本研究是以修訂美國Rush Medicus Tool──Monitoring the quality of nursing Care量表為基礎，邁立本土化的腫瘤護理品質標準，並發展護理品質過程評值量表，進行落床腫瘤病房之護理評值性研究。本文度計畫目的為：(一)了解腫瘤專科病房護理品質數；(二)了解非腫瘤專科（次專科、一般）病房護理品質分數；(三)比較腫瘤專科、次專科、一般病房護理品質分數。 調查對象是以臺北某醫學中心38個內外科病房為樣本，依病房性質分專科、次專科、一般病房三組，每組至少隨機抽70個案進行比較護理品質之得分差異研究，調查機間自83年10月1日起至84年1月31日止，共抽樣210位，先作病人分類後再取問卷（含四大類，十九份問卷）施以評值，問卷之信度採觀察員間信度（Inter－rater Reliability），觀察員的一致性為90％，觀察員內在信度（Intra－rater Reliability）達100％一致性，效度採專家效度法。 研究結果顯示腫瘤住院病人的護理品質分數在問標一「擬定護理計畫」專科、次專科、一般病房各組得分為90.90分、83.90分、87.78分，目標二「確定病人生理需要」專科、次專科、一般病房各組得分為96.76分、96.05分、97.62分，在目標三「確保病人心理社會文化靈性需要」專科、次專科、一般病房各組得分為97.47分、96.05分94.17分，目標四「執行護理目標之評值」專科、次專科、一般病房各組得分為92.69分、90.80分、88.63分。比較專科、次專科、一般病房各組腫瘤住院病人在同一目標的護理品質得分，以變異數分析及Scheffe' test結果顯示：三組病房腫瘤住院病人在同一目標護理品質得分，除目標三外均無顯著差異，同一分類在不同目標上除第四類病人外均有顯著差異。本研究結果可提供護理人員、護理行政者及護理教師做為改善腫瘤科護理服務品質之參考。

　　　　　The purpose of this study was to develop evaluation tools and monitor the quality of nursing care for oncological, para-oncological and medical surgical units. The survey of nursing care quality for oncological patients started on Oct. 1, 1994 and ended on Jan. 31, 1995. All medical and surgical wards from among 38 units were chosen as test units and a total of 210 oncological patients were monitored. Tests for inter-rater and intra-rater reliability were used. There was 90% agreement between 2 raters and 100% agreement in the observer herself for intra-rater reliability. The quality scores for Objective I "formulating nursing care plan" on oncological, para-oncological and medical-surgical units were 90.90, 83.90, 87.78; Objective II "attending patient's physical need" were 96.76, 96.05, 94.62; Objective III "attending patient's psycho-social-spiritual-culture needs" were 97.47, 96.05, 94.62 and Objective IV "the achievement of objectives" were 92.69, 90.80, 88.63. There were no significant difference on the quality of nursing care for the four types of patients on the same Objective scores except Objective III. There were significant differences on the quality of nursing care scores for Objectives 1, 2, 3, except the 4th type. The results helped nurses, nursing administrators, and educators know the strengths and weaknesses of nursing care and helped improve the quality of nursing care.