ABSTRACT
Objective To investigate the status of the full liberalization of the"two children"policy of nursing human resources base on ClassⅡHospitals,and provide advice of nursing human resources on basic hospital management decisions. Methods Selected 24 ClassⅡhospitals in Xianning city for 2 years of nursing human resources tracking and monitoring. Results The proportion of actual beds and nurses was 1:0.37.Nurses less than 45 years old account for the majority,reaching 89.7%(3 398/3 789). Comparing with 2016(89 days)and 2015(103 days),nurses took fewer vacations(14 days).In 2016,the nurse in charge of 12.1 beds,212.35 times of nursing operation,17.9 times of health education,25.1 times of nursing documents, 5.7 times of calling, 42.4 times of the chores, in 2015, the nurse in charge of 6.8 times,156.21 times, 7.8 times, 15.3 times, 2.2 times, 21.5 times. Corresponding, in 2016 and 2015 was statistically significant the difference(χ2=4.126-14.866,all P<0.05).The turnover rate of nurses was 3 in 2015 and 51 in non-organization nurses in 2015,and 21 and 139 respectively in 2016 respectively.The difference was statistically significant (χ2=15.429, 3.921, all P<0.05). In 2015, the basic satisfaction degree was(3.76±0.19)points,and it was(3.06±0.12)points in 2016.The difference between 2016 and 2015 was statistically significant (χ2=4.236, P<0.01). Conclusions Due to the overall "two children"policy, and further improve the quality of nursing service of the hospital, the nurse workload increases, turnover increased and nursing occupation satisfaction decreased.The contradiction between the nursing human resources and the ClassⅡhospitals in grass-roots level is more prominent. Government and hospital care managers must take effective measures for their hospitals to respond positively respectively to the quality of care and safety of care in the context of inadequate human resources and to meet the growing needs of the people's health care.
ABSTRACT
With the aggravation of population aging and the change of social convention,especially after the introduction of two-children policy,some families wish to have two children can not be achieved due to various reasons.Therefore,they use assisted reproductive technology to achieve fertility aspirations.Surrogate is a controversial topic in the assisted reproductive technology,the contradictions between the normal reproductive rights of the infertile woman and the women who have lost their children but passed the age of childbearing and the bad ethical consequences and rights disputes of surrogacy.How to avoid the bad ethical consequences and meet the demand of reasonable surrogate is the major issue worthy to be discussed.
ABSTRACT
Objective To explore the status quo of the career planning of the second child nursery under the two-child fertility policy, and to provide reference for carrying out the targeted management intervention. Method From April to May of 2017, 592 nurses of the second child were surveyed using the general data questionnaire and the career planning scale. Results The nurses' career planning score (34.81 ± 3.59) was different, and the career planning of the two nurses with different age, job title, title, establishment, department and income and fertility was different and statistically significant. Nurses with plan to a second child are with less desire to further study and promotion than those without plan to a second child (all P<0.001) promotion to open more than two children before the low policy (P <0.05). Conclusion Nurses' career planning for births is on a middle level. Nursing managers should pay attention to the management of nurses' career planning , create a career development environment , provide humanistic care , strengthen self-awareness and career self-development of nurses who have two births , so as to improve the level of their career planning to promote the nursing team development.