The National Nursing Career Development Plan (2016-2020) issued by the Health and Family Planning Commission
Release time:
2018-08-07
The National Nursing Career Development Plan (2016-2020) issued by the Health and Family Planning Commission
In order to further accelerate the development of nursing and meet the health needs of the people, combined with the current development status of nursing in my country, the National Health and Family Planning Commission formulated the "National Nursing Development Plan (2016-2020)".
Point to Point: Read the Plan in 30 Seconds
For details, please read the National Nursing Career Development Plan (2016-2020).
Planning background
Nursing work is an important part of health and family planning work, which plays an important role in promoting the construction of healthy China, deepening the reform of medical and health system, improving people's medical experience and promoting social harmony.
In the process of fully implementing the "China Nursing Career Development Plan (2011-2015)", my country's nurse team construction and nursing career development have achieved remarkable results. Great progress has been made in the construction of the nurse team. By the end of 2015, the total number of registered nurses in China had reached 3.241 million, an increase of 58% over 2010. The number of nurses per thousand population increased from 1.52 in 2010 to 2.36 in 2015. The national health care ratio increased from 1:0.85 in 2010 to 1:1.07 in 2015, and the problem of inverted health care ratio has been fundamentally reversed for a long time.
The educational background of nurses has been gradually improved, and the level of Junior College nursing has been continuously improved. Nurses with a college degree or above account for 62.5 per cent of the total and play an important role in daily nursing work and medical treatment of major emergencies. Nursing services continue to improve, access to public recognition. Continue to promote high-quality nursing services, nursing services reflect the "patient-centered" service concept, the majority of nursing workers to provide professional, standardized and humanized nursing services for the masses.
In accordance with the spirit of the National Health and Health Conference, the overall requirements for deepening the reform of the medical and health system, the Thirteenth Five-Year Plan for National Economic and Social Development and the Plan for a Healthy China 2030 are formulated to further accelerate the development of nursing care and meet the growing health needs of the people.
Nursing work is an important part of health and family planning, which is closely related to the health interests and lives of the people. In order to further accelerate the development of nursing care and meet the health needs of the people, this plan is formulated in accordance with the spirit of the National Health and Health Conference, the overall requirements for deepening the reform of the medical and health system, the "Healthy China 2030 Plan" and the National Medical and Health Service System Plan (2015-2020).
Guiding ideology and basic principles of nursing career development during the 13th Five-Year Plan period
(I) guiding ideology.
Fully implement the spirit of the Eighteenth National Congress of the Communist Party of China, the Third, Fourth, Fifth, and Sixth Plenary Sessions of the Eighteenth Central Committee of the Communist Party of China, and the National Health and Health Conference, in accordance with the promotion of the reform and development of health and health undertakings and the "Healthy China 2030" Overall requirements, firmly establish and implement the development concept of innovation, coordination, greenness, openness, and sharing, with people's health as the center and comprehensively deepening reform as the driving force, guided by social needs, we should improve the nursing management system, strengthen the construction of nurses, improve the quality of nursing services, develop elderly nursing services, promote the coordinated development of nursing and social economy, and constantly meet the health service needs of the people.
(II) basic principles.
1. Overall planning, hierarchical responsibility. The National Health and Family Planning Commission is responsible for formulating overall plans and supporting policies for the development of nursing, and conducting business guidance, evaluation and inspection; the health and family planning administrative departments of all provinces (autonomous regions and municipalities) formulate specific implementation plans based on the actual conditions of the region, and organize implementation and evaluation.
2. Improve the ability to serve the overall situation. Increase the total number of registered nurses, improve the overall quality, optimize the team structure, improve the service ability. Focusing on the continuous improvement of nursing services, we will comprehensively promote the development of nursing and the reform of the medical and health system.
3. Standardize behavior and protect A. Improve and implement nursing-related laws and regulations, work systems, technical specifications and service guidelines, strengthen nurse practice access and practice management, standardize nursing behavior, improve nursing quality, and protect patients.
4. Innovative management and extended services. Establish and improve the nursing management system, and improve the scientific, standardized and refined level of nursing management through reform and innovation. Be demand-oriented, enrich the connotation of nursing profession, and vigorously develop services such as elderly care, chronic disease management, rehabilitation promotion, and hospice care to meet the diverse and multi-level health needs of the people.
Development Goals
By 2020, China's nursing career development to achieve the following goals:
-
The number, quality and ability of nurses can basically adapt to the development of health and family planning and the health needs of the people. The training system for new nurses and nursing management personnel has been basically established, and a group of Junior College nurses have been trained in a planned way to meet the needs of clinical nursing.
-
Quality care services to further develop in depth. The coverage of high-quality nursing services continues to expand, extending to county-level and primary medical institutions; the overall nursing service model of the responsibility system is fully implemented, the connotation of nursing profession is rich, and the sense of gain of the masses is significantly improved.
-
The scientific level of nursing management was significantly improved. A hierarchical management system for nurses was initially established, and nurses were managed at different levels according to their clinical service capabilities and combined with their professional titles. The nurse practice management system and the hospital nursing post management system are sound and perfect, and the nurse manpower allocation, performance appraisal, job training and practice rules are scientifically managed, and the enthusiasm of nurses is further mobilized.
-
The elderly care service system has been gradually improved. The construction of elderly care service teams and institutions has been greatly strengthened, and the behavior of elderly care services has been standardized. Community and home care services continue to develop, further promote the integration of medical care, hospice care and nursing services, and continue to meet the needs of the elderly health services.
The main indicators of nursing career development during the 13th Five-Year Plan period:
|
Indicators |
2015 |
2020 |
Nature |
|
1. Total number of registered nurses |
3.24 million |
4.45 million |
Anticipatory |
|
2. Number of registered nurses per thousand population |
2.36 |
3.14 |
Anticipatory |
|
3. Ratio of practicing (assistant) physicians to registered nurses |
1:1.07 |
1:1.25 |
Anticipatory |
|
4. Level 3 general hospitals and some level 3 Junior College hospitals (tumor, children, obstetrics and gynecology, cardiovascular Junior College hospitals): Ratio of nurses to actual open beds Hospital-wide ward nurse versus actual open bed ratio |
0.6:1 0.4:1 |
0.8:1 0.6:1 |
Binding |
|
5. Second-level general hospitals and some second-level Junior College hospitals (tumor, children, obstetrics and gynecology, cardiovascular Junior College hospitals): Ratio of nurses to actual open beds Hospital-wide ward nurse versus actual open bed ratio |
0.5:1 0.4:1 |
0.7:1 0.5:1 |
Binding |
|
6. Number of nurses working in primary health care institutions |
646000 |
1 million |
Anticipatory |
|
7. The proportion of nursing management personnel in secondary and above hospitals participating in training. |
/ |
90% |
Anticipatory |
|
8. Proportion of new nurses participating in training in tertiary general hospitals 9. The proportion of community nurses participating in training. 10. Proportion of prefecture-level cities with nursing homes established 11. Percentage of geriatric care practitioners participating in training |
/ / / / |
90% 90% 90% 90% |
Anticipatory Anticipatory Anticipatory Anticipatory |
Main tasks
(I) strengthen the construction of nurses.
1. Implement relevant laws and regulations to safeguard the legitimate rights and interests of nurses. Take effective measures to urge medical institutions to implement the Nurse Regulations, etc., and increase implementation efforts in ensuring manpower allocation, improving remuneration, preventing and controlling and reducing nursing occupational health risk factors, and effectively safeguarding and protecting the legitimate rights and interests of nurses and physical and mental health, and stabilizing And develop the nurse team. Vigorously publicize nurses who have made outstanding contributions to nursing work, severely punish illegal and criminal acts that harm nurses in accordance with the law, and protect nurses.
2. Increase the total number of registered nurses to meet the needs of clinical work. In accordance with the urgent needs of deepening the reform of the medical and health system and the development of health and family planning, effective measures should be taken to continuously increase the number of registered nurses, especially the number of nurses in primary medical institutions. According to the function orientation, service radius, bed size, clinical workload and other scientific and reasonable allocation of nurse manpower to meet the needs of clinical work.
3. Establish a nurse training mechanism to improve professional quality and ability. The establishment of "demand-oriented, competency-centered" nurse training system. The National Health and Family Planning Commission formulates training programs and training requirements, and guides all localities to carry out training work. The provincial administrative departments of health and family planning shall be responsible for the training of nurses within their respective jurisdictions. Focus on strengthening the training of new nurses, Junior College nurses, nursing managers, community nurses, midwives, etc., and effectively improve the professional quality and service capabilities of nursing.
4. Establish a hierarchical management system for nurses and clarify the career development path of nurses. Establish a hierarchical management system for nurses in line with the characteristics of nursing work. Taking the clinical nursing service ability and professional technical level of nurses as the main indicators, combined with working years, professional titles and academic qualifications, the nurses were reasonably stratified. The hierarchical management of nurses should be organically combined with the salary distribution, promotion and promotion of nurses, so as to clarify the career development path of nurses and broaden the career development space of nurses.
5. Develop the Junior College nurse team and improve the level of Junior College care. Select part of the clinical urgent need, relatively mature Junior College nursing field, and gradually develop the Junior College nurse team. Establish a management system for Junior College nurses, and clarify the access conditions, training requirements, job responsibilities and service areas of Junior College nurses. Increase the training of Junior College nurses and continuously improve the level of Junior College care.
(II) improve the quality of nursing service.
1. Improve the nursing work system, service guidelines and technical specifications. According to the development of medical science and technology and the needs of clinical diagnosis and treatment work, improve the rules and regulations of nursing work, clinical nursing service guidelines and nursing operation technical specifications. Provincial health and family planning administrative departments and various medical and health institutions at all levels combine actual conditions to refine relevant content and implement them specifically to improve the professionalism and standardization of nursing services.
2. Continue to further promote quality care. Further expand the coverage of high-quality nursing services, gradually realize the coverage of high-quality nursing services in medical institutions above the second level, and increase the proportion of county-level hospitals and primary medical institutions that carry out high-quality nursing. We will continue to promote medical institutions at all levels to deepen the "patient-centered" service concept, vigorously promote high-quality nursing services, and implement the responsibility system of holistic care. Nurses use professional knowledge and skills to provide medical care, condition observation, health guidance, chronic disease management, rehabilitation promotion, psychological care and other services for the masses, reflecting humanistic care.
3. Continuously improve the quality of nursing services. Establish and improve the mechanism of nursing quality control and continuous improvement, use scientific methods to continuously improve clinical nursing practice, clarify the key indicators of nursing quality control, use information technology, establish regular monitoring and feedback system, continuously improve the quality of nursing and protect patients.
4. Improve the level of primary care services. Through counterpart support, distance training, on-the-job training, etc., strengthen the training of grassroots nurses and improve their nursing service capabilities, especially health management, elderly care, rehabilitation promotion, and hospice care. Medical institutions at or above the second level should establish an assistance mechanism to drive primary medical institutions to improve their nursing service capabilities. It is necessary to gradually improve the incentive mechanism, incline to grass-roots nurses in terms of performance distribution, promotion of professional titles, education and training, and mobilize the enthusiasm of grass-roots nurses.
(III) strengthen the scientific management of nursing.
1. Improve the nurse practice management system. Responding to the health needs of patients and the public, combining medical and nursing professional development, and revising the nurse practice registration and medical management system according to the nurse practice ability. We will improve the relevant provisions on the place, scope and rules of practice of nurses, strengthen cooperation in medical treatment, nursing and rehabilitation, and promote nursing to play a greater role in safeguarding the health of the people.
2. Gradually implement hospital nursing post management. We will improve and promote the management system of nursing posts in hospitals, realize the same salary and treatment for nurses, and stimulate the vitality of nurses. It is necessary to establish a multi-departmental linkage mechanism for personnel, finance, medical, nursing, and logistics, scientifically set up nursing posts, establish a nurse post responsibility system, clarify post responsibilities and work standards, and rationally allocate nurse manpower. On the basis of improving the remuneration of nurses, a scientific performance appraisal and salary distribution system for nurses should be established to reflect more work and better pay.
3. Strengthen the construction of nursing information. With the rapid development of information technology such as big data, cloud computing, Internet of things and mobile communication, we should vigorously promote the construction of nursing informatization, actively explore and innovate and optimize the nursing process and nursing service forms, strengthen the nursing application information system such as mobile medical equipment, improve the efficiency and quality of nursing service, and reduce the workload of nurses. At the same time, it provides technical support for the continuous improvement of nursing quality, scientific and refined nursing management. Gradually realize the sharing of nursing resources, the expansion of service areas, and the common improvement of the level of nursing work between regions.
(IV) expand the field of nursing services.
1. Vigorously promote elderly care. Actively respond to the aging of the population, and gradually establish an elderly care service system supported by institutions, supported by communities, and based on homes. Areas with rich resources of public hospitals can actively and steadily transform some first-level or second-level public hospitals into elderly care service institutions, encourage social forces to set up elderly care service institutions, and provide health management, rehabilitation promotion, long-term care and other services for elderly patients and other groups. Improve and improve the elderly care-related service guidelines and norms. Strengthen the construction of elderly nursing service team, carry out the training of elderly nursing practitioners, and continuously improve the service ability. It is necessary to develop the combination of medical care and elderly care, and provide the elderly with health care services that integrate hospitalization during treatment, rehabilitation care, stable life care, and hospice care.
2. Accelerate the development of community care. Strengthen the construction of community nurses, increase the manpower of community nurses, and strengthen the training of community nurses by means of "please come in and send out", so that they can give full play to their role in accelerating the construction of a hierarchical diagnosis and treatment system and promoting the contracted service system of family doctors. Encourage large hospitals to give full play to the radiation effect of high-quality nursing resources by establishing nursing joint teams, and help and drive primary medical and health institutions to improve their nursing service capabilities, especially in health management, rehabilitation promotion, and elderly care. Encourage primary medical and health institutions to develop family beds and home care, and provide nursing services for long-term bedridden patients, patients with advanced palliative care, and elderly patients.
3. Carry out continuous care services. Encourage medical institutions to give full play to the advantages of professional technology and talents, provide various forms of continuous nursing services for discharged patients, extend nursing services to communities and families, gradually improve service contents and methods, and ensure the continuity of nursing services; establish cooperative contacts with primary medical institutions and elderly nursing service institutions, improve the two-way referral mechanism, and establish a "green channel" for appointment and emergency treatment to improve medical efficiency, meet the health needs of the people.
4. Accelerate the construction of the nursing team. Explore the establishment of nursing staff management system, clear nursing staff qualifications, responsibilities, service norms and management rules, etc., to ensure the quality of care and. Formulate a training program for nursing staff, vigorously strengthen the training of nursing staff, standardize service behavior, and improve the ability of personnel to practice. Encourage qualified medical colleges and industry associations to carry out the training of nursing staff, effectively increase the number of nursing staff, expand social employment, and meet the needs of the masses and society.
(V) Strengthen the cooperative work of nursing education and improve the quality of nursing personnel training.
Demand-oriented, explore the establishment of a supply-demand balance mechanism that closely connects the training of nursing talents with the needs of the industry, and guide localities and schools to reasonably and standardize the scale and structure of nursing personnel training according to the development needs of the regional health service industry. To study and formulate policies and measures to promote the training of nursing talents in collaboration with nursing education. Taking post competence as the core, we should gradually establish a nursing personnel training system that connects college education, post-graduation education and continuing education, and comprehensively improve the quality of nursing personnel training. We should strengthen the humanistic education and professional quality education of nursing specialty, strengthen the teaching link of clinical practice, and pay attention to the cultivation of professional ethics, innovative spirit and nursing practice ability. Strengthen the capacity building of teaching staff and clinical practice teaching bases.
(VI) promote the development of traditional Chinese medicine nursing.
Vigorously carry out TCM nursing personnel training, promote TCM nursing technology innovation and discipline construction, and promote the development of TCM nursing. The State Administration of Traditional Chinese Medicine organizes the formulation and implementation of TCM nursing regular, technical specifications and talent training programs. TCM medical institutions, general hospitals and Junior College hospitals should actively carry out dialectical nursing and TCM characteristic Junior College nursing, innovate TCM nursing mode, and improve the level of TCM nursing. Give full play to the role of traditional Chinese medicine nursing in disease treatment, chronic disease management, health care, rehabilitation promotion, health care and so on.
(VII) strengthen exchanges and cooperation with the international and Hong Kong, Macao and Taiwan regions.
To carry out all-round, multi-level and multi-channel cooperation and exchanges between the nursing field and the international and Hong Kong, Macao and Taiwan regions, learn and learn from advanced nursing concepts, practical experience, education and management, and strengthen exchanges and cooperation in nursing personnel training, business technology and management in accordance with the requirements of international exchange deployment and promotion of health and health cooperation with countries along the Belt and Road Initiative, so as to achieve experience sharing, mutual benefit and win-win results.
major engineering projects
(I) nurse service ability enhancement project.
During the 13th Five-Year Plan period, we will focus on training new nurses, Junior College nurses, nursing management personnel, community nurses, midwives and other personnel to effectively improve nursing service capabilities and management levels.
Column 1: Nurse Service Ability Improvement Project
Training for new nurses: by 2020, according to the requirements of the training outline for new nurses (for trial implementation), all new nurses in tertiary general hospitals will be trained. other medical institutions should have a certain proportion of new nurses to participate in the training, so as to effectively improve the professional quality and service ability of new nurses.
Junior College nurse development plan: give priority to select a group of clinically urgent and relatively mature Junior College nursing fields, develop Junior College nurses, increase training efforts, and improve the level of Junior College nursing services.
Nursing management personnel project: carry out standardized training for nursing management personnel in a planned way, and more than 90% of nursing management personnel from medical institutions above the second level participate in provincial training.
Community nurse expansion plan: there are plans to carry out community nurse training in stages and batches, strive to achieve full coverage of nurse training in community health service centers, and improve community nursing service capabilities.
The ability improvement plan of traditional Chinese medicine nurses: carry out the training of traditional Chinese medicine nursing management personnel and backbone talents of traditional Chinese medicine nursing in a planned way, strengthen the training of new nurses in traditional Chinese medicine medical institutions, pay attention to the promotion and application of traditional Chinese medicine nursing technology, and improve the ability and level of traditional Chinese medicine nursing service.
(II) Geriatric Care Services Development Project.
During the 13th Five-Year Plan period, we will vigorously develop the cause of elderly care services and comprehensively enhance the capacity of elderly care services. We will strengthen the capacity building of elderly nursing services, the combination of medical care and nursing care, and the capacity building of hospice care institutions, constantly improve relevant service guidelines and norms, and further standardize nursing service behavior. Strengthen personnel training, and effectively improve the level of elderly care services.
Safeguards
(I) improve ideological understanding and strengthen organizational leadership.
From the perspective of building a moderately prosperous society in an all-round way and improving the health level of the people, all localities should fully understand the importance, inevitability and urgency of accelerating the development of nursing work, incorporate the development of nursing work into the overall plan for promoting the construction of a healthy China, deepening the reform of the medical and health system and promoting the development of health and family planning, and make unified arrangements, overall arrangements and synchronous implementation. It is necessary to effectively strengthen leadership, put the promotion of nursing work on the agenda, clarify goals and tasks, and earnestly organize implementation.
(II) clarify the responsibilities of the department and form a multi-party joint force.
The administrative departments of health and family planning should improve laws and regulations, do a good job in the implementation of the plan, and at the same time, coordinate the development and reform, education, finance, human resources and social security, and traditional Chinese medicine departments to jointly promote the healthy development of nursing.
The development and reform (price) department establishes a dynamic price adjustment mechanism based on changes in cost and income structure, rationally adjusts the price of medical services, including nursing, to reflect the value of technical services for medical personnel; the financial department implements the construction of the nurse team in accordance with the government's health investment policy, and improves the ability of elderly care services and other related funds; the human resources and social security department establishes a public hospital salary system that adapts to the characteristics of the medical industry, focusing on clinical nursing tasks, high risks, and technical content. High nursing positions are inclined; it is necessary to explore the establishment of a long-term care insurance system to provide policy support for the development of elderly nursing services.
At the same time, work with the health and family planning administrative department to improve the evaluation of nursing titles, simplify the evaluation procedures, and focus on the quantity and quality of clinical nursing work, patient satisfaction and medical ethics.
(III) conscientiously implement it and strive for practical results.
Health and family planning administrative departments at all levels must actively implement the "Plan", actively communicate and coordinate with other relevant departments in the process of organization and implementation, combine actual conditions, scientifically plan, innovate methods, and focus on actual results. We should pay attention to the construction of demonstration sites, explore typical experiences and useful practices, give full play to the leading and guiding role of demonstration sites, actively explore practice, sum up experience in a timely manner, and promote nursing work in the region step by step to achieve the objectives of the plan, so as to ensure the implementation of various objectives and tasks and achieve practical results.
(IV) strengthen guidance and evaluation to ensure the effectiveness of the work.
The provincial health and family planning administrative departments should formulate practical evaluation plans, establish supervision and evaluation mechanisms, evaluate the implementation progress and effects of the "Plan" in the region, discover problems in time, and study solutions. In 2017, the National Health and Family Planning Commission will conduct a mid-term evaluation of the implementation of the "Plan" by the health administrative departments of all provinces (autonomous regions and municipalities), and organize a final evaluation in 2020. If necessary, carry out joint supervision with relevant departments to promote the effective implementation of the plan.
Fully implement the spirit of the Eighteenth National Congress of the Communist Party of China, the Third, Fourth, Fifth, and Sixth Plenary Sessions of the Eighteenth Central Committee of the Communist Party of China, and the National Health and Health Conference, in accordance with the promotion of the reform and development of health and health undertakings and the "Healthy China 2030" Overall requirements, firmly establish and implement the development concept of innovation, coordination, greenness, openness, and sharing, with people's health as the center and comprehensively deepening reform as the driving force, guided by social needs, we should improve the nursing management system, strengthen the construction of nurses, improve the quality of nursing services, develop elderly nursing services, promote the coordinated development of nursing and social economy, and constantly meet the health service needs of the people.
Related News
Henan Shuguang Jianshi Medical Equipment Co., Ltd
Xiangjiang West Road, Binhe New Town, Luohe City, Henan Province
WeChat Public Number