Impact of the National Nursing Development Plan on nursing human resources in China: An interrupted time series analysis for 1978–2021

Shortages of nurses and unequal distribution of nursing staff have been huge challenges for global health services. The aim of our study was to evaluate the impact of the National Nursing Development Plan on nursing human resources in China. An interrupted time series design was used in this study....

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Published in:International journal of nursing studies 2023-12, Vol.148, p.104612-104612, Article 104612
Main Authors: Zhang, Wan-Qing, Tang, Wen, Hu, Fei-Hong, Jia, Yi-Jie, Ge, Meng-Wei, Zhao, Dan-Yan, Shen, Wang-Qin, Zha, Man-Li, Chen, Hong-Lin
Format: Article
Language:English
Subjects:
Health policy
Interrupted time series analysis
National Nursing Development Plan
Nursing human resource
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Summary:Shortages of nurses and unequal distribution of nursing staff have been huge challenges for global health services. The aim of our study was to evaluate the impact of the National Nursing Development Plan on nursing human resources in China. An interrupted time series design was used in this study. The data for this study were extracted from the National Health Statistics Yearbook from 1978 to 2021. The Ministry of Health issued the National Nursing Development Plan (2005–2010) in July 2005. Subsequently, the strategic plan was issued every 5 years: the National Nursing Development Plan (2011–2015), the National Nursing Development Plan (2016–2020), and the National Nursing Development Plan (2021–2025). This study used five indicators including 1) the number of registered nurses (RNs) in China, 2) the number of RNs per 1000 population in China, 3) the proportion of RNs in health technical personnel in China, 4) the doctor–nurse ratio and 5) the number of nurses working in primary medical institutions to evaluate the changing trend of nursing human resources in China from 1978 to 2021. Interrupted time series analysis showed that after the implementation of the National Nursing Development Plan (2005–2010), the building of nurses in China was gradually strengthening, and the number of RNs in China increased by 0.198 million per year (95%CI 0.174–0.223; P 
ISSN:0020-7489
1873-491X
DOI:10.1016/j.ijnurstu.2023.104612