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題名：Evaluation of Nursing Manpower Allocation in a Nursing Home
書刊名：The Journal of Nursing Research
作者：陳春希 引用關係／蔡文正／張緯杰
作者(外文)：Chen, Chun-hsi／Tsai, Wen-chen／Chang, Wei-chieh
出版日期：2007
卷期：15:1
頁次：頁33-42
主題關鍵詞：護理之家；人力配置；護理時間；高齡者照護計畫視覺量表；Nursing home；Manpower allocation；Nursing time；Typology of the aged with illustration；TAI
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:12
  • 點閱點閱:43
本研究以某公立醫院附設護理之家主要照護人員（護士、照顧服務員）及住民為主要研究對象，採用連續觀測法進行護理時間的資料蒐集，探討各等級健康功能住民實際所接受照護工時之差異。依據日本學者高橋泰所編製之TAI高齡者照護計畫視覺量表評估護理之家住民功能等級，以計算符合住民照護所需之實際護理人力。研究結果發現護理之家個案現有照護人力數尚稱充足，且部份單位人力配置有餘裕。建議未來若能建構專屬於長期照護機構住民的分類分級系統，將有助於協助機構內部人力調派與資源的合理利用，並可提升重症病人長期照護的可近性，與改善照護機構之服務品質。
The subjects of this study encompassed the nursing staffs (nurses and nursing aids) and residents of a public hospital-based nursing home. By intensive sampling, this study explored the differences in actual times that nurses spent caring for residents. We assessed the functional status of nursing home residents of various illness severities as well as measured the actual nursing manpower needed to meet the residents' care needs using Typology of the Aged with Illustration (TAI). Results showed that current nursing manpower levels in nursing homes was adequate, although some units had excessive manpower allocation. As a result, this study suggests the establishment of a resident classification system for use in long-term care (LTC) facilities to assist with manpower allocation and reasonable utilization of resources within the facility. Adequate nurse staffing will enhance the quality and accessibility of care for the residents with severe illnesses in LTC facilities.
期刊論文
1.賴惠玲(19940900)。美國護理之家現況及相關議題。護理雜誌，41(3)，73-78。new window  延伸查詢new window
2.Kane, R. L.(1995)。Improving the quality of long term care。The Journal of American Medical Association，273(17)，1376-1380。  new window
3.徐慧娟(19990200)。長期照護結果品質評值--以護理之家院民評估量表（MDS）為例。護理雜誌，46(1)，57-64。new window  延伸查詢new window
4.徐南麗、馮容莊、羅秀媛、王培文(1996)。因素型病人分類系統之應用。榮總護理，13(4)，446-455。new window  延伸查詢new window
5.蘇喜(1988)。從護理觀點建立病人分類系統：文獻探討。中華民國公共衛生學會雜誌，8(4)，220-229。  延伸查詢new window
6.林淑蔓、尹祚芊、李怡娟(2002)。安養護機構看護工之工作壓力源及其相關因素探討。護理研究（英文版），10(3)，177-186。  延伸查詢new window
7.Hussein, S.、Manthorpe, J.(2005)。An International Review of the Long-term Care Workforce: Policies and Shortages。Journal of Aging & Social Policy，17(4)，75-94。  new window
8.Buhr, G. T.、White, H. K.(2006)。Difficult Behaviors in Long-term Care Patients with Dementia。Journal of the American Medical Directors Association，7(3)，180-192。  new window
9.Rantz, M. J.、Mehr, D. R.、Petroski, G. F.、Madsen, R. W.、Popejoy, L. L.、Hicks, L. L.(2000)。Initial Fieldtesting an Instrument to Measure: Observable Indicator nursing Home Care Quality。Journal of Nursing Care Quality，14(3)，1-12。  new window
10.Shih, Y. C.、Hartzema, A. G.、Tolleson-Rinehart, S.(2003)。Labor Costs Associated with Incontinence in Long-term Care Facilities。Urology，62(3)，442-446。  new window
11.George, L. K.(1994)。Multidimensional Assessment Instruments: Present Status and Future Prospects。Annual Review of Gerontology and Geriatrics，14，353-375。  new window
12.Mueller, C.(2002)。Nurse Staffing in Long-term Care Facilities。Journal of Nursing Administration，32(12)，640-647。  new window
13.Teresi, J. A.、Holmes, D.(1992)。Should MDS Data be Used for Research?。The Gerontologist，32(2)，148-151。  new window
14.Cohen, M. A.、Tell, E. J.、Wallack, S. S.(1986)。The Lifetime Risk and Cost of Nursing Home Use among the Elderly。Medical Care，124，1161-1172。  new window
15.Spector, W.、Mukamel, D. B.(1998)。Using Outcomes to Make Inferences about Nursing Home Quality。Evaluation & the Health Professions，21(3)，291-315。  new window
16.Rosenfeld, P.、Kobayashi, M.、Barber, P.、Mezey, M.(2004)。Utilization of Nurse Practitioners in Long-term Care: Findings and Implications of a National Survey。Journal of the American Medical Directors Association，5(1)，9-15。  new window
會議論文
1.Takahashi, T.(2001)。Case Management Models under the Implementation of Kaigo Hoke in Japan。0。  new window
學位論文
1.劉奇達(1999)。護理之家護理活動時間分配與護理人力配置分析--以省立雲林醫院附設護理之家為例(碩士論文)。國立雲林科技大學。  延伸查詢new window
2.劉文斌(2001)。以作業基礎成本制之理念建立護理之家成本制度－以某醫院附設護理之家為例，0。  延伸查詢new window
圖書
1.Lake, W. H.(1982)。Nurse Staffing Based on Patient Classification。Nurse Staffing Based on Patient Classification。Rockville, MD。  new window
2.Department of Health, Executive Yuan(2000)。Nursing Law。Nursing Law。Taipei。  new window
其他
1.Department of Health，Executive Yuan(2003)。Medical Statistics，0。  new window
 
 
 
 
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