[重塑护理的价值:迈向一个可持续的未来]
1School of Nursing, College of Medicine, National Taiwan University, Taiwan, ROC. changh@ntu.edu.tw.
Hu li za zhi The journal of nursing
|October 1, 2025
概括
台湾面临护理危机,原因是新护士没有进入实践,以及因过度劳动而出现高额流动. 需要进行系统性改革,以肯定护理价值,改善工作与生活平衡,并确保医疗保健的稳定性.
科学领域:
- 医疗保健管理的管理
- 护理劳动力研究 护理劳动力研究
- 公共卫生政策 公共卫生政策
背景情况:
- 护理劳动力对于医疗保健的稳定性至关重要,尤其是在人口老龄化和需求增加的情况下.
- 台湾正在经历"双重危机":近40%的新获执照的护士没有进入临床实践,现有员工由于过度劳动和工作与生活平衡不佳而面临高流动.
- 这种护理人员短缺是一个全球问题,COVID-19大流行加剧了这一问题,导致了广泛的倦怠.
研究的目的:
- 分析台湾多方面的护士短缺危机.
- 评估正在进行的改革,旨在改善护士保留率和工作与生活平衡.
- 探索系统解决方案,解决专业低估和社会对护理的认可问题.
主要方法:
- 审查目前在台湾的护理劳动力挑战和政府/组织改革举措.
- 分析导致护士流动的因素,包括过度劳动,工作与生活平衡以及专业低估.
- 检查加强护士心理所有权,专业身份和归属感的策略.
主要成果:
- 台湾的改革,包括基于班次的比率和自我调度,显示出逐步实施,沟通和数字工具的好处,但面临着传统文化和技术差距等挑战.
- 智能调度需要文化转型和管理支持.
- 专业低估是一个关键的结构性问题,侵蚀了护理价值和尊严,需要超越短期激励措施的系统性改革.
结论:
- 解决护理危机需要进行系统性改革,以肯定护理职业的价值和尊严.
- 可持续的护理发展取决于政府政策,医院改革和新的社会认可.
- 清晰的职业道路,公平的报酬和支持的环境对于吸引和保留护理人才来保护公共健康至关重要.
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