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題名:護理人員對混合照護模式評價之初探
書刊名:榮總護理
作者:伍麗珠王瑞霞 引用關係
作者(外文):Wu, Li-chuWang, Ruey-hsia
出版日期:2017
卷期:34:1
頁次:頁57-68
主題關鍵詞:混合照護模式團體照服員Health care assistantSkill mix model
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)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:17
  • 點閱點閱:5
本研究探討護理人員對實施混合照護模式,加入團體照服員協助非專業性照護工作的看法。以南部某醫學中心內、外科病房及急診之護理人員為研究對象,資料取自護理部資料庫。研究結果:一、在41 項照服員執行之工作項目,約有52% 的護理人員認為「最常委派之工作」、同時亦為「能分擔護理人員工作負荷」之工作項目共7 項;二、護理人員對照服員制度之評量:對照服員協助臨床照護之感受及與照服員工作關係之感受兩大面向,有85% 以上呈現正向評價;在滿意度上對於照服員之專業素質及工作表現,分別有81% 及84% 護理人員表示滿意;三、分析護理人員基本資料對評量結果之影響,僅在「科別」有顯著差異,顯示內科較急診及外科護理人員對照服員有較正向的評價。結論:本研究結果顯示護理人員對現階段混合照護模式大多抱持正向評價,肯定照服員可分擔常規性、勞力性非專業之照護工作,這樣的照護模式有助於增進護理人員從事較高層次之專業照護活動。建議照服員必須接受臨床照護常用技術的訓練與稽核,以增進其專業素質,提昇護理照護品質。
Introduction: This purpose of study was to explore the views of nurses regarding the implementation of a skill mix model and the involvement of group caregivers in assisting nonprofessional care. A total of 296 nurses were recruited from the medical and surgical wards and emergency room of a medical center in southern Taiwan. Results: First, among the 41 items, approximately 52% of nurses considered "the most frequently assigned work" and "sharing nurses workloads" had 7 items. Second, nurses' evaluations of the skill mix model were positive and they expressed satisfaction with the performance of health care assistants. No differences were observed in the nurses' age, working year, education, level of seniority, or other parameters except for "section" which differed significantly. We compared the different sections and found that medical wards attained higher satisfaction than did surgical wards and the emergency unit. Conclusion: The results showed that most nurses reported positive evaluations of the skill mix model. The health care assistants were able to perform routine labor-related nonprofessional care, and this care model assisted the nurses by giving them more time for professional care. Furthermore, the health care assistants should receive additional training and auditing of clinical care techniques to enhance their patient care quality.
期刊論文
1.吳淑君、黃明宣、宋素真(20080300)。南部某醫學中心護理人員延遲下班之分析。榮總護理,25(1),31-37。new window  延伸查詢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.Rheaume, A.(2003)。The changing division of labour between nurses and nursing assistants in New Brunswick。Journal of Advanced Nursing,41(5),435-443。  new window
4.孫培蕾、顏芳慧(20100300)。運用技術混合照護模式於臨床照護之成效。榮總護理,27(1),1-9。new window  延伸查詢new window
5.馮容莊、桑潁潁、張維琴、陳美妙、周淑娥、尹祚芊(20080900)。某醫學中心推動技術混合照護模式與成效評值。榮總護理,25(3),249-258。new window  延伸查詢new window
6.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
7.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
8.Huang, L. C.、Lee, J. L.、Liang, Y. W.、Hsu, M. Y.、Cheng, J. F.、Mei, T. T.(2011)。The skill mix model: A preliminary study of changing nurse role functions in Taiwan。The Journal of Nursing Research,19(3),220-229。  new window
9.Habgood, C. M.(2000)。Ensuring proper delegation to unlicensed assistive personnel。AORN Journal,71(5),1058-1060。  new window
10.陳小蓮、張秉宜(2008)。台北市護理師護士公會護理人員離職原因研究。北市護訊,142,3-7。  延伸查詢new window
11.Spilsbury, K.、Meyer, J.(2001)。Defining and 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
12.林秋芬、盧美秀、高靖秋、許月娥、李芳芬(20060600)。急性醫療機構照顧服務員工作內容之探討。領導護理,7(1),12-21。  延伸查詢new window
13.Buchan, J.、Dal Poz, M. R.(2002)。Skill Mix in the health care workforce: Reviewing the evidence。Bulletin of the World Health Organization,80(7),575-580。  new window
14.Chow, J.、San Miguel, S.(2010)。Evaluation of the implementation of assistant in nursing workforce in hemodialysis units。International Journal of Nursing Practice,16(5),484-491。  new window
15.Crossan, F.、Ferguson, D.(2005)。Exploring nursing skill mix: A review。Journal of Nursing Management,13(4),356-362。  new window
16.Jacob, Elisabeth R.、McKenna, Lisa、D'Amore, Angelo(2015)。The changing skill mix in nursing: Considerations for and against different levels of nurse。Journal of Nursing Management,23(4),421-426。  new window
17.Jenkins, B.、Joyner, J.(2013)。Perceived Effectiveness of unlicensed assistive personnel。Journal of Nursing regulation,4(3),33-40。  new window
18.Jack, B.、Brown, J.、Chapman, T.(2004)。Ward managers' perceptions of the role of healthcare assistants。British Journal of Nursing,13(5),270-275。  new window
19.Naruse, T.、Taguchi, A.、Kuwahara, Y.、Nagata, S.、Murashima, S.(2013)。Effects of nonnursing assistance on home visit nurses' time spent in Japan: One group repeated pretest-posttest trial。Home Health Care Management & Practice,25(1),18-22。  new window
20.Myra, K.(2004)。AMWAC and AHWAC。Health Workforce Intelligence,4(2),1-4。  new window
21.Van den Heede, K.、Lesaffre, E.、Diya, L.、Vleugels, A.、Clarke, S. P.、Aiken, L. H.、Sermeus, W.(2009)。The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: Analysis of administrative data。International Journal of Nursing Studies,46(6),796-803。  new window
22.Sanford, K. D.(2010)。Nurse staffing. Finding the right number and mix。Healthcare Financial Management: Journal of the Healthcare Financial Management Association,64(9),38-39。  new window
23.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
24.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
25.Barter, M.、McLaughlin, F. E.、Thomas, S. A.(1997)。Registered nurse role changes and satisfaction with unlicensed assistive personnel。Journal of Nursing Administration,27(1),29-38。  new window
26.Potter, P.、Grant, E.(2004)。Understanding RN and unlicensed assistive personnel working relationships in designing care delivery strategies。Journal of Nursing Administration,34(1),19-25。  new window
學位論文
1.邱妙霜(2006)。複合式護理照護模式之成效評價--以南部某醫學中心為實證(碩士論文)。國立成功大學,台南。  延伸查詢new window
其他
1.行政院衛生署(2017)。護理政策白皮書,http://www.mohw.gov.tw/MOHW_Upload/doc/%E8%AD%B7%E7%90%86%E6%94%BF%E7%AD%96%E7%99%BD%E7%9A%AE%E6%9B%B8_0028235001.pdf。  new window
圖書論文
1.Hailey, D.、Harstall, C.(2002)。Nursing skill mix and health care outcomes。Alberta Heritage Foundation for Medical Research。Edmonton, Alberta:AARN。  new window
 
 
 
 
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