Investigation on the status and barriers of non-accompanied care services in medical institutions in Zhejiang Province
10.3761/j.issn.0254-1769.2025.20.011
- VernacularTitle:浙江省医疗机构无陪护服务的开展现状及障碍因素研究
- Author:
Qiaomin TANG
1
;
Jianping SONG
1
;
Xiuqin FENG
1
;
Leiwen TANG
1
;
Yuping ZHANG
1
;
Xiangying BAO
1
;
Haiyan ZHENG
1
;
Sumin MA
1
;
Meijuan LAN
1
Author Information
1. 310009 杭州市 浙江大学医学院附属第二医院护理部
- Publication Type:Journal Article
- Keywords:
Medical Institutions;
Non-Accompanied Care Services;
Cross-Sectional Studies;
Barrier Factors;
Nursing Administration Research
- From:
Chinese Journal of Nursing
2025;60(20):2507-2513
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status and barriers to implementing non-accompanied care services in medical institutions in Zhejiang Province,and to provide a basis for the improvement of standardized management of such services.Methods A self-designed questionnaire was conducted from September to October 2024 among all secondary and tertiary medical institutions in Zhejiang Province to assess the implementation status and barriers to non-accompanied care services.Results A total of 397 questionnaires were distributed,with 389 valid responses,yielding a valid response rate of 97.98％.Non-accompanied care services were implemented in 118 institutions(30.33％).Among these,90 institutions(76.27％)had established management systems for non-accompanied wards;71 institutions(60.17％)had a medical nursing assistant-to-bed ratio lower than 1∶5;41 institu-tions(34.75％)provided tiered training for medical nursing assistants;93 institutions(78.81％)required patients to bear the full cost of the service.Compared with secondary medical institutions,tertiary medical institutions have more complete management system for non-accompanied care services.The main obstacles hindering the development of non-accompanied care services include an imperfect management system for non-accompanied wards,a shortage of medical nursing assistants,a lack of standardized training for such assistants,inconsistent charging standards,and low acceptance among patients and their families.Conclusion The promotion of non-accompanied care services in medical institutions in Zhejiang Province has achieved initial success.However,challenges persist,including incomplete management systems,uneven development across hospital tiers,and imperfect charging mechanisms.It is recommended that relevant authorities strengthen policy support,enhance standardized training for healthcare nursing assistants,refine cost-sharing mechanisms,and improve the quality and sustainability of non-accompanied care services through multi-party collaboration.
