关键词: 医疗护理员；配置；管理；现况调查

Abstract: Objective: To investigate the current status of human resource allocation and management of medical nursing assistants employed by hospital in China, providing a reference of decision-making to promote their management in clinical practice. Methods: A cross-sectional survey was conducted from July to October 2023. Sixty-two hospitals located in the east, middle, west, and northeast regions of China were selected through convenience sampling. A self-designed questionnaire was used to collect data on the allocation and management of medical nursing assistants employed by hospital. Results: The median ratio of the number of medical nursing assistants employed by hospital to hospital beds among 62 hospitals was 0.036, and the median ratio of medical nursing assistants employed by hospital to nurses was 0.055, with no statistically significant difference across hospitals of different grades (P>0.05). Allocation standards for medical nursing assistants were reported in 27 hospitals (43.5%), although these standards varied across hospitals. Most hospitals (87.1%) employed medical nursing assistants through labor dispatch companies, and among the 42 hospitals that provided cost information, the median costs was 3870.0 CNY per person per month. The main responsibility of medical nursing assistants employed by hospital included cleaning care (80.6%), and living care (79.0%). A "one-to-many" working mode was adopted in 72.6% of hospitals, with most medical nursing assistants working 5 days per week and 8 hours per day, although longer working hours were reported in some cases. All hospitals provided training for medical nursing assistants employed by hospital, and 53.2% required certification before starting to work. Work quality supervision was implemented in all hospitals, and 40.3% of hospitals had established quality evaluation criteria by nursing department. Conclusion: Hospitals have become the main body of quality management for medical nursing assistants. The work content of medical nursing assistants in various hospitals is basically consistent, and their work modes are diverse. It is necessary to gradually explore scientific and reasonable allocation standards of medical nursing assistants.

Key words: medical nursing assistant; allocation; management; status survey