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題名:國內外護理組織架構與照護服務系統再造策略之比較
書刊名:護理雜誌
作者:孔有芸傅玲尹祚芊 引用關係
作者(外文):Kung, Yu-yunShaw Fu, LingYin, Teresa J. C.
出版日期:2003
卷期:50:2
頁次:頁24-29
主題關鍵詞:組織架構照護服務系統再造策略Organizational structureCare delivery systemRestructuring strategies
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:42
     近年來醫療環境快速變遷,為了能更有效率與效益的執行病患照護,護理組織再造的需求性也就日益增強。組織再造的終極目標是降低成本,提高員工生產力,增進組織的效率、效益與效能,同時提昇病患滿意度與照護品質。國外的護理組織架構與照護服務系統多隨著醫院改造全盤改變,國內則是多在既有的體制中求變。本文以管理層級、照護服務模式、環境與設備、照護者組合、交叉訓練以及資訊之應用等六大層面,比較國內外護理組織架構與照護服務系統之再造,以為護理管理實務之參考。
     Health care environments have changed rapidly in modern times. Change provides an opportunity for nursing organizations to restructure in order to meet the need of delivering nursing care efficiently and effectively. The goals of hospital restructuring are reducing cost, enhancing productivity, elevating organizational efficiency, patient satisfaction and health care quality. In the US, most nursing organizations and care delivery systems are redesigned with hospital restructuring. In Taiwan, changes are made within the traditional organizational structure. In this context, six dimensions including management structure, care delivery model, hospital structures and facilities, health care team, cross training, and information system were used to compare and contrast nursing restructuring strategies between the two countries.
期刊論文
1.Hines, P. A. P.、Smeltzer, C. H.、Galleth, M.(1994)。Work restructuring: The process of redefining roles of patient caregivers。Economics Nursing,12(6),346-350。  new window
2.Urden, L. D.、Walston, S. L.(2001)。Outcomes of hospital restructuring and reengineering; How is success or failure being measured?。Journal of Nursing Administration,31(4),203-209。  new window
3.傅玲(20020600)。美國「整合式健康照護系統」現況介紹。護理雜誌,49(3),68-72。new window  延伸查詢new window
4.Aiken, L. H.、Havens, D. S.、Sloane, D. M.(2000)。The magnet nursing services recognition program: A comparison of two group of magnet hospitals。American Journal of Nursing,100(3),26-35。  new window
5.Barry-Walker, J.(2000)。The impact of systems redesign on staff,patient, and financial outcomes。Journal of Nursing Administration,30(2),77-89。  new window
6.Blegen, M. A.、Goods, C. J.、Reed, L.(1998)。Nursing staffing and patient outcomes。Nursing Research,47(1),43-50。  new window
7.Giuliano, K. K.、Poirier, C. E.(1991)。Nursing case management: Critical pathways to desired outcomes。Nursing Management,22(3),52-53。  new window
8.Curtin, L. L.(1994)。Restructuring: What works and what does not。Nursing Management,25(10),7-8。  new window
9.Burke, R. J.(2002)。The ripple effect。Nursing Management,33(2),41-42。  new window
10.Bryan, Y. E.、Hitchings, K. S.、Fuss, M. N.、Fox, M. A.、Kinneman, M. T.、Young, M. J.(1998)。Measuring and evaluating hospital restructuring efforts. Eighteen-month follow-up and extension to critical care。Journal of Nursing Administration,28(9),21-27。  new window
11.Needlemann, J.、Buerhaus, P.、Mattke, S.、Stewart, M.、Zelevinsky, K.(2002)。Nurse-staffmg levels and the quality of care in hospitals。The New England Journal of Medicine,346(22),1715-1722。  new window
12.Murry, M. K.(1999)。Is healthcare reengineering resulting in union organizing of register nurses?。Journal of Nursing Administration,29(10),4-7。  new window
13.Havens, D. S.、Aiken, L. H.(1999)。Shaping systems to promote desired outcomes。Journal of Nursing Administration,29(2),14-20。  new window
14.Shogren, E.、Calkins, A.、Wilburn, S.(1996)。Restructuring may be hazardous to your health。American Journal of Nursing,96(11),64-66。  new window
15.Sinclair, V. G.(1991)。The impact of information systems on nursing performance and productivity。Journal of Nursing Administration,21(2),46-50。  new window
16.Ritter-Teitel, J.(2002)。The impact of restructuring on professional nursing practice。The Journal of Nursing Administration,32(1),31-41。  new window
17.Aiken, Linda H.、Clarke, Sean P.、Sloane, Douglas M.、Sochalski, Julie、Silber, Jeffrey H.(2002)。Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction。Journal of the American Medical Association,288(16),1987-1993。  new window
18.Edwards, G. B.、Farrough, M.、Gardner, M.、Harrison, D.、Sherman, M.、Simpson, S.(1994)。Unit-based shared governance can work。Nursing Management,25(4),74-77。  new window
19.Jones, C. B.、Stasiowski, S.、Simons, B. J.、Boyd, N. J.、Lucas, M. D.(1993)。Shared governance and the nursing practice environment。Nursing Economic,11(4),208-214。  new window
20.Westrope, R. A.、Vanghn, L.、Bott, M.、Tauhton, R. L.(1995)。Shared governance - from vision to reality。Journal of Nursing Administration,25(12),45-54。  new window
21.Sovie, M. D.、Jawad, A. F.(2001)。Hospital restructuring and its impact on outcomes: Nursing staff regulations are premature。The Journal of Nursing Administration,31(12),588-600。  new window
會議論文
1.游麗惠(200105)。和信治癌中心醫院護理人力資源運用現況與評値。護理人力資源應用研討會,台北榮民總醫院護理部 。台北:榮民總醫院。  延伸查詢new window
2.黃璉華(200105)。台大醫院護理人力資源運用現況與評値。護理人力資源應用研討會,台北榮民總醫院護理部 。台北:榮民總醫院。  延伸查詢new window
3.孔有芸(200105)。護理人力結構--美國醫院參觀心得經驗分享。護理人力資源應用研討會,台北榮民總醫院護理部 。台北:榮民總醫院。  延伸查詢new window
4.尹祚芊(200105)。從護理方法的歷史回顧論服務品質。護理人力資源應用研討會,台北榮民總醫院護理部 。台北:榮民總醫院。  延伸查詢new window
圖書論文
1.Brooks, C. A.(1995)。Understanding and designing organizational structures。Leading and management in nursing。St. Louis, MO:Mosby。  new window
 
 
 
 
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