“人才资源是第一资源”，医护人员被誉为“没有翅膀的天使”是医 院最宝贵的财富，也是医院最重要的卫生资源。进入二十一世纪之后，我 国开始推行医疗改革，全国大型公立医院在保持公益性的同时开始快速发 展，迅速扩大规模，就诊人数持续增长，医疗收入也逐年增加。十九大报 告中提出“实施健康中国”战略，要促进“人口红利”更多转化为“健康红利”， 护理人力资源是健康中国的重要保证。随着2016年二孩政策的全面实施及 人口老龄化问题的提前到来，这些都对医疗行业提出更多挑战，现有的医 护人员已满足不了日益增长的就医需求和医院发展，与此同时过高的护理 人员流失率，导致了更加严重的护理人员短缺和护理人力资源危机，加剧 了护理人员的工作量,造成更多的人员流失，形成恶性循环。因此，在当今 护理人员供不应求的医疗环境中，如何有效减少护理人员的流失问题已经 成为C医院管理者亟待解决的问题。 本文着眼于C医院护理人员流失问题，通过文献综述法、实地访谈法、 问卷调查法，对C医院护理人员的流失问题展开调查和分析，并对调查结 果进行了统计，发现造成C医院护理人员流失问题的主要因素有护理人员 薪酬体系设计不合理、护理人员职业压力大、忽视护理人员的成长与发展、 岗位晋升困难、人际关系不和谐等方面。本文针对调查所得提出适度减轻 护理人员工作压力、加强医院文化建设增强护理人员归属感、提升薪酬福 II 利和绩效管理水平、建立科学晋升制度、制定个性化培训方案和体系、帮 助护理人员制定职业生涯规划等对策来稳定C医院护理队伍，减少C医院 护理人员的流失，确保C医院的可持续和健康发展。一方面可以为C医院 解决当前护理人员的高流失问题提供指导，另一方面也可为国内同类型医 院解决类似问题提供参考，切实提高医院的人力资源管理水平。 关键词：人员流失护理人员C医院 III STUDYONTHELOSSOFNURSINGSTAFF INCHOSPITALANDITS COUNTERMEASURE ABSTRACT "Humanresourcesarethefirstresource",medicalstaffknownas"angel withoutwings"isthemostvaluablewealthofthehospital,butalsothemost importanthealthresourcesofthehospital.Sincethebeginningofthiscentury, Chinahascarriedoutthemedicalreform,whilemaintainingthepublicwelfare, thedevelopmentspeedoflargepublichospitalsinChinahasbeenaccelerated rapidly,thescalehasexpandedrapidly,thenumberofpatientshasincreased yearbyyear,andthemedicalincomehasalsoreachednewhighs.Accordingto thereportofthe19thNationalCongressoftheCommunistPartyofChina,itis necessarytopromotethetransformationof"demographicdividend"into"health dividend"inordertoimplementthestrategyofhealthyChina.Withthefull implementationofthetwochildpolicyin2016andtheearlyarrivalofthe problemofpopulationaging,thesehaveputforwardmorechallengestothe medicalindustry.Theexistingmedicalstaffcannotmeetthegrowingdemand formedicaltreatmentandthedevelopmentofthehospital.Atthesametime,the highturnoverrateofnursingstaffhasledtoamoreseriousshortageofnursing staffandthecrisisofnursinghumanresources,whichaggravatestheshortageof nursingstaffWorkload,resultinginmorestaffloss,formingaviciouscircle. Therefore,howtoeffectivelyreducethelossofnursingstaffhasbecomean urgentproblemforthemanagersofChospital. ThispaperfocusesontheproblemofnursingstaffturnoverinChospital. Throughliteraturereview,on-the-spotinterviewandquestionnairesurvey,this paperinvestigatesandanalyzestheproblemofnursingstaffturnoverinC hospital,andmakesstatisticsonthesurveyresults.Itisfoundthatthemain IV factorscausingthelossofnursingstaffinChospitalareunreasonabledesignof nursingstaffsalarysystem,highoccupationalpressureofnursingstaffand neglectofnursingPersonnelgrowthanddevelopment,postpromotion difficulties,interpersonaldisharmonyandsoon.Accordingtothesurveyresults, thispaperproposestostrengthentheconstructionofhospitalculture,enhance thesenseofbelongingofnursingstaff,improvethelevelofsalaryandwelfare andperformancemanagement,establishascientificpromotionsystem, formulatepersonalizedtrainingprogramsandsystems,andhelpnursingstaff formulatecareerplanningtostabilizethenursingteamofChospital,reducethe lossofnursingstaffinChospital,andensurethesustainabilityandhealthofC hospitaldevelopment.Ontheonehand,thisstudyprovidescorresponding improvementsuggestionsfortheproblemofhighturnoverofnursingstaffinC hospital,ontheotherhand,italsoprovidescertainreferencevalueforsimilar organizations,whichmakesthehospitalhumanresourcemanagementliterature moreabundant. KEYWORDS：Staffturnover；nursingstaff；Chospital V 目录 摘要...........................................................................................................................................I ABSTRACT............................................................................................................................III 第1章绪论...............................................................................................................................1 1.1研究背景......................................................................................................................1 1.2研究意义......................................................................................................................2 1.3研究内容......................................................................................................................2 1.4研究方法与研究技术路线..........................................................................................2 1.4.1研究方法............................................................................................................2 1.4.2技术路线............................................................................................................3 第2章相关研究文献综述.......................................................................................................4 2.1人员流失的相关研究进展..........................................................................................4 2.2护理人员流失的相关研究进展..................................................................................6 2.3文献小结......................................................................................................................8 第3章C医院概况及员工流失现状.......................................................................................9 3.1C医院简介...................................................................................................................9 3.2C医院的组织架构.......................................................................................................9 3.3C医院员工整体构成.................................................................................................10 3.4C医院护理人员构成分析.........................................................................................12 3.5C医院护理人员流失情况及其影响.........................................................................15 3.5.1C医院护理人员流失情况..............................................................................15 3.5.2护理人员流失对C医院的负面影响.............................................................18 第4章C医院护理人员流失问题的调查与分析.................................................................20 4.1调查目的....................................................................................................................20 4.2调查方法和程序........................................................................................................20 4.3调查问卷设计............................................................................................................20 4.3.1对C医院护理人员流失影响因素的访谈调研.............................................20 4.3.2C医院护理人员流失影响因素的访谈结果分析..........................................21 4.3.3问卷编制..........................................................................................................22 4.4问卷调查的实施与结果分析....................................................................................22 4.4.1问卷调查的实施.............................................................................................22 VI 4.4.2问卷调查结果..................................................................................................24 4.5调查结论与分析.........................................................................................................26 4.5.1薪酬待遇分析...............