the core of the holistic nursing care quality care services, deepen the "patient-centered" service concept, clinical nursing service quality has improved significantly. Along with the social economy development, JiBingPu change and an ageing population, the quickening of the process of nursing service constantly meet people's increasingly diversified and multi-level health needs, their family, community service field gradually outspread, in the elderly care, chronic care, hospice care play an active role, the nursing service field develops unceasingly. The newly revised nursing center "basic standards to further strengthen and standardize the type of the construction of the hospital care, for patients with more security, professional long-term care and rehabilitation services such as promoting, hospice care.

        "1025" period, health service in the national economic and social development in the position and role will be further improved, nursing career development face a rare historic opportunity. The party and the government attaches great importance to nursing work, in order to speed up the development of the cause of care provided a solid political foundation; China's entry into the comprehensive construction well-off society in the new period, and that people pay more and more attention to life and health, to accelerate the development of the cause of nursing provides a good the foundation of society; Most nursing workers after several years of unremitting efforts, and accumulated valuable experience, in order to speed up the development of the cause of care provided abundant practical basis. Thoroughly understand the development of nursing facing favourable conditions and nursing career development in China has achieved remarkable results, but also to see still has some problem that nots allow to ignore. Along with the people's living standards improved, the basic medical insurance system has been improved gradually, and the masses of the people for life and the quality and health level and the medical care higher attention, the nurse team construction should be strengthened, there is a need to further improve the clinical service ability, the nursing service field need further developed, nursing service system need to be further perfect, in order to adapt to the development of the cause of health and people's health service needs.

        Two, the guiding ideology and principle

        In order to strengthen the nurse team construction, promote nursing service "close to the patient, close to the clinical, close to the society" as the key point, the perfect system system, strengthen the scientific management, improve the service ability, based on the national conditions, scientific development and highlight the key, the whole advancement, and promote the development of the cause of medical care to technological progress and the requirements of medical pattern, adapt to the social economic development and people's health service needs continuously raise the requirements.

        (1) to plan as a whole, is responsible for the classification. The health ministry is responsible for the overall planning, confirming the main targets and important tasks, and complete supporting policies and supervision inspection and evaluation guidance. Each provincial health administrative departments combined with actual the areas under their respective jurisdiction, formulate local specific plan, is responsible for organizing the implementation. The state administration of traditional Chinese medicine is responsible for the development of TCM nursing the specific planning and shall be responsible for the implementation.

        (2) deepening reform, emphasize the key. In order to deepen the reform of the medical care system, as an opportunity to strengthen the nurse team construction, improve nursing service ability and professional technology level. Focus on increasing the nurse team total amount, optimize the nurse team structure, reforming the nursing service mode, strengthening the construction of nursing connotation.

        (3) establish a mechanism, standard management. Strengthen the standardized management of nursing, perfect care related laws and regulations, standard service and working standard, promote nursing management system mechanism and system innovation, stable clinical nurse team, fully mobilize the nurse enthusiasm, promote the nurse career development.

        Three main goals,

        Adhere to improve nursing service, improve the quality of nursing, rich connotation of nursing, expand the services for key, in order to strengthen the nurse team construction and reform nursing service mode as a breakthrough, so as to promote the implementation of the nursing service and high quality hospital of old age, chronic disease, hospice care, long-term health care services of high-quality curriculums, continuously improve nursing service ability and professional level and to promote nursing career comprehensive, coordinated and sustainable development.

        -by 2015, build a number and scale, quality excellent, suitable for the nurse team reasonable distribution structure. Establish the nurse's specialist nurses job training system and nursing management job training system, improve the nurse team professional level and nursing management scientific level.

        -by 2015, the national all level 3 hospital of the second class hospitals and the full implementation of the responsibility system of holistic nursing service mode, implement nursing duties, strengthen the connotation construction, and further to deepen the "patient-centered" service concept for patients to provide comprehensive, professional, human nature, the whole of the nursing services.

        -by 2015, establish public hospital nursing management system framework, stability and development clinical nurse team, to implement the post management as the breakthrough point, to nurse the reasonable allocation of, performance appraisal, title evaluation, post training the implementation of scientific management, establishing an effective incentive and restraint mechanism, realize the public hospital nursing management to be scientific, specialization, fine.

        -by 2015, through the pilot, explore build on older, chronic disease, hospice care of patients with long-term health care service mode, develop the elderly care and hospice care services, and expand the nursing service field, speed up the care industry development, improve the medical care services, coordination, the continuity of integrity, faces the society to provide high quality nursing.

        Four, main tasks

        (1) to further implement the nurse ordinance. To further implement the nurse regulations, maintain the nurse legal rights, enhance the lawful practice nurse the legal consciousness, strengthen the administrative department of public health and medical and health institutions the effective implementation of the legal responsibility, improve the medical and health institutions relevant specification, the nurse nurse practice with basic standards, and establish and implement the nurse training and regular assessment system. Further strengthen supervision according to law, safeguard the nurse legal rights, standard care professional ACTS. To "1025" at the end, establish and perfect the nurse team access, practice management, training, evaluation, promotion and career development of the basic system framework for stability and development nurse team provided protection. In "the nurse regulations for the implementation of the foundation, launched in 2015, the nurse law drafting the investigation.

        (2) strengthening the nurse team construction. According to the long-term development of talent medicine and health care plan (2011-2020) ", by training and training nursing professional talents, to carry out the relevant standards with a nurse, strengthening primary nurse human equipped with, optimize the nurse team structure and improve the nurse team service ability.

        1. Raise the nurse total team. By 2015, the total number of registered nurses, to 2.86 million per population registered nurse number is 2.07, the national practice (assistant) the doctors and nurses to registered than 1:1-1:1. 2. The proportion of medical problems can be solved.

        2. Increase with hospital nurse. Further implement hospital nurse with standard, make the hospital nurse quantity and clinical workload adaptation. By 2015, 100% of the country level 3 hospital, 2 class hospital nurse configuration should meet the regulations of the state nurse with standard, among them, level 3 general hospital, part level 3 specialized subject hospital (tumor, children, maternity, cardiovascular disease specialist hospital) the whole institutes nurses and the actual total opens bed than not less than 0.8:1, and the actual total ward nurse opens bed than not less than 0.6:1; Level 2 general hospital, part of the secondary specialized subject hospital (tumor, children, maternity, cardiovascular disease specialist hospital) the whole institutes nurses and the actual total opens bed than not less than 0.6:1, and the actual total ward nurse opens bed than not less than 0.4:1; Other class, grade hospital shall, according to the function, services and service task elements such as efficiency, scientific configuration nurse, guarantee the quality of clinical nursing.

        3. The primary care full strength. To further increase the urban community health services and rural health hospital nursing strength, security grassroots nurse treatment. By 2015, engaged in the work the nurse in the primary up to 300000 people, among them, the community health services to the health care than 1:1-1:1. 5.

        4. Optimization nurse team structure. Further to increase college level nurse proportion, cut the technical secondary school level nurse proportion. By 2015, the nurse team, college degree or above nurse should be not less than 60%; Level 3 hospital, college degree or above nurse should be not less than 80%, 2 class hospital, college degree or above the nurse should not be less than 50%.

        5. Stable clinical nurse team. Perfect hospital personnel and income distribution system, complete the nurse's post Settings management work, establish a scientific performance evaluation mechanism, the nurse of the income distribution, promotion, author, title rewards to clinical a line tilt, do more gain for more pay, superior performance for optimal, equal pay for equal work, and strive to create a good career development condition, stable clinical nurse a line team.

        (3) improve hospital clinical nursing level. Continue to effectively promoting "high quality nursing service demonstration project" activities, at various levels in hospital deepening "patient-centered" service concept, the full implementation of the responsibility system of holistic nursing service mode for patients with offer whole standardization care services. Intensive care management information construction, improve nursing service efficiency. Improve nursing service standards, norms, improve nursing quality control and continuous improvement system, further standardize clinical nursing behavior, improve the quality of nursing. Encourage hospital implementation to discharge the patients return visit and continue nursing services. Through the implementation of the "high quality nursing service demonstration project" activities, in the whole nation building national and the provincial level high quality nursing service demonstration hospital, display model leading role.

        (4) deepening public hospital nursing management reform. In the reform of public hospitals, further straighten out the internal nursing management function, according to "unity, compact, efficient" principle, to establish and perfect the hospital nursing management system and operation mechanism, improve nursing management to be scientific, specialization and refinement level. To the "1025" at the end, established in public hospitals ZeQuan unity, responsibilities, the simplification of efficient and leadership powerful nursing management system, realizing with clinical nursing working characteristics of human resources nurse scientific management, and set up standard care professional recruitment system, post management system, the performance appraisal system, salary distribution system, job training system, title evaluation system, etc. A position in management as the breakthrough point, finish nursing post Settings and clear responsibilities, mount guard conditions, perfect and nursing service quantity, quality, technical difficulties, patient satisfaction link the performance appraisal system, make the nurse of the income distribution, title, author rewards promotion pay more attention to clinical nursing practice, to establish a stable clinical nurse team, fully mobilize the enthusiasm of the clinical nurse incentive mechanism.

        (5) establish specialized nursing job training system. In the perfect job design of nursing determined based on clinical specialist nurses post, adhere to the "to use for this" to post demand orientation, and to establish and perfect the specialized nursing job training system. The health ministry set common training syllabus and training standards, strengthen the training base construction, the health administrative department at or above the provincial level be responsible for the implementation of specialized nursing position of the nurse standardized training work, formulate specific training plan, regulate the training content and requirements. To win in 2015, in the whole nation builds 10 national-level intensive care training base, 10 national emergency emergency care technology training base, 5 national blood purification nursing technical training base, 5 national cancer care professional training base, 5 national nursing professional training base of the operating room, five national spirit nursing professional training base. "1025" period for the national training 25000 clinical specialist nurses.

        (6) establish nursing management job training system. Strengthen the position of people in nursing management training, establish and perfect the nursing management job training system, to adapt to the modern hospital and the needs of the development of clinical nursing work. The health ministry set common training syllabus and training requirements, to construct the national and regional training base, be responsible for training the national level 3 hospital nurses and teachers team, director of the backbone. Each provincial health administrative departments shall be responsible for the training within the jurisdiction of the second class hospitals, director of nurses and second class above a head nurse in the hospital. To strengthen the construction of hospital care management team, level 3 hospital with bachelor degree or above in nursing management personnel shall proportion. To win in 2015, training and building a policy level to be higher, business ability outstanding, good quality management of nursing management team.

        (7) explore to establish long-term care service system. "1025" during will gradually establish and perfect "to the agency for support, and home as the foundation, the community to rely on" the long-term care service system, improve the patients in long-term, later palliative care, elderly patients with chronic disease group with long-term care, such as health education and rehabilitation, hospice care services ability. To formulate a gien branch, palliative care and hospice care standards and guidelines.

        1. Strengthen medical establishment long-term care service ability. Medical agencies to fully display the specialized technology and talent advantage, will care service extends to the family and community, pay more attention to the continuity of the patient care and rehabilitation, expanding the nursing service field. Strengthen families, hospice care gien hospital, building, according to actual needs, set up a gien, hospice care ward, and all kinds of disease patients were gien late patients, improve the quality of life of the patients. Through the stock adjustment and incremental way guidance, and new construction, expansion and support a batch of hospital nursing, rehabilitation, old age for chronic diseases and palliative care of the patients.

        2. To provide the long-term care services. Community health services and rural hospitals to suit in the family under the condition of old patients care to patients, patients with chronic diseases, such as bed of the home crowd provide long-term care service, to meet the conditions for their opening domestic sickbed service.

        3. Improve social endowment institutions of nursing service level. Strengthen social endowment institutions within the clinic of standardization construction, to define the function, the clinic service scope, personnel and equipment equipped requirements. Encourage endowment service agencies and the local medical and health institutions establish long-term cooperation relationship for elderly patients with endowment institutions to provide medical care services.

        (8) to speed up the nursing education reform and development. "1025" during will further accelerate the speed of nursing education reform and development, medical and health institutions and close nursing education institutions contact and cooperation, to adapt to the needs of the development of nursing practice. Improve nursing education mode, adhere to the post demand orientation, promote the combining theory with practice, to train the clinical practical talents, pay attention to nursing practice ability the enhancement; Outstanding care professional characteristics, in curriculum setting of increasing psychology, humanities and social science knowledge proportion, enhance human care consciousness; To determine the scale of nursing science education, trying to order pattern training mode, advance the school teaching and medical and health institutions effective connection between. (9) developing TCM nursing. Improve the level of TCM nursing, and give full play to the characteristics and advantages of TCM nursing, pay attention to Chinese medicine technology in the application of nursing work. The state administration of traditional Chinese medicine, formulate and extending advantages of TCM nursing disease to plan. TCM nursing staff in the standardization of the training, and, by 2015, cultivate TCM nursing backbone personnel 20000. Chinese medical institutions and the general hospital, the specialized subject hospital ward to traditional Chinese medicine according to the traditional Chinese medicine of traditional Chinese medicine hospital nursing work instructions ", "the Chinese medicine nursing conventional, technology operating rules of the requirements, actively develop the TCM syndrome differentiation and characteristics; specialized nursing, strengthen the TCM nursing in chronic disease prevention and health preservation, gien the role of rehabilitation, and provide a characteristic of traditional Chinese medicine health and rehabilitation guidance, strengthen the organic combination of Chinese and western medicine nursing technology, and promote the sustainable development of TCM nursing.

        (10) strengthen and Hong Kong, Macao and Taiwan and international cooperation and exchanges. Strengthening our country care areas of international cooperation and exchange, study and use for reference foreign nursing service concept, professional experience, education and technology management mode, actively the fight with the international community in nursing personnel training, business technology, management and education, and other aspects of the exchange and cooperation. Continue to deepen and Hong Kong, Macao and Taiwan regions of the nursing field cooperation and communication, and promoting the development of the cause of nursing.

        Five, key engineering projects

        (1) the high quality nursing service demonstration project. In the "eleventh five-year plan" high quality nursing service implementation, on the basis of high quality care and continue to consolidate expand service results. By 2015, the national all level 3 hospital of the second class hospitals and the full implementation of the responsibility system of holistic nursing service mode, for patients to provide comprehensive, professional, human nature, the whole of the nursing services. To strengthen the scientific management of hospital nurse team, fully mobilize the nurse work enthusiasm. Improve nursing service standards, norms, promote the quality of care for continuous improvement, improve the clinical nursing service level. By 2015, in 100 the national create national and 300 provincial quality care service demonstration hospital. High quality nursing service demonstration hospital nursing management shall be scientific standard, nursing mode accords with modern medical mode requirement, service connotation and denotation can adapt to clinical nursing development needs, play a model and radiation, with high level and take care of the teaching ability.

        (2) the nursing personnel training project. Research on clinical specialist nurses the standardization of the training, and increase the intensive care, emergency aid, blood purification, tumor, operating rooms, etc to the cultivation of the health nurses, by 2015, train the clinical specialist nurses 25000. In hospital nursing management personnel job training, ministry of health and the provincial health administrative departments responsible for nursing management personnel training classification. By 2015, the national level 3 hospital, 2 class hospital 100% of nurses and the director of 60% of the head nurse finish nursing management job training. Specialist nurse training and nursing management training to combine the actual demand, refining training plan and content, strengthen the training base construction, pay attention to the training quality and effect.

        (3) long-term care service model pilot project. In the choice of 10 cities in "to the agency for support, and home as the foundation, the community to rely on" the long-term care service model pilot project. Medical institutions extension to family and community nursing service; Strengthen comprehensive hospital, and the tumor, gien gien the ability of specialized subject hospital construction; To meet the conditions of the chronic disease, elderly patients, long-term care and rehabilitation period patients provide professional home health services; Each city to support and strengthen the pilot 1 hospital nursing type construction, and gradually form grading medical treatment, urgent medical service pattern of slow partition.

        Six, security measures

        (1) improve the ideological understanding, strengthen leadership. Public health administrative department at various levels have to understand fully promote nursing career of the reform and development of importance and necessity and urgency, will work with local medical care development health development planning, and the combination of unified deployment, overall arrangement and synchronization implemented. To strengthen leadership, clear goals and tasks, the earnest organization to carry out.

        (2) implementing to actual effect. Health administrative departments at all levels shall actively to implement the plan for this, the implementation process, refined all tasks, combine with reality, science as a whole, innovative method, pay attention to the effect. Should notice to catch the demonstration site construction, play a role in guiding the demonstration centers, actively explore and summing up experience, promotes gradually, drive the region step nursing work to the target plan, ensure the objectives and tasks into effect.

        (3) strengthen the supervision evaluation, ensure implementation effect. The public health administrative department at the provincial level shall establish practical and feasible evaluation scheme, implementation plan for this area of whole process monitoring, and carry out the stage assessment and eventually period evaluation, strengthen the supervision of implementation task check in time, found the problem, and to sum up experience. In 2013, the sanitation department at the provincial level to the administrative department of public health plan for implementation of the mid-term assessment, in 2015, the organization carries out the eventually period evaluation.