Abstract: Objective: To investigate the current status of utilization and management of specialist nurses in tertiary hospitals in Beijing, and to provide a reference for optimizing resource allocation and management models. Methods: A survey was conducted from July 29 to August 8, 2024, using stratified sampling involving 87 tertiary hospitals in Beijing. We compared the differences in resource allocation, service provision, and management systems of specialist nurses between clinical teaching hospitals (n=36) and non-teaching hospitals (n=51). Results: The proportion of specialist nurses in clinical teaching hospitals was higher than that in non-teaching hospitals (20.40% vs 11.46%). Clinical teaching hospitals demonstrated significant advantages in the establishment rate of nurse-led clinics (97.2% vs 72.5%), outpatient volume in 2023 (5431 vs 1548), and consultation volume in 2023 (234 vs 38) (all P<0.05). Regarding management systems, clinical teaching hospitals had a significantly higher rate of implementing performance appraisal systems for specialist nurses (69.4% vs 43.1%, P<0.05). Conclusion: The specialist nurses among tertiary hospitals in Beijing manifest uneven distribution of human resources, significant gaps in the establishment and workload of nurse-led clinics, and varying degrees of management system completeness. It is recommended to enhance the overall utilization efficiency of specialist nurses by optimizing resource allocation, standardizing management systems, and promoting effective service models.

Key words: specialist nurse; clinical teaching hospital; nursing management; Beijing