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題名：The Skill Mix Model: A Preliminary Study of Changing Nursing Role Functions in Taiwan
書刊名：The Journal of Nursing Research
作者：黃立琪／李卓倫 引用關係／梁亞文／徐明儀 引用關係／鄭睿芬／梅婷婷
作者(外文)：Huang, Li-chi／Lee, Jwo-leun／Liang, Yia-wun／Hsu, Ming-yi／Cheng, Jui-fen／Mei, Ting-ting
出版日期：2011
卷期：19:3
頁次：頁220-229
主題關鍵詞：護理角色功能；技術混合照護模式；照顧服務員；Nurses' role function；Skill mix model；Nurse aide
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背景 : 護理人員短缺是目前全世界所面臨的嚴重問題，因此運用照顧服務員於護理人力中之技術混合照護模式，已被應用在健康照護體系中。 目的 : 研究目的在調查台灣於技術混合照護模式實施後，護理人員自覺其角色功能之改變情形。 方法 : 研究採橫斷式研究設計，以結構式問卷進行調查。研究對象共38位，為試辦計劃的三間醫院，於實施技術混合照護模式六個月後之內科病房護理師。結構式問卷內容包括：人口學基本資料、護理人員自覺其角色功能、角色與工作滿意度、病人照護品質。護理人員角色功能包含獨立性、依賴性及相互依賴性等角色功能。 結果 : 研究結果顯示，護理人員自覺其獨立性與相互依賴性角色功能，於技術混合照護模式實施後有所改變。角色功能明顯改變的有：擔任照顧服務員教育者、病人照護督導者、及護理照護結果之評值者等獨立性角色功能，及護理工作和健康照護團隊之整合者等相互依賴性角色功能。此外護理人員自覺病人被重覆確認及病人照護品質是增加的。 結論 : 研究顯示，護理人員在技術混合照護模式中，需要更多關於分派、教育照顧服務員，及擔任督導和護理照護整合者之角色功能。此研究結果將可作為台灣醫院之護理照護模式的參考。
Background: Nursing shortage is a critical problem worldwide. Using nurse aides (NAs) within a skill mix model has been applied in the healthcare delivery system as a strategy to improve nursing workforce shortages. Purpose: The purpose of this study was to investigate changes in nurse perceptions of their role functions under the skill mix model in Taiwan. Methods: This was a cross-sectional designed study that employed a structured questionnaire. Participants included 38 registered nurses from three medical wards in three hospitals that had implemented the skill mix model for 6 months. The questionnaire gathered data on participant demographics, perceptions on the role functions, role and job satisfaction of nurses, and patient care quality. Nurses’ role functions were grouped into independent, dependent, and interdependent categories. Results: Results demonstrate that nurses’ perceptions of independent and interdependent role function have changed since the implementation of the skill mix model. The most significant role changes in the independent function category included the nurse as educator of NAs, supervisor for patient care, and evaluator for nursing care outcomes. The most significant role changes in the interdependent function category included the nurse as integrator of nursing work and coordinator of the healthcare team. Nurses’ perceived changes increase in repetitive confirmation of patient conditions and patient care quality. Conclusions: This study revealed that nurses working in skill mix model environments need more authority to delegate and educate NAs and to supervise and integrate nursing care. Study results may serve as a reference for hospital nursing practice in Taiwan.
期刊論文
1.Lang, T. A.、Hodge, M.、Olson, V.、Romano, P. S.、Kravitz, R. L.(2004)。Nurse-patient ratio: A systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes。The Journal of Nursing Administration，34(7/8)，326-337。  new window
2.Keeney, S.、Hasson, F.、McKenna, H.、Gillen, P.(2005)。Nurses', midwives' and patients' perceptions of trained health care assistants。Journal of Advanced Nursing，50(4)，345-355。  new window
3.Neidlinger, S. H.、Bostrom, J.、Stricker, A.、Hild, J.、Zhang, J. Q.(1993)。Incorporating nursing assistive personnel into a nursing professional practice model。The Journal of Nursing Administration，23(3)，29-37。  new window
4.McLaughlin, F. E.、Barter, M.、Thomas, S. A.、Rix, G.、Coulter, M.、Chadderton, H.(2000)。Perceptions of registered nurses working with assistive personnel in the United Kingdom and the United States。International Journal of Nursing Practice，6(1)，46-57。  new window
5.Thornley, C.(2000)。A question of competence? Re-evaluating the roles of the nursing auxiliary and health care assistant in the NHS。Journal of Clinical Nursing，9(3)，451-458。  new window
6.Powers, P. H.、Dickey, C. A.、Ford, A.(1990)。Evaluating an RN/Co-worker model。The Journal of Nursing Administration，20(3)，11-15。  new window
7.Francomb, H.(1997)。Do we need support workers in the maternity services ?。British Journal of Midwifery，5(11)，672-676。  new window
8.Lynn, M. R.(1986)。Determination and quantification of content validity。Nursing Research，35(6)，382-385。  new window
9.Lee, T. Y.、Yeh, M. L.、Chen, H. H.、Lien, G. H.(2005)。The skill mix practice model for nursing: Measuring outcome。Journal of Advanced Nursing，51(4)，406-413。  new window
10.劉永芳、張秉宜(20071200)。由護理人員觀點探討技術混合照護模式對臨床照護之影響。長庚護理，18(4)=60，487-498。new window  延伸查詢new window
11.Ahmed, L. B.、Kitson, A.(1993)。Complementary roles of nurse and healthcare assistant。Journal of Clinical Nursing，2(5)，287-297。  new window
12.Jung, F. D.、Pearcey, L. G.、Phillips, J. L.(1994)。Evaluation of a program to improve nursing assistant use。The Journal of Nursing Administration，24(3)，42-47。  new window
13.Aiken, L. H.、Sochalski, J.、Lake, E. T.(1997)。Studying outcomes of organizational change in health services。Medical Care，35(11)，NS6-NS18。  new window
14.Barter, M.、McLaughlin, F. E.、Thomas, S. A.(1997)。Registered nurse role changes and satisfaction with unlicensed assistive personnel。The Journal of Nursing Administration，27(1)，29-38。  new window
15.Bostrom, J.、Zimmerman, J.(1993)。Restructuring nursing for competitive on nursing care delivery。Nursing Economics，11(1)，35-41 ; 54。  new window
16.Capuano, R.、Kinneman, M. T.(1989)。Nursing technical assistants, one solution to the nursing shortage。Nursing，19，172-175。  new window
17.Chang, A. M.、Lam, L.、Lam, L. W.(1998)。Nursing activities following the introduction of healthcare assistants。Journal of Nursing Management，6，155-163。  new window
18.Chang, M.、Yu, Y. M.、Chen, Y. C.、Tien, S. F.(2005)。A study of nursing manpower planning in Taiwan。Formosan Journal of Medicine，9(2)，149-156。  new window
19.Hugh, P.、McKenna, F. H.、Keeney, S.(2004)。Patient safety and quality of care: The role of the healthcare assistant。Journal of Nursing Management，12(6)，452-459。  new window
20.Irvine, D.、Sidani, S.、Hall, L. M.(1998)。Linking outcomes to nurses’ roles in healthcare。Nursing Economics，16(2)，58-64。  new window
21.Khowaja, K.、Merchant, R. J.、Hirani, D.(2005)。Registered nurses’ perception of work satisfaction at a tertiary care university hospital。Journal of Nursing Management，13(1)，32-39。  new window
22.Lee, S. F.、Wang, W. F.、Chang, Y. Y.、Huang, W. J.、Huang, M. C.(2010)。The working experiences of nurse aides in a medical center that employs a nursing skill mix model。Journal of Nursing and Healthcare Research，6(4)，253-260。  new window
23.Lengacher, C. A.、Kent, K.、Mabe, P. R.、Heinemann, D.、Van-Cott, M. L.、Bowling, C. D.(1994)。Effects of the partners in care practice model on nursing outcomes。Nursing Economics，12(6)，300-308。  new window
24.Li, S. L.(2005)。Hospital care assistant’s medical ethics in Taiwan。Newsletter for Research in Applied Ethics，34。  new window
25.McKenna, H. P.(1995)。Nursing skill mix substitutions and quality of care: An exploration of assumptions from the research literature。Journal of Advanced Nursing，21(3)，452-459。  new window
26.McKenna, H. P.、Hasson, F.(2002)。A study of skill mix issues in midwifery: A multimethod approach。Journal of Advanced Nursing，37(1)，52-61。  new window
27.McLaughlin, F. E.、Thomas, S. A.、Barter, M.(1995)。Changes related to care delivery patterns。The Journal of Nursing Administration，25(5)，35-46。  new window
28.Mei, T. T.、Lee, S. L.、Liang, Y. W.、Huang, L. C.(2010)。The changes of nurses’ perception of nursing activity in the skill mix model。Chang Gung Nursing，21(4)，417-429。  new window
29.Chiu, M. K.、Hsu, Y. L.(2005)。Exploring home care helpers’ training system and working predicaments。Community Development Journal，110，284-300。  new window
30.Cone, M.、McGovern, C. C.、Barnard, K.、Riegel, B.(1995)。Satisfaction with a new model of practice in critical care。Critical Care Nursing Quarterly，18(3)，67-74。  new window
31.Dowie, R.、Langman, M.(1999)。The hospital of the future, staffing of hospitals: Future needs, future provision。British Medical Journal，319，1193-1195。  new window
32.Garretson, S.(2005)。Nurses to patient ratios in American healthcare。Nursing Standard，19(14-16)，33-38。  new window
33.Squires, A.(2004)。A dimensional analysis of role enactment of acute care nurses。Journal of Nursing Scholarship，36(3)，272-278。  new window
34.McGrillis, H. L.、Doran, D.、Pink, G. H.(2004)。Nurse staffing models, nursing hours, and patient safety outcomes。The Journal of Nursing Administration，34(1)，41-45。  new window
35.Gould, R.、Thompson, R.、Rakel, B.、Jensen, J.、Hasselman, E.、Young, L.(1996)。Redesigning the RN and NA roles。Nursing Management，27(2)，37-41。  new window
36.Reeve, J.(1994)。Nurses’ attitudes toward healthcare assistants。Nursing Times，90(26)，43-46。  new window
37.Gillen, P.、Graffin, S.(2010)。Nursing delegation in the United Kingdom。The Online Journal of Issues in Nursing，15(2)。  new window
38.Rolfe, G.、Jackson, N.、Gardner, L.、Jasper, M.、Gale, A.(1999)。Developing the role of the generic healthcare support worker: Phase 1 of an action research study。International Journal of Nursing Studies，36(4)，323-344。  new window
39.Savage, E.(1997)。Support workers in nursing: Implications for qualified nurses。Nursing Review，15(3/4)，85-87。  new window
40.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
41.Spilsbury, K.、Meyer, J.(2001)。Defining the nursing contribution to patient outcome: Lessons from a review of the literature examining nursing outcomes, skill mix and changing roles。Journal of Clinical Nursing，10(1)，3-14。  new window
42.Spilsbury, K.、Meyer, J.(2004)。Use, misuse and non-use of healthcare assistants: Understanding the work of healthcare assistants in a hospital setting。Journal of Nursing Management，12，411-418。  new window
圖書
1.Sheen, Y. T.(2005)。Role and function of nurses。Introduction to nursing。Taipei。  new window
2.Huang, M. C.(2005)。Study report-Skill mixed nursing model improves patient care quality (DOH94-NH-17)。Tainan City。  new window
3.Lu, M. S.(2009)。Holistic care model: Possibility of skill-mixed model。Discussion on professional nursing issues。Taipei。  new window
4.Yin, J. C.(2005)。A pilot study on nursing manpower requirements and allocations in general wards (DOH94-NH-32)。Taipei。  new window
其他
1.International Council of Nurses(2010)。Definition of Nursing，http://www.icn.ch/about-icn/icn-definition-of-nursing/。  new window
2.Health Care Management Office, Department of Health, Taipei City Government, Taiwan, ROC.(2005)。Taipei City Hospital holistic care praised: Assistants and family members very satisfied，http://www.healthcity.net.tw/upload/200552316473612.doc， 20050523。  new window
 
 
 
 
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