本文關(guān)鍵詞： 合同制 外地籍 護(hù)士 壓力源　出處：《華東政法大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：本文研究對(duì)象是從在滬外地戶籍合同制護(hù)士，隨著上海各大醫(yī)院規(guī)模不斷擴(kuò)大和醫(yī)院醫(yī)療服務(wù)項(xiàng)目的增加，他們已經(jīng)成為護(hù)理隊(duì)伍中不可缺少的力量，但其工作生活面臨著諸多困境：目前醫(yī)院的管理者對(duì)于該群體重視度不夠，該群體缺乏可遵照的轉(zhuǎn)編、晉升機(jī)制，極少能夠獲得培訓(xùn)機(jī)會(huì)，其權(quán)益不能得到有效保障。外地來滬合同制護(hù)士在遠(yuǎn)離家人的情況下，處于種種困境中，身心更加處于疲憊的狀態(tài)，工作也受到影響，這些都值得醫(yī)院管理者和相關(guān)政策制定者的關(guān)注和思考。 面對(duì)這種狀況，醫(yī)院通過完善對(duì)于在滬外地籍合同制護(hù)士的政策體系，改善該群體的境況，既是必然趨勢(shì)，也是現(xiàn)實(shí)需求；有利于調(diào)動(dòng)該群體的積極性和工作熱情，提高醫(yī)療服務(wù)水平和質(zhì)量，是建設(shè)社會(huì)主義和諧社會(huì)的必然要求。本文相對(duì)于理論研究，更加偏于實(shí)踐性，，將從護(hù)士心理壓力源、待遇保障、遷移者適應(yīng)性問題以及該群體在老齡和退休問題上所面臨的困境等多個(gè)方面剖析該群體所經(jīng)歷的主要矛盾，并從雙軌制、管理層利益博弈、成本控制等幾方面做原因分析，最后，提出六項(xiàng)解決建議，分別為：完善醫(yī)院管理制度、建立健全保障體系、研究出臺(tái)相關(guān)政策、盡快制定相關(guān)法律、建立和諧心理契約、改善老齡護(hù)士處境、適度提升護(hù)理費(fèi)用。隨著護(hù)理事業(yè)的進(jìn)一步發(fā)展，合同制護(hù)士將逐步成為主流，目前面臨種種的問題終究要以某種方式得以解決，相信在社會(huì)各界和醫(yī)療界共同的努力下，醫(yī)療行業(yè)的同工同酬和外來人員的平等待遇僅是時(shí)間問題。 在結(jié)構(gòu)上，本文主要分為六部分： 第一部分：導(dǎo)言，介紹研究背景、意義及論文綜述等。 第二部分：發(fā)展現(xiàn)狀。 第三部分：從待遇保障、心理壓力等幾個(gè)方面分析滬外地籍護(hù)士的困境。 第四部分：原因分析。 第五部分：解決路徑探索。 第六部分：總結(jié)。
[Abstract]:The research object of this paper is from the resident contract nurses in Shanghai. With the continuous expansion of the scale of major hospitals in Shanghai and the increase of hospital medical service projects, they have become an indispensable force in the nursing team. But their working lives face many dilemmas: hospital administrators are not paying enough attention to the group, they lack a compliant job conversion, promotion mechanisms, and rarely have access to training opportunities. Their rights and interests could not be effectively safeguarded. The contract nurses who came to Shanghai from other places were in various difficulties while far away from their families. Their bodies and minds were even more exhausted, and their work was also affected. All these are worthy of the attention and consideration of hospital administrators and relevant policy makers. In the face of this situation, it is not only an inevitable trend but also a realistic demand for hospitals to improve the situation of the group by perfecting the policy system for contract nurses in Shanghai, which is conducive to arousing the enthusiasm and enthusiasm of the group. To improve the level and quality of medical service is the inevitable requirement of building a harmonious socialist society. Compared with the theoretical study, this paper is more practical and will be based on the source of psychological stress of nurses and the guarantee of treatment. This paper analyzes the main contradictions experienced by this group in many aspects, such as the adaptability of the migrants and the plight of the group in the problems of old age and retirement, and makes an analysis of the reasons from several aspects, such as two-track system, benefit game of management, cost control, etc. Finally, six suggestions are put forward, which are to perfect the hospital management system, to establish a sound security system, to study and issue relevant policies, to formulate relevant laws as soon as possible, to establish a harmonious psychological contract, and to improve the situation of elderly nurses. With the further development of nursing care, contract nurses will gradually become the mainstream. At present, all kinds of problems will eventually be solved in a certain way. I believe that with the joint efforts of all sectors of society and medical circles, Equal pay for equal work and equal treatment for expatriates in the medical profession is only a matter of time. In terms of structure, this paper is divided into six parts:. The first part: the introduction, introduces the research background, the significance and the paper summary and so on. The second part: the present situation of development. The third part analyzes the plight of Shanghai foreign nurses from the aspects of treatment security and psychological pressure. Part 4th: cause analysis. Part 5th: solution path Exploration. Part 6th: summary.
【學(xué)位授予單位】：華東政法大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R47

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