全人醫療照護自我能力評估分析

背景:藉由跨領域團隊合作提供全人照護，是現在醫療照護的趨勢，因此評估醫事人員全人醫療的核心能力，有助於相關教育課程的安排。方法:本院參與勞動部勞動力發展署人才品質管理系統認證(Talent Quality-management System TTQS)，其認證標準中包括以職能落差分析作為訓練課程設計的參考之一。我們使用本院自行發展的全人照護職能問卷，於2016年12月發放給全院醫事人員，進行實際評核並整理分析。結果：於2016年12月份共發出3023份醫療醫事人員全人職能自評通知書，回收1748份，回收率57.8%。所有能力平均皆於“在間接的監督下可以執行＂之上。男性、醫師、擔任臨床教師以及年資較長者，自評分數較高。以線性回歸分析後，職類與自評分數之相關性較高。結論：此為國內第一次嘗試使用全人跨領域照護的能力描述性問卷作自我評估，雖然自評方式可能有其誤差，但仍可用於瞭解能力現況並找出能力缺口，據以訂定訓練計畫與課程設計，將有助於提升訓練成果。

關鍵字

全人醫療照護；能力；團隊資源管理；跨領域團隊合作

並列摘要

Background: Holistic interprofessional health care has become the mainstream in medical care. Evaluation of the competency is necessary for curriculum development. Method: We had attended the accreditation process of Talent Quality-management System (TTQS). Competency evaluation for curriculum development was required. We distributed a self-evaluation questionnaire to all of our health professional staff members in the end of 2016 and analyzed the results. Result: The response rate was 57.8 %(1748/3023). The average competency was above＂ act under reactive supervision, i.e., supervision is readily available on request.＂ in all items. Male, physicians, clinical teachers and longer working years had positive association with higher scores. Physicians remained as a significant factor with higher scores after linear regression analysis. Conclusion：This is the first study using descriptive questionnaire to evaluate the competencies for interprofessional holistic medical care in Taiwan. Though the self-assessment might have some bias, it could be used to understand the need for education and follow up the outcome. Multi-face assessment using the same questionnaire may improve the reliability and validity.

並列關鍵字

holistic health care ； competency ； team resource management ； interprofessional practice

國際替代計量

全人醫療照護自我能力評估分析

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