Objective: To investigate the working status of nurses with master or doctoral degree in tertiary hospitals. Methods: Totally 115 nursing managers and 1 522 nurses with master or doctoral degree were recruited form 115 tertiary hospitals in 22 provinces. They were investigated by using self-designed questionnaires. Results: The proportion of nurses with master or doctoral degree in tertiary hospitals ranged from 0.1% to 8.8% (median was 0.7%). Among them, 28.6% had special nurse qualification certificate; 5.0% took part in special outpatient clinic independently and 46.6% organized rounds or consultation; 36.3% were engaged in management. In the field of teaching, 84.5% participated in clinical teaching and 43.7% in theory teaching, 26.0% held continuing education programs. In aspect of research work, 36.1% participated in research projects as a principal investigator, 77.1% published Chinese papers and 10.7% published papers in SCI journals as a first or corresponding author; 10.4% edited books or guideline as a chief editor and 8.0% were peer reviewers. Manager's satisfaction scores were lower than expectations (P<0.05). Conclusion: The proportion of nurses with master or doctoral degree is relatively low. It is suggested to improve the individualized training mode and objectives of the nurses, further clarify roles to make full use of their work potential and achieve personal value.%目的:调查全国三级医院硕士及博士学历护士的工作现状.方法:采用自设问卷,调查22个省、自治区、直辖市115所三级医院的护理管理者和1522名硕士、博士学历护士.结果:硕士及以上学历护士比例为0.1%~8.8% (中位数0.7%).在专科方面,28.6%有专科护士证书,5.0%出专科护理门诊,46.6%组织查房或会诊;36.3%从事行政管理工作;在教学方面,84.5%参与临床教学,43.7%参与院校理论教学,26.0%主持过继续教育项目;在科研方面,36.1%主持过科研项目,77.1%发表过论文,10.7%发表过SCI论文,10.4%主编过教材/专著/指南,8.0%担任过审稿人.管理者对其工作满意度均低于期望度(P<0.05).结论:我国三级医院硕士及以上学历护士比例仍占少数,建议完善对其个性化培养模式及目标,进一步明确其角色定位,更好地发挥他们的工作潜能,实现自身价值.
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