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題名：病人安全與護理人力配置
書刊名：護理雜誌
作者：李卓倫 引用關係／紀駿輝／徐明儀 引用關係
作者(外文)：Lee, Jwo-leun／Chi, Chun-huei／Hsu, Ming-yi
出版日期：2013
卷期：60:2
頁次：頁19-23
主題關鍵詞：病人安全；死亡率；護理人力；倫理典範；社群主義；Patient safety；Mortality；Nurse staffing；Ethical paradigm；Communitarianism
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(2) 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:2
  • 共同引用共同引用:0
  • 點閱點閱:23
本文的架構主要來自三個概念。第一，透過與病人健康安全相關的經典文獻與科學證據的詮釋，探討相似的證據在許多國家不易重複出現的可能原因。第二，討論在未有完整的資料庫和科學證據狀況，護理專業的價值仍可藉由社群主義思考策略，提升其專業地位與改善病人照顧品質。第三，進一步探討社群主義，對於台灣未來醫療資源分配原則及護理專業價值的關係。本文將藉由這三個概念的推論，提出確保病人安全最有可能的政策之概念性建議。
This article aims to explore three main concepts related to the professional development of nursing professionals. This paper first critically reviews and reinterprets scientific evidence on the relationship between nurse staff allocation and healthcare outcomes and then challenges some of the common interpretations of this evidence in the professional literature. Secondly, in the absence of solid empirical evidence provided by sophisticated datasets in this field, we consider how Communitarianism may provide a well-defined, highly appropriate ethical framework for further developing and improving the nursing profession and healthcare outcomes. Thirdly, this article examines the role of Communitarian ethics in setting Taiwan's healthcare priorities and promotion nursing's core professional values. In conclusion, we recommend several conceptual health policy frameworks to ensure patient safety.
期刊論文
1.Gilson, L.(2003)。Trust and the development of health care as a social institution。Social Science & Medicine，56(7)，1435-1468。  new window
2.Lankshear, A. J.、Sheldon, T. A.、Maynard, A.(2005)。Nurse staffing and healthcare outcomes: A systematic review of the international research evidence。Advances in Nursing Science，28(2)，163-174。  new window
3.Rafferty, A. M.、Clarke, S. P.、Coles, J.、Ball, J.、James, P.、McKee, M.、Aiken, L. H.(2007)。Outcomes of varia-tion in hospital nurse staffing in English hospitals: Cross-sectional analysis of survey data and discharge records。International Journal of Nursing Studies，44(2)，175-182。  new window
4.Strömberg, A.、Mårtensson, J.、Fridlund, B.、Levin, L. Å.、Karls-son, J. E.、Dahlström, U.(2003)。Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: Results from a prospective, randomized trial。European Heart Journal，24(11)，1014-1023。  new window
5.Needleman, J.、Buerhaus, P.、Mattke, S.、Stewart, M.、Zelevinsky, K.(2002)。Nurse-staffing levels and the quality of care in hospitals。The New England Journal of Medicine，346(22)，1715-1722。  new window
6.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
圖書
1.Almond, B.(1991)。Rights。A companion to ethics。Oxford, UK：Blackwell。  new window
2.Etzioni, A.(1995)。Old chestnuts and new spurts。New communitarian thinking- Persons, virtues, institutions, and communities。Charlottesvile, VA：The University of Virginia Press。  new window
3.Institute of Medicine(2004)。Keeping patients safe: Transform-ing the work environment of nurses。Washington, DC：National Academies Press。  new window
4.Margolis, H.(1982)。Selfishness, Altruism, and Rationality: A Theory of Social Choice。Cambridge, UK：Cambridge University Press。  new window
5.Mooney, G.(2009)。Challenging health economics。Oxford, UK：Oxford University Press。  new window
6.Mooney, G.、Russell, E.(2003)。Equity in health care: The need for a new paradigm?。Advances in health economics。Chichester, UK：Wiley。  new window
7.Maddala, G. S.、Lahiri, K.(2009)。Introduction to Econometrics。Chichester：John Wiley & Sons。  new window
8.黃煌雄、劉興善、沈美真(2011)。我國全民健康保險總體檢調查報告。中華民國醫師公會全國聯合會。  延伸查詢new window
9.Sen, Amartya K.(1992)。Inequality reexamined。Clarendon Press。  new window
10.Institute of Medicine (US) Committee on Quality of Health Care in America、Kohn, Linda T.、Corrigan, Janet M.、Donaldson, Molla S.(1999)。To err is human: building a safer health system。Washington D.C.：National Academy Press。  new window
11.Institute of Medicine(2001)。Crossing the quality chasm: A new health system for the 21st century。Washington, DC：National Academy Press。  new window
 
 
 
 
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