Abstract: Objective: To analyze the implementation status of the Action Plan for Improving Nursing Services in Shanghai medical institutions from 2023 to 2024, providing reference for optimizing nursing services. Methods: A self-designed questionnaire was used to investigate the implementation of the nursing services improvement plan in 105 secondary grade A and tertiary hospitals in Shanghai in both 2023 and 2024. Results: Compared with 2023, nurse-to-bed and ward bed-to-nurse ratio increased in 2024, while the nurse turnover rate of nurses decreased by 0.89%; the implementation of responsibility-based nursing and basic nursing services showed good progress, and the coverage of humanistic care wards increased significantly from 47.62% to 90.48%, though only 29.52% of hospitals conducted quality evaluation; the proportion of multidisciplinary joint ward rounds and nurse participation in death case discussions exceeded 90%. Additionally, 97.14% of hospitals provided specialized nursing training, and the number of specialized nursing clinics increased by 21.90%. The implementation of continuous nursing services reached 98.10%, while 26.67% of hospitals introduced Internet-based home nursing services, both showing substantial growth. Over 90% of hospitals established nursing management information systems and nursing document systems. However, the adoption of Personal Digital Assistant, mobile nursing carts, and inpatient appointment systems still required further improvement. Conclusion: In 2024, significant progress was observed in nursing service improvements across secondary grade A and tertiary hospitals in Shanghai. However, further efforts are needed to strengthen the nursing workforce, enhance quality evaluation in humanistic care, expand nursing service offerings, and advance intelligent nursing system.

Key words: improving nursing service; nursing workforce construction; nursing humanistic care; continuous care