Nursing workers also need to have all staff certified to work! Minhang District takes the lead in exploring the training and standardized management of medical nurses | Medical | Minhang District
In recent years, with the further deepening of aging, the population aged 60 and above in China has reached 267 million, and the number of disabled elderly people has exceeded 42 million, presenting a huge and rigid demand for professional medical and nursing services. It is expected that during the 14th Five Year Plan period, China's population will enter a stage of moderate aging. By 2035, the number of elderly people aged 60 and above will exceed 400 million, entering a stage of severe aging.
However, the development of the medical and elderly care industries cannot be separated from nursing services. With the continuous expansion of nursing connotation, medical caregivers, also known as "caregivers" by the public, should not only become good helpers for medical staff, but also the backbone of the future elderly care industry. Recently, a reporter from the Liberation Daily Shangguan News learned from the Minhang District Health Commission that in order to increase the supply of elderly medical care services and better adapt to the needs of the aging society, Minhang District has taken the lead in carrying out pilot work for training and standardized management of medical nursing staff. According to the relevant plan, by the end of 2025, all levels and types of medical institutions in the entire region should ensure that the medical nursing staff used have completed standardized training and passed assessments at training institutions recognized by the Shanghai Nursing Society, and that all staff are certified to work.
Supply and demand can not match, nursing training is imminent
Supply and demand cannot match, and training for caregivers is urgent
It can be said that increasing the supply of elderly medical care services and better adapting to the needs of the aging society is an urgent issue. By the end of 2022, the population aged 60 and above with registered residence in Shanghai will account for 36.8% of the total population, reaching 5.5366 million, of which more and more elderly people can not take care of themselves and "empty nest elderly". Li Jin, Vice Dean of Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, admitted that the increasing diversity of services and the requirement for unaccompanied wards in medical institutions have also brought unprecedented challenges to medical nurses. "Insufficient numbers, low professional knowledge and skills have become the biggest problems restricting the development of caregivers."
Cheng Huafeng, former Deputy Secretary of the Party Committee of Renji Hospital, introduced that the South Campus team of Renji Hospital had conducted research on nursing staff in several medical institutions in Pujiang Town, Minhang District. The results showed that the nursing staff had low educational qualifications, with less than half having a junior high school or higher education, about 30% being illiterate, and almost no nursing theoretical foundation; The vast majority of caregivers are over 50 years old, and there are very few under 45 years old. During the epidemic, both in Shanghai and nationwide, there have been cases of transmission caused by negligence in personal prevention and control by caregivers, which undoubtedly sounded the alarm.
In 2019, the National Health Commission and five other departments jointly issued the Notice on Strengthening the Training and Standardized Management of Medical Nurses, setting standards at the national level and promoting the professionalization and standardization of medical caregivers. In 2020, Shanghai issued relevant work requirements based on actual conditions, clarifying the training and management of caregivers. In July of the same year, the Minhang District Health Commission took the lead in collaborating with the South Campus of Renji Hospital to pilot standardized training for elderly care workers. The first batch of training bases for elderly care workers were awarded to six medical institutions. This model, which was jointly developed by local governments and medical institutions, effectively explored the professional development of elderly care workers and provided decision-making basis for the standardized training and management of subsequent medical care workers.
Training is inseparable from standardized and homogeneous teachers, teaching materials and suitable venues. In May 2021, Minhang District was approved by the Shanghai Nursing Association to set up a medical nurse training assessment point. In September 2022, the first institution in the district obtained the medical nurse training qualification.
Breaking the problem of "proving for evidence" and exploring standardized training
Training cannot be separated from standardized and homogeneous teachers, textbooks, and suitable venues. In May 2021, Minhang District was approved by the Shanghai Nursing Society to establish a medical nursing training assessment point. In September 2022, the first institution in the district obtained the qualification for medical nursing training.
In fact, as early as July 2020, the South Campus of Renji Hospital took the lead in collaborating with Rongheng Vocational Skills Training Co., Ltd. to establish the "Minhang District Elderly Nursing Staff Standardization Training Guidance Expert Group", formulated a standardized training implementation plan, including writing training tutorials, forming a joint teaching team, producing relevant online teaching courseware, and innovatively proposed "graded use". From August to December of the same year, the expert group piloted free training for nursing staff. 388 people obtained the Level 5 certificate qualification, 133 people obtained the Level 4 certificate qualification, and some students achieved good results by winning first place in the "First Shanghai Municipal Medical Institution Nursing Professional Skills Competition Finals" organized by the Shanghai Medical Union. "Afterwards, we launched a pilot program for medical nurse grading services in five departments of the South Campus of Renji Hospital. 80% of patients expressed that exploring nurse grading is beneficial for patient recovery, and the average score of monthly assessments has also been improved. The on duty rate, stability, and professional identity have also significantly improved," Li Jin said.
