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題名:長期照顧機構組織安全氣候、員工能量管理、自我效能以及病人安全行為關係之研究
作者:杜佳靜
作者(外文):Tu, Chia-Ching
校院名稱:國立彰化師範大學
系所名稱:工業教育與技術學系
指導教授:張菽萱
學位類別:博士
出版日期:2013
主題關鍵詞:社會認知理論長期照顧組織安全氣候能量管理自我效能病人安全行為Social Cognitive TheoryLong-Term CareOrganizational Safety ClimateEnergy ManagementSelf-EfficacyPatient Safety Behavior
原始連結:連回原系統網址new window
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臺灣地區人口已趨老齡化,同時,身心障礙人口也每年增長。為了對生活功能缺損或有障礙者,長期性地提供生活照顧、醫療以及社會性等支持性服務,國內對長期照護機構的需求已日益迫切。相對的,也需要更多專業的人員投入長期照護。本研究經由理論文獻的回顧,整理社會認知理論中,「環境、個人與行為」三者間的相互影響模式及關係後,以台灣地區長期照顧機構的照顧員、護理人員及其主管為研究對象,探討長期照顧機構組織安全氣候(環境因子)、員工能量管理、自我效能(個人因子)與病人安全行為(行為因子)的概況,以及各變項構面之間的關係,接著進行模式驗證。
本研究對象共33個長照機構,寄發450份問卷,回收390份,有效問卷363份。經SEM資料分析結果,發現組織安全氣候與病人安全行為具有直接顯著關係,而且組織安全氣候可藉由能量管理或自我效能的中介影響病人安全行為,間接效果顯著,二者皆具有部份中介效果。研究結果發現本研究建構長期照顧機構之環境、個人及行為路徑模式可提供實務應用及相關研究參考。
Taiwan’s population structure had become an aging society after 1993. In 2012 the population above the age of 65 accounted for 10.89% of the total population. At the same time, the handicapped population grows annually. To medical and social support services, the domestic demand for long-term care facilities has become increasingly urgent. More professional staffs are needed in long-term care.
Through a literature review of social cognitive theory, the study consolidate the interaction and relationship among the environment-person-behavior model. The study applies social cognitive theory as a basis to explore the relationship among organizational safety climate (environmental factor), energy management, self-efficacy (personal factors) and patient safety behavior (behavioral factor) in the long-term care institutions.
There were 363 valid responses with an 80.67% acceptable samples received from survey of the target workers of institutes for long-term care in Taiwan. The hypotheses were tested using descriptive statistics, t-test, one-way ANOVA, persons correlation analysis, and analysis of structural equation model.
We found that an organizational safety climate of long-term care institutions is directly and positively related to patient safety behavior, and the energy management and self-efficacy may affect patient safety behavior in a positive way among staffs. Based on a complete structural model analysis, energy management and self-efficacy, rather than an organizational safety climate, is more influential to patient safety behavior (partial mediating effect). In other words, energy management and self-efficacy play the roles of mediating variables.
In this research, the path model of environment, person and behavior in long-term care institutions can provide reference for practical applications and future research. In addition, this study intends to offer suggestions respectively on the aspects of practical application and future research.
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