摘要目的 探讨重症监护室(ICU)专科护士目前的工作现状及专科水平能力,以加强专科护士的管理,推动临床护理工作的发展.方法 选取38名取得ICU专科护士资格证书1年以上的护士为研究对象,使用问卷调查法,对其一般情况、工作现状、待遇、专科水平能力自我测定方面进行调查.结果 100％的ICU专科护士会对年轻护士进行培训、参与护理管理及科内的疑难问题讨论,36.8％的护士参加临床护理及夜班工作,5.3％从未参与过专科查房；能力水平自我测试情况临床工作实践、指导教学、为病人及家属提供信息咨询这3个方面达标率较高,均在90％以上.专科知识的全面掌握(86.8％)、理论授课方面(86.8％)、为护士提供专科知识(86.8％)还需继续提高.文献的查阅(65.8％)、论文撰写(57.9％)、科研设计开展(47.4％)达标率相对偏低.结论 ICU专科护士在专科护理人才的培养和使用缺乏计划性、合理性；专科护士角色模糊；缺乏合理的人才梯队；待遇有待提高；科研能力需要加强；缺乏完善的准入、培训、使用、管理规范.

abstractsObjective To understand of work status and professional ability of ICU specialist nurse,test their specialist ability level,improve and enhance the specialist nurse management to maximize their roles in promoting the development of clinical nursing.Methods 38 ICU nurse specialists who have got the nursing credentials more than one year were surveyed through self-questionnaire about working conditions,including general conditions,work status,income,self-assessment of specialist ability in future.Results 100％ ICU trained the younger nurses,and discuss the nursing management and problems.36.8％ nurses participated clinical nursing and night shift,5.3％ nurses have never joined ward inspection.Rates of reaching the standard were higher and above the 90％ in those three aspects: practice in clinical work,guided teaching and providing information for family member.Grasp of academic knowledge (86.8％),theory teaching (86.8％) and providing academic knowledge for nursing (86.8％) needed to be improved.Paper searching and reading (65.8％),paper writing (57.9％) and research design (47.4％) were relatively lower.Conclusions Culturing and using the specialist nurses in ICU lack the program and rationality; Specialist nurses have vague role; talent team was lacked; pay status needs increased; research ability needed enhanced; admittance,training and using criteria were lacked.