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題名：The Development of Nursing Workforce Allocation Standards for Acute Care General Wards in Taiwan
書刊名：The Journal of Nursing Research
作者：林秋芬 引用關係／黃秀英／盧美秀
作者(外文)：Lin, Chiou-fen／Huang, Hsiu-ying／Lu, Meei-shiow
出版日期：2013
卷期：21:4
頁次：頁298-306
主題關鍵詞：各層級醫院；急性一般病房；護理人力配置；護病比；Hospital tiers；Acute care general wards；Nursing workforce allocation；Nurse-to-patient ratios
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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背景:合理的護理人力配置能增進病人安全，減少異常事件發生。目的:本研究旨在瞭解和比較目前各層級醫院急性一般病房之護理人力配置，進而研擬各層級醫院急性一般病房合理護理人力配置標準和三班護病比。方法:本研究採用多元研究法，包括：文獻探究法、問卷調查法、專家焦點團體座談法，最後再以公聽會和問卷調查等方式達成共識。結果:各層級醫院因病人疾病嚴重度不同，所以護理人力配置有差異，計算合理護理人力配置標準建議採用人床比和護理時數。建議現階段人床比／護理時數分別為：醫學中心0.53：1/2.8小時、區域醫院為0.49：1/2.6小時、地區醫院為0.40：1/2.1小時；3年後人床比／護理時數分別為：醫學中心0.57：1/3.0小時、區域醫院0.53：1/2.8小時、地區醫院0.44：1/2.3小時；5年後人床比／護理時數分別為：醫學中心0.61：1/3.2小時、區域醫院0.57：1/3.0小時、地區醫院0.48：1/2.5小時。結論:本研究結果能提供各層級醫院、醫策會醫院評鑑標準訂定和行政院衛生福利部推估護理人力需求之參考。
Background: Adequate nursing workforce is critical to ensure patient safety and reduce the incidence of adverse events.Purpose: This study explores and compares the nursing workforce allocation situation in the acute care general wards of Taiwan's three hospital tiers and, based on findings, develops standards for adequate nursing workforce allocation and nurse-to-patient ratios in acute care general wards at each tier.Methods: This study uses multiple research methods, including literature review, questionnaire survey, and expert focus group discussion. Final consensus is achieved using a public hearing and questionnaire survey.Results: The severity of patient conditions differs among hospital tiers. Therefore, each tier requires a nursing workforce allocation standard appropriate to its situation. Study findings indicate that nurse-to-bed ratios and nursing hours are valid indicators of nursing workforce allocation needs. The results of expert discussions and public hearings recommend 0.53 nurses per bed and 2.8 nursing hours for academic medical centers, 0.49 nurses per bed and 2.6 nursing hours for metropolitan hospitals, and 0.40 nurses per bed and 2.1 nursing hours for local community hospitals for the current stage of healthcare development; 0.57 nurses per bed and 3.0 nursing hours for academic medical centers, 0.53 nurses per bed and 2.8 nursing hours for metropolitan hospitals, and 0.44 nurses per bed and 2.3 nursing hours for local community hospitals in 3 years; and 0.61 nurses per bed and 3.2 nursing hours for academic medical centers, 0.57 nurses per bed and 3.0 nursing hours for metropolitan hospitals, and 0.48 nurses per bed and 2.5 nursing hours for local community hospitals in 5 years.Conclusions: Study results may provide a basis for better allocating nursing workforce in hospitals, setting formal standards for minimum nurse-to-patient ratios, and assessing nursing workforce needs at the national level.
期刊論文
1.Carayon, P.、Gurses, P.(2005)。A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units。Intensive and Critical Care Nursing，21(5)，284-301。  new window
2.Chang, H. L.、Lu, M. S.、Lin, C. F.(2010)。Factors related to new nursing staff turnover rates。The Journal of Health Sciences，12(3)，161-172。  new window
3.Dembe, A. E.、Delbos, R.、Erickson, J. B.(2009)。Estimates of injury risks for healthcare personnel working night shifts and long hours。Quality and Safety in Health Care，18(5)，336-340。  new window
4.Goo, Y. S.,、Lin Wang, M. Y.,、Lu, Y. J.(2007)。Access to reports of the Japanese Nursing Association. The National Union of Nurses。Associations Magazine，59，14-17。  new window
5.Hou, K. J.(2010)。Unfair compensation for nurses-Who is caring for patient safety? The National Union of Nurses。Associations Magazine，77(2)。  new window
6.Hugonnet, S.、Chevrolet, J. C.、Pittet, D.(2007)。The effect of workload on infection risk in critically ill patients。Critical Care Medicine，35(1)，76-81。  new window
7.Jones, G.,、Kettles, A.,、Spurrier, A.(2009)。A staffing ratio customized to meet patient needs can be a flexible friend。Nursing Standard，23(48)，32。  new window
8.Lin, C. F.,、Lu, M. S.,、Kao, C. C.,、Shiu, I. E.,、Lee, F. F.(2006)。To understand patient care content for nursing aids in hospital。Leadership Nursing，7(1)，12-21。  new window
9.Su, S. F.,、Liu, P. E.,、Su, H. Y.(2010)。The relationships among the nurse staffing, negative patient outcomes and mortality。Cheng Ching Medical Journal，6(2)，36-43。  new window
10.Rafferty, A. M.、Clarke, S. P.、Coles, J.、Ball, J.、James, P.、McKee, M.、Aiken, L. H.(2006)。Outcomes of variation 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
11.Stone, P. W.、Mooney-Kane, C.、Larson, E. L.、Horan, T.、Glance, L. G.、Zwanziger, J.、Dick, A. W.(2007)。Nurse working conditions and patient safety outcomes。Medicine Care，45(6)，571-578。  new window
12.Dunton, N.、Gajewski, B.,、Taunton, R. L.、Moore, J.(2004)。Nurse staffing and patient falls on acute care hospital units。Nursing Outlook，52(1)，53-58。  new window
13.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
14.Liang, Y. W.、Huang, L. C.、Yin, Y. C.、Chen, W. Y.、Chuang, C. L.、Lee, J. L.(2010)。Effect of nurse staffing on patient outcomes: A review of the literature。The Journal of Nursing，57(5)，77-82。  new window
圖書
1.Ministry of Health and Welfare, Executive Yuan, Taiwan, ROC.(2012)。Nursing care reform: Short-term plan。Taipei City, Taiwan, ROC。  new window
2.Taiwan Joint Commission on Hospital Accreditation.(2010)。Commission on Hospital Accreditation. Hospital Accreditation and Teaching Hospital Standards。Taiwan, ROC：Department of Health, Executive Yuan。  new window
3.Victorian Public Health Sector.(2007)。Multiple Business Agreement 2007-2011。Victoria, Australia：Victorian Public Health Sector.。  new window
4.Lu, M. S.(2008)。Nursing staffing and patient classification systems。Nursing administration and management。Taipei City, Taiwan, ROC：Wunan Book。  new window
其他
1.California Nurses Association.(2007)。RN to patient ratios-Helping to solve nursing shortage，http://www.calnurses.org。  new window
2.International Council of Nurses.(2007)。ICN nursing workforce profile，http://www.icn.ch/sew_nwp07.htm。  new window
3.Laws & Regulations Database of the Republic of China(2013)。List of establishment standards for general hospitals and hospitals，http://law.moj.gov.tw/LawClass/LawContent.aspx?PCODE=L0020025。  new window
4.Zhang Yeh, M.,，Yu Chao, Y. M.(2010)。Nurse workforce & nurse system: Vision and challenges，Taiwan, ROC：National Health Research Institutes。，http://www.lrh.com.au/home/DocumentManager/humanresources/awardsagreements/1818465303。  new window
 
 
 
 
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