People have been sent to the hospital. Why do you have to hire a nurse? Experts suggest setting up assistant nurses to replace nursing workers to reduce the burden on patients ● with the rapid development and growth of nursing workers, problems such as low entry threshold, poor professional quality, arbitrary charging, and even ill treatment of patients are accompanied, which has been criticized by the society ● the insufficient number of nurses is one of the important reasons for the emergence of nursing workers in China. After the reform and opening up, the hospital is in the stage of rapid development, and the bed care ratio is seriously insufficient. At present, in addition to the hospital's insufficient attention to the nursing team and insufficient investment in nursing human resources, the regulatory authorities also lack rigid indicators for the assessment of the standard of bed care ratio in public hospitals, and do not form rigid constraints on the hospital ● the experts interviewed called for the expansion of the nursing team and sufficient strength by taking advantage of the opportunity of medical reform, the establishment of a new assistant nurse post to undertake the life nursing work of patients, and the replacement of nursing workers, so as to improve the specialization and professionalism of nursing and further meet people's needs for nursing services □ front line investigation □ all media reporter of rule of law daily Chen Lei Han Dandong □ trainee reporter Zhang Shoukun "Looking at the blue and purple on Grandma's two arms, our whole family was very angry." On December 21, 2021, the grandmother of Beijing citizen Xiao Hua (a pseudonym) strongly asked to be discharged from the hospital. After getting home, the old man told his family that he had been abused by nursing workers in the hospital, so he refused to continue to receive treatment in the hospital. Xiao Hua told the rule of law daily that her grandmother was sent to a class III hospital in Beijing for first aid on December 17. After the first aid, the elderly were kept in hospital for observation. Originally, the family was not prepared to find nursing workers, but the hospital did not allow family members to accompany them. It was said that it was the need of epidemic prevention and control, and it was said that the hospital had cooperative nursing workers who could provide nursing services. "The nurse is fierce. He thinks I'm fat. When he helps me turn over, he makes great efforts to beat me." Said the old man. Xiao Hua quickly took videos and photos and negotiated with the hospital. The hospital said it would give an explanation after investigation. On December 30, the hospital gave a nurse the telephone number of her company and asked her to contact her directly. "I didn't expect that nursing workers would treat patients like this!" Xiao Hua said, "why can't hospitals and nurses undertake the work of nursing workers?" This is not only the doubt in Xiao Hua's heart, but also the voice of many people. It is understood that the group of nursing workers in China first appeared in the early 1990s. The causes are complex. There are not only the factors of rapid economic and social development, shortage of medical and nursing resources and inability to meet the needs of the masses, but also the realistic difficulties of parents being ill and hospitalized and many only children having no time to take care of them, as well as the opportunity of market-oriented reform of the medical industry at that time, This has led to the gradual formation of a "Nursing Corps". With the rapid development and growth of nursing workers, problems such as low entry threshold, poor professional quality, arbitrary charges, and even ill treatment of patients are accompanied, which has been criticized by the society. Recently, a number of patients, their families, experts and scholars interviewed by reporters called for expanding the nursing team and providing sufficient strength with the opportunity of medical reform, setting up a new post of assistant nurse to undertake the life nursing work of patients, and replacing nursing workers, so as to improve the professional and professional level of nursing and further meet people's needs for nursing services. "Children don't earn enough money to hire nursing workers" Ms. Lin, a Beijing citizen in her 30s, works in a public institution. In recent years, she has had the experience of hiring nursing workers for many times, whether she has her own children in hospital or her parents and family are ill in hospital. Although the existence of nursing workers has solved her big problem, in her opinion, it is helpless to ask nursing workers. In 2017, Ms. Lin's mother-in-law had minimally invasive heart surgery, and the hospital asked her family members to accompany her. Considering that she and her husband had to work during the day and had to take care of their children, they really didn't have the energy to accompany her, so they hired a nurse on a professional app at a daily cost of 220 yuan. In February 2021, Ms. Lin was hospitalized and gave birth to a second child. For the needs of epidemic prevention and control, her hospital stipulated that her family members could not enter the ward, but each ward was equipped with a nursing worker, who was responsible for the basic nursing of pregnant women and newborns. The daily nursing fee was 300 yuan. After being hospitalized for 7 days, Ms. Lin paid more than 4400 yuan and 2100 yuan for nursing expenses after reimbursement of medical expenses. Due to the blood loss of 800 ml by cesarean section, Ms. Lin was very weak after giving birth to her child. The nurse is in the ward for 24 hours, helping her to go to the toilet, changing diapers for her child, assisting in breast-feeding, etc. During the conversation, Ms. Lin learned that the nursing workers provided by the hospital were not hospital employees, but personnel dispatched by a company cooperating with the hospital. "Aren't nurses just nurses? Why don't nurses do these jobs, but let foreign nursing workers do them? This is not an additional economic burden for the patient's family." Ms. Lin said that at that time, a nurse was responsible for a ward to take care of two to three pregnant women and their babies. In other words, the daily cost of a nurse in a ward was 600 yuan or 900 yuan, "this money is enough to add one or two nurses". During the interview, many people had similar experiences with Ms. Lin and expressed the same views with Ms. Lin. "The nursing fee is really a huge expenditure. If it were not for the sharing of our sister and brother, the pressure would be too great." Zhang Qiang (a pseudonym), a 39 year old Shanghai citizen, said. He recalled that in early 2020, his mother was seriously ill and hospitalized. At the beginning, between relatives and nursing workers, he and his three sisters chose the former, and everyone took turns to accompany them. Later, the novel coronavirus pneumonia outbreak, the hospital strengthened the ward management, and the 3 sisters lived far away from the inconvenience, the burden of accompanying the mother fell to Zhang Qiang. For Zhang Qiang, taking care of his mother is his duty, but work, family and escort are moving around, which makes him really "unbearable". Later, the family discussed and invited a nursing worker to accompany them for 24 hours. The nursing fee was 300 yuan a day and 9000 yuan a month. Based on the need to hire nursing workers, the reporter consulted a number of domestic companies providing nursing services in Beijing, Shanghai, Guangzhou, Chengdu and other places, and learned that the cost of one-to-one nursing workers is basically between 200 yuan and 300 yuan per day, and the cost of accompanying some seriously ill patients is higher. In the summer of 2021, Wang Zhonghua (a pseudonym), a resident of Jizhou District, Tianjin, was hospitalized in a third class hospital in Tianjin due to a heart attack. Wang Zhonghua offered not to take care of his two sons because of their busy work and heavy family burden. But the two sons were worried about the inconvenience and accident of their mother's absence. After discussion, they still hired a nurse for their mother. I heard that the nursing fee is 240 yuan a day and 2400 yuan for 10 days in hospital. Wang Zhonghua said painfully: "it's too expensive. The child doesn't earn enough money to hire nursing workers." If a family member is ill and hospitalized for a month, according to 240 yuan per day, the nursing fee alone will be 7200 yuan per month. The reporter found that the average monthly salary of employees in Tianjin in 2020 was 6777 yuan, while in Jizhou District, Tianjin, the monthly income of many ordinary salaried family employees was 3000 or 4000 yuan. In other words, in Tianjin, ordinary workers can't afford nursing fees only by their personal salary. "200 yuan a day, 1400 yuan for seven days, plus more than 200 yuan for meals, a total of more than 1600 yuan." Recently, Zheng Gang (a pseudonym), a citizen of Baoding, Hebei Province, calculated an account after his mother recovered and discharged from the hospital. His mother was ill and hospitalized for 7 days. After the medical expenses were reimbursed by medical insurance, he paid more than 2000 yuan, while the nursing expenses amounted to more than 1600 yuan. Zheng Gang's mother is 89 years old, suffering from coronary heart disease, hypertension, diabetes and other diseases. Hospitalization is a homely food. "No way. The hospital told me that either family members take care of the elderly or ask nursing workers. I have to take care of my daughter's daily life and pick up my grandson to and from school every day. Besides, at my age, I don't have the strength and energy to stay up late to take care of my old mother." Zheng Gang said that for ordinary families like him, the expenditure of nursing fees is undoubtedly a heavy burden. In this regard, Ma Chaoyun (a pseudonym), a resident of Yongqiao District, Suzhou City, Anhui Province, also has deep experience. In mid October 2021, he accidentally fell while riding an electric car and broke his leg bone. When handling hospitalization, the hospital made it clear that the patient needs someone to accompany him during hospitalization. If his relatives are unable to accompany him, they have to ask for a nurse, and the nurse's fee shall be borne by themselves. According to the introduction, Ma Chaoyun joined a wechat group of nursing workers, from which he learned that the starting price of nursing workers is 240 yuan a day. According to the patient's age and self-care ability, the corresponding expenses need to be increased. In addition, he also has to bear the daily food expenses of nursing workers. Finally, Ma Zhaoyun hired a nurse at a daily cost of 260 yuan, including 240 yuan for the nurse and 20 yuan for food. After being hospitalized for 17 days, he paid 4420 yuan for nursing work. "I can't earn 4420 yuan a month." Ma Zhaoyun told reporters that he didn't expect that there was such a large expenditure on nursing fees in hospitalization. People often say that they can't afford to get sick and live in hospital, let alone medical expenses. They can't even pay nursing fees for long-term hospitalization. Indeed, for families with patients who need long-term hospitalization, I feel particularly deeply about the heavy burden of nursing expenses. In the second half of 2020, the father of Beijing citizen Wang Shufen (pseudonym) was admitted to a third class hospital in Beijing because of bladder cancer and cerebral infarction. He received a 24 hour nursing worker through the hospital. The nurse was responsible for the life care of two patients in the ward. Each patient had to pay 6000 yuan per month. Wang Shufen's father died in June 2021 after living in the hospital for more than 10 months. Meanwhile, in addition to medical expenses, she has paid more than 60000 yuan for nursing workers. "Every time I pay, I think, why should I hire additional nursing workers? Shouldn't the hospital be responsible for the nursing work after the patient is sent to the hospital?" Wang Shufen said. "As long as you can take care of people, you can work." What makes Wang Zhonghua particularly dissatisfied is: "after spending so much money, the service of nursing workers is not good." She told reporters that at the beginning, especially when her son was present, the nursing workers showed great patience and diligence, fed themselves, changed their clothes, helped themselves to the toilet, and the service was very considerate; However, after a few days, the nursing workers began to show impatience, often with an attitude of answering and ignoring, and the food was not fed. After making repeated requests, the nurse beat her twice when she was bored. This is not an example. During the interview, many patients and their families make complaints about their professional accomplishment and occupation integrity. When Su Xi (a pseudonym), a citizen of Beijing, accompanied his mother in a third class hospital in Beijing some time ago, he saw many times that the nurse ate the patient's food without consent. Once, the children of an old man in the ward brought fruit and nutrition. As soon as the children left, the nurse opened the packaging bag, leaned against the folding bed and ate it, completely avoiding patients and others. What is more unacceptable to Suxi is that some nursing workers still abuse patients. On the hospital bed opposite Suxi's mother lived an old man who had just amputated. When the strength of the anesthetic passed, the old man felt pain and cried. Seeing this, the nurse immediately scolded, "what are you crying for? Who doesn't hurt after the operation. If you cry again, it doesn't matter." The old man quickly stopped crying. Since then, the old man has been scolded by nursing workers for many times. Various scenes made Su Xi firm his determination to "take care of his mother no matter how hard and tired he is, and resolutely not to find a nursing worker". The patient shouted several times and ignored it. When something happened, he was too troublesome to scold the patient; When feeding a patient who doesn't want to eat, forcibly pry open the patient's mouth and insert it with a spoon