The purpose of this study was to compare and discuss the modified policy for nursing staff in the public sector in Macao Chinese society. This study compared the past and present modifications in the bill of the Rank and Grade System in the public sector. The greatest concerns of the nursing staff included the old bill of rights, the grading system for the nursing staff, which needed to be modified, and improvements, especially with regard to salary, employee benefits and rank for promotion. The essential elements of the updated policy regarding salary (increasing from 22 to 43%), employment benefits (increasing more than 100% based on tenure), on-shift allowance (flexible) and rank for promotion (number of ranks added) were adjusted. These improvements are not only beneficial on a personal and professional level but are also beneficial at the healthcare institution level, society level and academic nursing school level. Multiple levels of benefit detailed in the present study may provide a good impetus to end the nursing manpower shortage in the near future.
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