The care industry is mostly "zero experience to work" nursing service. Looking forward to the establishment of a "regular army"

The care industry is mostly "zero experience", and lack of systemic and professional training

Is it difficult for reliable care to find? Nursing services look forward to establishing "regular army"

Reading prompt

At present, the care industry has problems such as insufficient professionalism, difficulty in supervision and guarantee of service quality, and lack of standards for charging standards. Many people worry about the care of the service service. On the one hand, professionals suggested that a unified and perfect supervision standard and evaluation system should be established on the care industry; on the other hand, in many places, the pilot "no accompanying" ward, and the nursing staff who have been standardized after standardized training may become the main force of the escort.

At 5 in the morning, in a ward in a hospital in Shenyang, Liaoning, the caregiver Li Sister Li was washing the elderly, and then turned over, poured back, sputum, fust, and then poured the liquid food into the stomach of the elderly through the gastric tube. After doing this, it was more than 6 o'clock in the morning. At this time, the old man fell asleep again, and Sister Li began to clean the ward.

In recent years, the number of medical services has increased year by year, making the nursing resources that are short -scaled. According to data from the National Bureau of Statistics, the elderly over 60 years old in my country exceed 260 million, and the disabled and semi -disabled elderly people have exceeded 40 million. This group alone has high expectations for health services, daily life services and psychological counseling services. In this context, caregivers like Sister Li have become an important helper for many patients' families. They are employed in hospitals and families to provide accompanying services for the elderly and patients.

But can the family members of the patient be assured after handing it over to the caregiver? The reporter learned that asking the caregiver to make many people feel troubled. On the one hand, they are worried about the lack of professionalism in the caregiver and difficult to supervise and guarantee the quality of service; on the other hand, the charging standards lack standards. In June of this year, the Beijing Municipal Health and Health Commission issued the "Beijing Municipality to Improve Medical Service Action Plan in 2022", which requires nursing workers to accompany and employment services to implement voluntary principles of patients. Related services should implement clearly bidding and toll publicity. The problem has attracted attention again.

The lack of professionalism and effective supervision of caregivers

There are three children who care about Li, two of them, two of them are not good, and the other is busy with work. In April 2020, the appearance of Sister Li made the old man's family relieved.

Sister Li, 55, has been a caregiver for more than 3 years. She told reporters that when she first joined the industry, she joined a labor dispatch agency, and later had a stable source of customers and decided to do it alone. Her accompanying skills mainly depend on learning with each other, and they usually learn online.

Chen Chong from Bao'an District, Shenzhen has many years of experience in the care service industry. He said in an interview with the "Workers' Daily" reporter that the ideal caregiver must master professional daily companionship skills, basic medical knowledge and basic operations, but also have a humanistic spirit and know how to care for the caring accompanied by the caring. It is too high, the education level is not high, and the liquidity is large.

"Moreover, the care industry has no access qualifications, mostly 'zero experience", lacking systemic and professional training. "Chen Chong said.

In addition, according to Chen Chong's understanding, the caregivers are mostly hired by patients and their families, and signed an agreement with labor dispatch agencies or housekeeping service agencies. However, because of this, medical institutions lack supervision of caregivers, random charges for nursing workers, and multiple patients such as one caregiver over multiple patients.

The industry needs to establish a unified supervision standard and evaluation system

To a certain extent, the caregiver fills the gap between the escort service needs, but in the long run, solving the problem of the care industry related problems, and ensuring that patients enjoy high -quality services, they need to strengthen industry supervision.

In order to meet the public's health needs, many targeted policies have been introduced at the national level in recent years. The "Notice on Strengthening the Training and Standardized Management of Medical Nursing Career and Standardized Management" issued in July 2019 requires all localities and departments to attach great importance to strengthening the training and standardized management of medical care staff, and conduct theoretical and practical training of not less than 120 hours for relevant practitioners. Essence

In January 2020, the first mandatory national standards in the field of pension services in my country put forward specific requirements for basic work such as pension caregivers.

Xue Huiyuan, an associate professor of the Social Security Research Center of Wuhan University, said in an interview with the reporter of the Workers' Daily that the relevant policies provide macro guidance for standardized care of the management of the caregivers, but it is still important to pay attention to the current management of the caregiver market. Another career belongs to individuals to work, and the implementation of policy measures may be discounted.

Xue Huiyuan believes that the industry should achieve a healthy and long -term development, and the pace of establishing a unified and perfect supervision standard and evaluation system should keep up as soon as possible. "The hospital should rationalize the responsibility relationship with the third -party institution, and formulate the supervision mechanism of the service standards and service quality of the caregivers. In addition, based on the care of the caregivers' income and the patient's burden, explore and formulate a more reasonable service price standard."

Professional nursing staff or the main force of the future accompaniment

In the past two years, in order to supplement the shortcomings of the current care industry, Beijing, Chongqing, Fujian and other places have successively introduced measures, proposing to include social workers including caregivers, including the lifelong vocational skills training policy system, and support participating in vocational skills training. , Or carry out the pilot work of the "non -accompaniment" ward, take standardized training, and upgrade the caregiver into a professional nursing staff.

Sister Li said that he hopes to have free learning training opportunities provided by caregivers. "I am happy to participate in learning and want to pass the skill authentication, which is very helpful for the future work."

It is understood that in August this year, Fujian has begun to organize the implementation of the pilot work of the "non -accompaniment" ward. Patients do not need their family members to accompany or hire nursing workers. Instead, nurses with standardized training provide 24 -hour uninterrupted accompaniment and life under the guidance of nurse nurses. Care and wait for services. Nursing workers are hired and managed by the hospital, and the costs are jointly borne by financial, medical insurance, and patients. Another professionals said that according to different work content and responsibilities, the nursing system can be divided into different levels such as nursing staff, assistant care, medical care, and nursing science research. Rising channels. In addition, nursing staff should be implemented by the medical institution uniformly hired and manage the system, establishes a system, comprehensive training system, and improves the professional certification system of medical care staff.

Earlier, Chen Zhen, deputy director of the China Health Promotion Foundation for the elderly recuperation service and talent training special fund, said in an interview with the media that there are only more than 40,000 pension caregivers who have passed the existing appraisal in my country. Calculated that the gap between the care of the elderly may be at tens of millions of levels. In April of this year, the National Development Plan for Care Care (2021-2025) issued by the National Health and Health Commission proposed that it is necessary to explore the establishment and development of medical care staff professional teams, expand the human resources of the elderly, and better adapt to the social needs of the ages Essence

Source: Workers Daily

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