纽约时报中文网今天刊出中文题为《南丁格爾夢難圓，中國護士絕望辭職》的文章，以下是中英文全文。
Chinese Nurse Resigns, Bidding Farewell to Her FlorenceNightingale
Each May 12, on International Nurses Day, nurses in Chinese
hospitals&recite&the
“Florence
Nightingale Pledge,”
written inhonor of the English social reformer
and&founder
of modern nursing.
This month, anonline medical magazine published a resignation
letter from a nurse, YanXiaobing, describing the harsher side of
hospital life in China. The&letter
on the WeChat account&of
the magazine, Medical World, drew more than half a million page
viewsin just four days, said Zheng Juhua, an editor at the magazine
who confirmedMs. Yan’s identity but said she had declined to
provide further details.
·昆明护士遇袭引发医界罢工讨论
·在信任缺失的中国医院体验看病难
·中国暴力袭医事件呈上升趋势
·中国患者殴打医生事件缘何频发
·医生何以成为“假想敌”？
·医疗纠纷背后的故事
Rather thancelebrating their profession, nurses and doctors
complain of&physical
assaults&—
like a&knife
attack by a patient on a nurse&in
the southwestern city of Kunming in early June. Driving the
violenceare patients’ rising costs and unrealistic expectations,
and staff shortagesputting a strain on services. Many patients and
their families are convincedthat medical practitioners are corrupt
and blame them when services areinadequate or costly, or operations
fail. In fact, medical personnel tend to bepoorly paid, and to
survive, some turn to hongbao, the red envelope containinga bribe
from a patient.
The reality ofworking nurses today is far removed from the “angels
in white” of popular lore,Ms. Yan writes. Following is a
translation of her letter:
It is just a fewdays into June, and already there are violent
incidents against medical staffacross the country. It’s sad. But
fortunately I’ll soon be spared the fear,because I’m leaving this
profession. From now on I’ll no longer need to worknight shifts, be
constantly on the alert, hurry to change IV bags, do endlesshealth
examinations or work night shifts with a bulging waistline like
mypregnant “sisters.”
I graduated fromnursing school in 2012 and have been working in a
provincial, tertiary level-Ahospital [a large, top-rated general
hospital]. I think many people areoverjoyed when they first enter a
tertiary level-A hospital, as are theirfamilies. But after a while
most people lose their way: Am I going to do thisall my
We perform endlesshealth examinations every month. Exhausted after
a day of work, we can barelyopen our eyes. But we still have to
study, and take exams from time to time,every month. The exam
questions are weird, with many of them having nothing atall to with
nursing. Of course, if the leaders think they do, they do.
Itdoesn’t matter anyway.
When our ownfamily members fall ill, or when we ourselves do, we
still have to work. Whenour family members get sick, they blame us
for taking little time to care forthem and being concerned only
about work.
When we get sick,our department will say it’s short of people and
ask us to “hang in there.” Afew months ago, there was information
on the Internet about a hospital nursewho had asked for sick leave
because she was running a fever, but she wasturned down by her
superiors. She ended up&dying
of a brain herniation.
I have no ideawhether the leaders in her department were held
responsible, because the worldsoon forgot. We are ordinary people,
after all, not angels. If you die, no onewill remember you. [The
information about the nurse who died was in a letterpublished on
DoctorPDA, a WeChat account for medical workers that is
authorizedby the&Chinese
Medical Doctor Association.]
Even moreridiculous is the perverse system that praises medical
staffers for workingwhile ill. The leaders in our department are no
exception. I remember one timea nurse asked for sick leave. Our
leaders actually said, “One should not quit abattle because of
minor injuries. Look at her [indicating a third person].
Shecontinued working with an intravenous drip in her hand. If you
ask for sickleave like this, everyone else will do the same. You
should just hang inthere.”
Later, that nursesuffered consequences — chest pain and shortness
of breath. I really don’tunderstand, what did they mean by “if you
ask for sick leave like this”? Can weonly ask for sick leave when
we are dead? We’re not angels. We are human beingsmade of flesh and
blood. We are not Iron Men.
From the beginningof my internship I provided care for my patients,
washing their faces, feet andhair, trimming their nails and
cleaning their bodies while they lay in bed.These were things
anyone with a primary school education could do just as well.Our
leaders never seemed to notice that we were busy, and they gave
thosethings a beautiful name: quality nursing. A few days ago, my
mother wept as Iwas trimming her nails and washing her hair and
feet, because she had justrealized that her daughter washed the
hair and feet of strangers in thehospital.
I remember when Iwas doing my internship, I often came across
perverted middle-aged men who weretoo fresh. One time, in the
department of endocrinology, a middle-aged man witha gold necklace
who was swarthy, fat and bald said he felt lonely and asked usto
“play” with him. We ignored him, so he went to our supervisor and
pesteredher.
Another time, oursupervisor used an electronic blood pressure gauge
to measure the bloodpressure of a skinny old man who had
final-stage lung cancer. The old man’sarms were far too thin for
the device to measure his blood pressure properly.His family grew
furious: “What kind of a nurse are you? What’s the point ofyou? So
stupid! I say your hands can only hold a penis!”
It was a femalefamily member who said that. Can you
When I firststarted working, my wage was 800 renminbi [about $130]
a month. Now it’s alittle over 1,000 renminbi. Can you imagine what
kind of a life it has been? Ihad started working, but I still had
to live off my family. I would earn 50renminbi for a night shift of
10 hours. That’s five renminbi an hour. Did Ispend so many years
studying for so little money and such hard physical labor?All for
less than a housemaid? Is this how an angel lives? Some patients
andtheir families have no respect for us. Some even make passes at
us in public.Is this how an angel lives?
Night shifts,checkups, theory examinations, exhausting work, little
rest and low pay. We cantake all that. But the most frightening
thing is the threat to our safety. Themedical environment has
become worse and worse in recent years. Now, someonewith a knife
can just walk into a hospital and attack a nurse. Police
officersonly rushed to stop that attacker after he had struck her
four or five times.[Ms. Yan is referring to the attack on the
Kunming nurse and reports that,although there were plenty of people
nearby, no one went to her defense.] Iwant to ask, officers, were
you eating feces?
The frequentreports of violence against medical staff, I think,
have broken every medicalworker’s heart. Even more heartbreaking is
the fact that many people in oursociety applaud such incidents!
Ordinary people vent all their anger againstdoctors and nurses.
They think doctors and nurses are to blame for the expenseand
difficulty of seeing a doctor. Society’s trust in medical workers
iscompletely gone, with many people drawing up wills seeking
financialcompensation even before they undergo surgery.
Recently, a personI studied with, who worked as a doctor in a
tertiary level-A hospital’s ear,nose and throat department,
resigned. The news was hotly discussed in my Weixin“moments” [a
WeChat discussion channel] for two days.
Afterward, I had along chat with him. He said there is a saying in
the stock market: “Thegreatest heroes are those who take the shares
that are unwanted by the state”[a form of self-sacrifice for the
state]. But in the medical world, this wouldbe: “The greatest
doctors are those who deal with problems unwanted by
thestate.”
If you act like abulletproof angel, you should be prepared for tens
of thousands of arrowspiercing your heart. If you can’t take it,
don’t pretend you can, or you’ll bestruck by lightning. [According
to a traditional belief in China, people wholie will be struck by
lightning.]
I admired hiscourage back then. Today, finally, I handed in my own
resignation. I want tolive a stable, simple life, without having to
be on call all the time, one inwhich I can wake up naturally, walk
my dog after work and take time off onweekends. To the great “Lady
With a Lamp,” Florence Nightingale, I say: In yourtime, you were a
saint. But this is my time. I’m going back to being me.
在每年的5月12日，也就是国际护士节，中国的护士都会宣读为纪念英国社会改革家、现代护理创始人而写的《弗洛伦斯·南丁格尔誓言》(Florence
Nightingale Pledge)。
本月，一份在线医学杂志刊登了护士燕小冰的辞职信，她在信中讲述了中国医院工作令人忧心的一面。《医学界杂志》编辑郑菊华表示，仅在四天的时间里，这份由该杂志微信号公布的辞职信的访问量就达到50多万，郑菊华确认了燕小冰的身份，但表示燕小冰拒绝提供更多细节。
·昆明护士遇袭引发医界罢工讨论
·在信任缺失的中国医院体验看病难
·中国暴力袭医事件呈上升趋势
·中国患者殴打医生事件缘何频发
·医生何以成为“假想敌”？
·医疗纠纷背后的故事
护士和医生没有赞美他们的职业，而是抱怨受到人身攻击——比如6月初西南部城市昆明的一名病人持刀袭击护士的事件。导致出现暴力事件的原因有病患治疗费用负担越来越重，不切实际的期望，以及医务人员短缺致使服务体系超负荷的现象。很多病人和病人家属坚信，医务人员道德败坏，并认为服务缺陷、费用高昂、手术失败等问题都是医务人员导致的。实际上，医务人员往往报酬较低，一些人为了生存收取红包，也就是病人的贿赂。
燕小冰写道，实际上，现在的护士工作跟广为人知的“白衣天使”形象相去甚远。以下是燕小冰的辞职信全文：
6月份才刚过几天，几天时间里，全国多地发生暴力伤害医务人员的事件。这让我很难过，庆幸的是，很快，我就不用再害怕这些，因为我即将离开这一行业。从此以后，不用通宵夜班，不用提心吊胆，不用被催着接瓶加药，不用无穷无尽的准备检查考试，也不用像其他的姐姐那样挺着大肚子上夜班。
2012年，我从卫校毕业，进了省里的一家三甲医院，工作至今。我想，很多刚进入三甲医院工作的人，都会很高兴，家里人同样也会很高兴。同样的，时间久了以后，很多人也会很迷茫，难道这份工作真要干一辈子？
每个月要应付各种没完没了的检查，上了一天班回家，累得眼睛都睁不开，竟然还要背书，而且每个月要不定期的考试。而且考试的试卷还很奇葩，很多的考点跟护理半毛钱关系都没有，当然，领导说有，那就有吧，反正也无所谓了。
家里有人生病的时候，甚至自己生病的时候，还是不得不去上班。家里人生病了，怪你没时间照顾，只知道上班上班上班。
自己生病了，科室也说缺人，你再坚持坚持。前几个月，网上的新闻说，某医院的护士，发高烧请病假，领导不批准，最后那个姐姐死了，脑疝。我不知道最后那个科室的领导有没有被问责，因为全世界很快都忘了这件事情。毕竟我们只是普普通通的人，不是真正的天使，你死了，没有人会记得你。（微信号“掌上医讯”公布的信件提供了有关这名已经去世的护士的信息，掌上医讯是获得中国医师协会授权的一个面向医务工作者的微信账号。）
更加可笑的是，病态的制度，竟然为带病上班的医务人员叫好点赞。连科室的领导也不例外。记得有一回，科里有个姐姐要请病假，领导竟然说，轻伤不下火线，你看谁谁谁，手上挂着点滴坚持上班，你这样随随便便就请假了，那以后大家也都会争着要请假，还是再坚持坚持。
后来，那个姐姐因为没有休息好，留下了后遗症，经常胸闷气短。我真不明白，什么叫随随便便请假，难道死了才可以请假吗？我们不是天使，我们是人，是血肉之躯，不是钢铁侠。
从实习开始，我就要给病人做生活护理，洗脸、洗脚、洗头发、剪指甲、床上擦浴。其实这些事情，一个小学文化的人来做都可以做得很好，我们的领导却无视我们的忙碌，而且美其名曰优质护理。前几天，我帮我妈妈剪指甲、洗头发、洗脚的时候，我妈妈竟然哭了，因为她刚知道她的宝贝女儿在医院经常要给陌生人洗头发洗脚。
记得实习的时候，经常会碰到一些猥琐的中年大叔，言语轻佻。有一回在内分泌科，一个又黑又胖又矮的大叔，脖子上戴个金链子，说他很寂寞，要我们陪他玩。我们都没理他，后来他又跑过来一直缠着我们老师。
还有一回值夜班，我们老师用电子血压计给一个肺癌晚期，骨瘦如柴的老头子量血压，老头子手臂太细，血压一直测不出来，然后家属就开始发飙了，你是什么护士，干什么吃的，那么笨，我看你的手就会摸男人的小鸡鸡！
而且，说这话的，竟然是个女家属，你能想象吗？
我刚开始上班的时候，一个月的工资是八百，现在也不过才一千多。你能想象这是什么生活吗？我出来工作竟然还要跟家里人要钱吃饭。这是天使的范儿吗？一次夜班也才五十块钱，十个小时，平均一小时五块钱，多么廉价的劳动力，我花了那么多年的时间去学习，最后我的劳动价值还比不上做家政服务的！这是天使的范儿吗？有的病人和家属，对我们一点都不尊重，甚至有公然调戏的。这是天使的范儿吗？
夜班多，检查多，考试多，工作累，休息少，工资低，这些也就算了。最可怕的是，我们的安全竟然得不到保障，几年时间，医疗环境越来越恶劣。现在，竟然可以有人随随便便拿着刀，随随便便走进医院，随随便便把护士砍了。而且围观的警察竟然可以等歹徒砍了四五刀以后才冲上去制止，（燕小冰指的是昆明护士遭袭事件，以及相关报道——虽然周围有很多人，但没人站出来保护她。）我想说，警察叔叔，你是吃屎的吗？
频发的暴力伤医案，我想，看过新闻的医务人员都很伤心。更叫人伤心的是，社会上竟然有很多人拍手叫好！老百姓把各种怨念都转嫁到医生护士身上，他们认为看病贵、看病难都是医生护士造成的，整个社会对医务人员的信任已经荡然无存，甚至有些人还没进手术室就立好遗嘱准备索赔。
前一段时间，我的学长，某省级三甲医院耳鼻喉科的医生，辞职了。在朋友圈火了两天。
后来，我和他聊了很久，他说，股市里面有句话，“侠之大者，为国接盘”，在医疗界，应该改成“医之大者，为国接盘”。
一副刀枪不入的天使样子，就要做好被万箭穿心的准备，如果承受不了，那就不要装逼，装逼被雷劈。
当时我很佩服他的勇气，今天我终于也交了辞职信，我只想过安安稳稳简简单单的生活，不用提心吊胆，睡到自然醒，下班溜溜狗，周末度度假。对伟大的提灯女神南丁格尔，我只能说，在你的时代，你是女神，而这是我的时代，我要回去做我的女神经病。
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精选3 位律师的优质答案
满意答案咨询电话： (四川-成都)帮助网友：5922称赞：94医疗事故赔偿，按照下列项目和标准计算：
（一）医疗费：按照医疗事故对患者造成的人身损害进行治疗所发生的医疗费用计算，凭据支付，但不包括原发病医疗费用。结案后确实需要继续治疗的，按照基本医疗费用支付。
（二）误工费：患者有固定收入的，按照本人因误工减少的固定收入计算，对收入高于医疗事故发生地上一年度职工年平均工资3倍以上的，按照3倍计算；无固定收入的，按照医疗事故发生地上一年度职工年平均工资计算。
（三）住院伙食补助费：按照医疗事故发生地国家机关一般工作人员的出差伙食补助标准计算。
（四）陪护费：患者住院期间需要专人陪护的，按照医疗事故发生地上一年度职工年平均工资计算。
（五）残疾生活补助费：根据伤残等级，按照医疗事故发生地居民年平均生活费计算，自定残之月起最长赔偿30年；但是，60周岁以上的，不超过15年；70周岁以上的，不超过5年。
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（七）丧葬费：按照医疗事故发生地规定的丧葬费补助标准计算。
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（九）交通费：按照患者实际必需的交通费用计算，凭据支付。
（十）住宿费：按照医疗事故发生地国家机关一般工作人员的出差住宿补助标准计算，凭据支付。
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参加医疗事故处理的患者近亲属所需交通费、误工费、住宿费，参照有关规定计算，计算费用的人数不超过2人。
　　 医疗事故造成患者死亡的，参加丧葬活动的患者的配偶和直系亲属所需交通费、误工费、住宿费，参照有关规定计算，计算费用的人数不超过2人。满意答案咨询电话： (云南-迪庆)帮助网友：26称赞：0医疗事故的责任分类
1) 完全责任，指医疗事故损害后果完全由医疗过失行为造成;
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4) 轻微责任，指医疗事故损害后果绝大部分由其他因素造成，医疗过失行为起轻微作用。满意答案咨询电话： (河南-郑州)帮助网友：18999称赞：39本律师有十年办医疗纠纷的经验，医疗纠纷比较复杂，适用的法律关系也有选择，为了更好的维护当事人的合法权益，建议直接委托律师处理，需要法律服务时请联系本人
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