目的:探討護理之家老年住民、家屬與護理人員三者所認為的護理之家照護品質指標。方法:利用質性研究的方法,分別對居住在護理之家中的老年住民,有親人居住在護理之家中的家屬,以及在護理之家中工作的護理人員,進行深度的訪談與參與式觀察。結果:可將護理之家照護品質指標分為七大類:環境、護理專業能力、品質管理、基本人權、提供照顧者的態度、社會互動,以及需求滿足;並且也發現三者間的差異。特別是在護理專業能力、基本人員與需求滿足的部分,有顯著不同的描述。結論:期望本研究的結果,有助於長期照護的從事人員,了解護理之家照護品質的相關指標;更期望相關的從業人員,可以藉由了解三者間的差異,進一 步促進與協調彼此間對護理之家照護品質的共識。
Objectives:To explore and the compare the indicators of quality of care in nursing homes from the perspectives of different groups including residents, their family and nurses. Methods: A qualitative research method and in-depth interviews of participants were used to collect data. The partcipants were 10 residents, 11 families and 10 nurses in three nursing homes. Results: Seven important indicators of quality of nursing homes were identified. They included environment, nursing professional competence, quality assurance, basic human rights, direct care attitude, social satisfaction had been the subjects of much controversy between the study groups. Conclusions:This study may help the long-term care professionals to realize the needs of residents, and their families. The results can also provide common indicators of nursing homes quality to the residents, families and nurses.
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