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What keeps our nurses

2017年06月02日

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What keeps our nurses

 

The 2017-06-01

Source: health report

Our reporter sun meng

 

On May 25, a "nurses at a hospital in Beijing complained that only 2, 000 yuan a month is a monthly salary". The author, who claims to be a nurse, asks the hospital, "how can you make me live a month with a measly 2000 monthly salary, a problem with meals?" Nurses have been criticized for their low pay and the equal pay of their workers. Recently, the national health and family planning commission jointly with relevant departments to draft the "to promote the reform and development of nursing career advice", from the education training, salary, care the price, the title promotion, career development and provide policy support for the nurse. How should the compensation system change?

1

Nearly 80 percent of nurses are under 5, 000 yuan a month

A third-tier hired a nurse to work for a year and a half time, basic salary can only get 1100 yuan per month (after deducting insurance, net $950 a month). She said, wait two years after the change one's major bonus, in her department, set branch after the first year of bonuses for 600 yuan a month, length and Corey's old nurse bonus will not exceed 3500 yuan. "Seeing someone says a nurse on the net pay tens of thousands of yuan. I can only envy another, or other people's nurse, or say that is definitely not a nurse."

"I can get about 10,000 yuan a month in a month with a lot of work, basic salary and bonuses." The heart of a line with a level of first-class hospital nurse, told reporters on the salary and work are closely related, in some less workload in February this year, she is still less than the total revenue of 4000 yuan. "' take long, surgical nurse's salary usually tens of thousands of yuan. But surgical nurses feel very tired, with their workload, also should earn more."

Last year, a survey released by lilacs website revealed some of the relationship between the income of nurses and factors such as gender, title and education. The report showed that in the nurses' team, the average annual income of a male nurse who was "scarce" was about 7, 000 yuan higher than the female nurse. Other the nurses with higher income are generally higher degree, high title or in a big city, big hospital in the office, such as a master's degree in nurses per capita annual income of 32000 yuan higher than junior college and the following; The senior job title is 30,000 yuan higher than the junior title. The annual income of nurses in first-tier cities and tertiary hospitals is 80,000 yuan and 69,000 yuan respectively, and the probability of a year-end bonus is high.

Beijing union medical college humanities college team, led by professor qing-xin zhang in 2013 in nine provinces of 45 hospitals (including public third rate, level 2 grade a general hospital, hospital of traditional Chinese medicine hospital, county hospital and private hospital medical staff real income and pay a sense of fairness on the questionnaire survey. Results showed that 19.1% of the surveyed nurses monthly income of less than 2000 yuan, 50.3% of nurses monthly income between 2001 yuan to 4000 yuan, 20.1% of nurses monthly income is in 4001 yuan - 4001 yuan between, only 10.5% of the nurses is higher than 6000 yuan monthly income.

Nurses day this year, during a covering more than 50000 people, according to "the nurse group development present situation investigation of China" 10.80% of the nurses monthly income of less than 2000 yuan, 26.80% of nurses monthly income between 2000 yuan to 3000 yuan, 39% of nurses monthly income between 2000 yuan to 5000 yuan, 19% of nurses monthly income is in 5000 yuan - 5000 yuan between, and month income in 8000 yuan of above accounted for only 4.5% of the nurses.

It is not hard to see that nurses' income levels are not much changed compared to four years ago. The analysis shows that nearly 40 percent of nurses surveyed earn less than 3,000 yuan a month, while nearly 80 percent of nurses earn less than 5,000 yuan a month. "In recent years, along with the reform deepening, more and more areas to improve the nursing service price and medical workers pay levels, but overall, the nurse income rise is not very obvious." "Says one industry expert.

2

Are you dissatisfied just because you earn less

A survey of 1,532 nurses by the lilac website showed that the average annual income of nurses in 2015 was 63, 000 yuan, and about 70 percent of nurses were dissatisfied with their current income. In the survey, the nurse gives the ideal annual income is about 113000 yuan, this is almost twice the actual income, some particularly large pressure and workload of departments need to add 3 ~ 4 times can be satisfactory.

"In fact, the satisfaction of the nurse is not entirely dependent on the absolute log on the salary bar." Beijing maternity hospital affiliated to the capital university of medical sciences, secretary of the party committee, deputy director Chen said that in order to improve nurses on income and the feeling of satisfaction, need hospital well when allocation "fair", in addition, in the concrete operation of transparency is also key.

In the interview, the reporters learned that the nurses' complaints about "unfair" were rooted in the following levels.

One is the comparison with other categories of medical personnel in the hospital. "Medical institutions in most areas of China, the management personnel salary higher than the professional and technical personnel, professional and technical personnel and those logistics personnel's wage gap is smaller. In cutting medical, medicine, nursing, and other professional and technical personnel of technology of performance" plate ", the nurse's share often row in the back or the bottom." A medical institution nursing managers tells a reporter, "compared with several other kinds of personnel, the nurse's workload is very big, and the value of labor is always can not get due recognition, this is the most owe satisfaction of nurses to pay".

Secondly, the problem of nurses' equal pay for workers is still not fundamentally solved. In the "contract system" and "other employment system", the percentage of nurses earning less than 2,000 yuan per month is very high, far higher than the proportion of income generated by industry. With the monthly income of more than 8,000 yuan, the percentage of "career weaving" is the highest, far higher than the other two types of employment system. Nurse's monthly income of 5000 yuan to 8000 yuan in the horizontal interval, career preparation of nurses is far higher than other recruitment system, monthly income of 2000 yuan to 3000 yuan in the horizontal interval, is the nature of contract and other labor higher proportion of nurses.

Three are many hospitals in the secondary distribution on the basis of the department to accounting bonuses, this could result in "revenue" take more, and much more "dry" instead paid less. "Whoever has something to do, sharpening head to go to the clinic, ultrasound, ecg, X-ray room crowded. Working the night shift because those departments neither, earn a lot." A county-level hospitals orthopaedics head nurse calculated brushstroke zhang: do clinic triage nurse in the hospital, you can get it from the monthly floor for an average of 2900 yuan, even as stipulated in the courtyard, auxiliary post prize to a ninety percent discount, also can get hand 2600 yuan; In the bitter and tired old age section, they may get only about 1,000 yuan a month.

In our country, the institution that includes public hospital is unified the job performance wage system. Job performance pay is made up of basic salary (including post and salary), merit pay and allowances for the state. "In many hospitals, pay-for-performance mostly by the department director is responsible for the secondary distribution, autonomy is too large, will make compensation distribution lack of unified standards, strong randomness and opaque, plus some young head nurse lack of voice, to fight for rights and interests, these are the cause of the nurse for compensation." Second military medical university doctoral tutor, vice director of Shanghai nursing wen-qin ye, points out that in addition to this, some nursing personnel at the grass-roots level such as community nurse salary level also needs to be promoted.

3

How to set up and protect nurses' pay

Interview, a number of nurse managers are put forward, combining the fixed number of year of the education of nurses and the degree of work pressure and hard ways, in all walks of society and the medical and health industry in the positions, the nurse salary should be at the average level. The national health and family planning commission of human research director for health development research center, health Zhang Guangpeng believes that need to pay for nursing level, structure, and source and research done, can more evidence and convincing conclusion.

Now, the majority of our country's salary distribution for nurses is based on education, title and seniority, according to zhang. Actually, want to fine the compensation management, the key depends on compensation elements, namely, knowledge and skills, professional risk, responsibility, pressure and working strength etc, based on the factors of assessment and measurement value, to clear the reasonable compensation and pay the difference with other jobs and industry. , deputy director of the Beijing municipal health and family planning commission Zhong Dongbo think, measure the nurse salary level set is reasonable, another key indicator is the nursing team's stability, and motivate nurses actively play its value and function. In practice, public hospitals in setting up the nurse salary, also should be compared with with social do medical institutions, to collect the same level of seniority, and job descriptions of market-oriented pricing information, then according to the appropriate percentage of reasonable compensation is given.

"There is still a long way to go in terms of transparency in China compared to international experience." In our country's regular health statistics, income is missing, zhang said. In America, he says, some public institutions and non-profit private institutions will take the initiative to disclose employee compensation, many medical institutions set in advance the medical workers in different position, seniority salary levels, and to the public.

"I once did a research in a medical institution in the gross income, income from fees accounted for only about 1%. This caused many people even some hospital managers think that nurses' is not profitable, so the nurse at a disadvantage in salary distribution." A nursing department director said that the future on the one hand, to change the hospital with the idea of medical, nursing, and reverse the nurses of the concept of "no money", attaches great importance to the nursing staff pay for medical quality safety and the influence of the overall strategic goal, on the other hand also need to actively change the status quo of nursing service price is too low, improve level of nursing and nursing services fee as soon as possible.

When thinking about nurses' pay, people tend to be used to "looking inward," says zhang. In fact, with the concept of health of China put forward, to push deeper reform and health services to develop, the intension and extension of the nursing service is greatly expand, nursing staff should combine the nursing needs active extension service space, according to the policy on country should give its broader professional authority, encourage nurses to use knowledge and services to win more rewards.

Reporter's hand

Motivating a nurse is a "mental salary"

The shortage of nurses is a global problem. In recent years, some developed countries and regions with high salary, as the main chip, positive for the nursing personnel, "the peacock flies southeast" phenomenon is increasing year by year. To better retain the nurses, scientific and reasonable compensation is necessary, however, raise compensation is not be accomplished overnight, in the process, might as well try "mental compensation".

Released this year a covered 30 provinces, 311 cities, according to the investigation and study, more than 50000 nurses in the nurses' minds, to their own professional value most, top is salary treatment, suggesting that our country urgently need to establish a set of consistent with the nurse professional characteristics and pay compensation system. In the same survey, however, the focus of the nurses' attention was to gain respect, followed by compensation. This also gives managers put forward a new way of thinking, that is increasingly rich in social choice at present, to give the nurse more spiritual satisfaction and motivation, human-oriented management, increase social acceptance, promote professional enterprising and value realization ways, by providing more convenience, service, and security, to attract and impress and retaining nurses.

In the late 1990 s, the nurse turnover rate in many countries, including the United States, rising, so these countries from a very early began to explore and study the nurse. Such as the United States has adopted fixed frequency mode of shift work for a long time, within the framework of work 40 hours a week, discharge of changbai class continuously or for long night shift, and set up the night of the day 2 ~ 3 times higher salary, the nurse to choose. In addition, the United States also different nursing staff for long-term and short-term employment and salary system such as flexible management style, on the basis of the clinical quality security, try to balance the nurse working and living needs.

In Australia, a number of nurses can conduct an independent diagnosis, including clinic visits and medications. Nurses in the United States also can pass the examination to obtain professional qualification, nursing evaluation and analysis of the patient, and within the scope of the relevant laws to define permissions with diagnosis, prescription, referral suggestion. In this situation, the nurse can through the range of self improvement for more work independently, have more career choices garment, instead of just "eat youth rice, selling coolies" work.

The reform of China's nursing compensation system should draw the essence from the above international experience. When it comes to better performance of compensation and incentives, it is possible to give more "soft" care.