National Nursing Development Plan (2021-2025)



I. Planning background

(1) Progress of nursing during the "13th Five-Year Plan" period.

During the "13th Five-Year Plan" period, in the comprehensive implementation of the major decisions and deployments of the Party Central Committee and The State Council on promoting the construction of a healthy China, actively responding to the aging population, and continuously deepening the process of medical reform, the nursing industry has developed rapidly and achieved remarkable results. The number of nurses continues to grow. By the end of 2020, there were more than 4.7 million registered nurses nationwide, an increase of 45% over 2015. The number of registered nurses per 1,000 population reached 3.34, and the national medical and nursing ratio increased to 1:1.15, further reversing the problem of medical and nursing ratio inversion. More than 70% of nurses have a college degree or above, and the educational quality of nurses has further improved. Through the continuous development of high-quality nursing services and the implementation of the nurse service ability improvement project, the primary nursing service ability has been significantly improved, the quality of nursing services has been continuously improved, the characteristics of traditional Chinese medicine nursing are more prominent, and the nursing work is closer to the patients, close to the clinic and close to the society. All regions have basically achieved full coverage of high-quality nursing services in secondary and above medical institutions, and some medical institutions have covered outpatient (emergency) diagnosis, blood purification centers (rooms), surgery (department) rooms, catheterization rooms and other non-inpatient departments, and the public's sense of access to medical treatment has been further enhanced. Through the "Internet + nursing service" pilot work, the implementation of the elderly care service development project, and actively promote the elderly home medical care service, the nursing service model has been innovative development, and the nursing service field has been extended and expanded, covering medical institutions, communities and homes as well as the whole population. Nurses provide more diversified medical care services to the people and play an important role in the fields of disease prevention, treatment, nursing, rehabilitation and hospice care. The full implementation of electronic registration of nurses, nurses practice management more convenient and efficient. Medical institutions will gradually establish a nursing post management system, implement nurse manpower allocation, training and assessment based on nursing posts, and gradually realize the same pay and treatment for nurses, more work and more pay, and fully mobilize the enthusiasm of nurses.

Compared with economic and social development and people's growing health needs, there are still problems of unbalanced and inadequate nursing development in our country. The number of nurses is relatively insufficient and the distribution is uneven. There is a certain gap between the supply of nursing services and the diversified and differentiated needs of the masses. The connotation of nursing service needs to be further enriched and expanded. The relevant system and mechanism in nursing field still need to be perfected.

(2) The new situation facing the development of nursing cause during the "14th Five-Year Plan" period.

The overall promotion of the construction of healthy China in the period of the 14th Five-Year Plan has put forward new requirements for the development of nursing. The CPC Central Committee and The State Council have made important arrangements to comprehensively promote the construction of a healthy China, requiring that the people be the center and provide comprehensive full-cycle health services for the people. Nursing business needs to closely focus on people's health needs, build a comprehensive, high-quality and efficient nursing service system, and constantly meet the differentiated nursing service needs of the masses. To deal with the aging population actively puts forward a new task for the development of nursing career. With the deepening of aging, there is an urgent demand for nursing services, especially elderly care services, and it is necessary to effectively increase the supply of elderly care services. Promoting high-quality development has brought new opportunities for the development of nursing. The main contradiction in the field of nursing is the contradiction between the people's demand for nursing services and the relative shortage of supply. It is necessary to further promote the development of high-quality nursing from the nursing system, service, technology, management, talent and other aspects, and improve the level of nursing homogenization. The rapid development of information technology has created new conditions for nursing. Cloud computing, big data, the Internet of Things, blockchain, the fifth generation of mobile communication (5G) and other new generation of information technology and health services deep integration, new models, new industries, new forms of business in the field of health and health continue to emerge, to promote the innovation of nursing service model, improve the efficiency of nursing services, leading the high-quality development of nursing in China to provide strong support.

Second, the guiding ideology and basic principles of nursing development during the "14th Five-Year Plan" period

(1) Guiding ideology.

 Promote the development of high-quality nursing, and strive to let the people enjoy a full range of full-cycle nursing services.

(2) Basic principles.

1. Be people-centered. We give priority to the protection of people's health in a strategic position, adhere to the nursing work to serve the people's health, take meeting the diverse nursing needs of the people as the starting point and goal, and gradually establish and improve a high-quality and efficient nursing service system covering the whole life cycle and the whole process of health.

2. Adhere to high-quality development. To improve the quality and level of nursing service as the core task, adhere to the new development concept, accelerate the construction of the current level of economic and social development, conducive to strengthening the construction of nurses, improve the efficiency of nursing service resource allocation management system mechanism, promote the innovation of nursing service model, to achieve high-quality nursing development.

3. Stick to the weak points. Adhere to the goal and problem orientation, and strive to solve the problem of unbalanced and inadequate development of nursing services. We will speed up efforts to improve weak areas in the nursing sector, increase the supply of nursing services in women and children, the elderly, rehabilitation, and traditional Chinese medicine, develop community and home nursing, hospice and other services, further improve professional service capabilities, and improve the accessibility of nursing services.

4. Pursue reform, innovation and development. Conform to the new situation and new requirements of the development of nursing, focus on the new expectations of the people in the nursing field, grasp the characteristics of nursing work, innovate nursing service mode, and strive to promote the reform and development of nursing service industry. Strengthen the reform and innovation in the field of nursing, remove the institutional obstacles that restrict the development of nursing, and continue to enhance the momentum of nursing development.

Third, development goals

By 2025, China's nursing development will achieve the following goals:

The total number of nurses in China has reached 5.5 million, with 3.8 registered nurses per 1,000 population. The number of nurses has continued to increase, their structure has been further optimized, and their quality and service capabilities have been significantly improved, basically meeting the needs of economic, social and health development. The overall nursing system of responsibility is effectively implemented, and nursing services are closer to the needs of the masses and society. The connotation and extension of nursing care have been further enriched and expanded, and the supply of elderly, traditional Chinese medicine, community and home nursing services has increased significantly. The level of scientific nursing management has been continuously improved, the quality of nursing services has been continuously improved, and the system mechanism to mobilize the enthusiasm of nurses has been further perfected.