南部非教學醫院護理人員自覺關懷行為與病患感受之探討

Nurses' Self-awareness of Caring Behavior and Patients' Perceptions in Non-Teaching Hospitals in Southern Taiwan

蔡照文(Chao-Wen Tsai) ； 李維綸(Wei-Lun Lee) ； 蔡享翰(Shieunt-Han Tsai)

《中華心理衛生學刊》 24卷3期 (2011/09) Pp. 381-402

https://doi.org/10.30074/FJMH.201109_24(3).0002

摘要

Purpose: This study examines the current state of nurses' self-awareness of caring behavior and patients' perceptions of their caring and analyzes the relationship between the caring behavior and the perception. The context selected for examination was non-teaching hospitals in Southern Taiwan. Methods: The participants were 239 patient-nurse dyads from 4 non-teaching hospitals in Kaohsiung and Pingtung. Data from structured questionnaires including self-reported demographic characteristics and the caring behaviors scale (CBS) were analyzed with stratified or clustered random sampling methods. Results: The results show that the nurses' indicated self-awareness of caring behaviors as ”often” while patients' indicated ”sometimes” and ”often”. The nurses ranked caring behavior from ”Knowing the patient” to ”Patient advocacy” and then ”Help patient through illness.” The rank order of the patients' perception progressed from ”Help patient through illness” to ”Knowing the patient” and finally to ”Patient advocacy.” Compared to the nurses, the patients scored the item ”Help patient through illness” higher. There is a highly positive correlation between the nurses' caring behavior and the patients' perceptions (p＜.01). Conclusions: Although there is a difference between the nurses' provision of caring behavior and the patients' need for care, the patients perceived the care and felt indebted to the nurses.

關鍵字

關懷行為 ； 護理人員 ； 病患

並列摘要

Purpose: This study examines the current state of nurses' self-awareness of caring behavior and patients' perceptions of their caring and analyzes the relationship between the caring behavior and the perception. The context selected for examination was non-teaching hospitals in Southern Taiwan. Methods: The participants were 239 patient-nurse dyads from 4 non-teaching hospitals in Kaohsiung and Pingtung. Data from structured questionnaires including self-reported demographic characteristics and the caring behaviors scale (CBS) were analyzed with stratified or clustered random sampling methods. Results: The results show that the nurses' indicated self-awareness of caring behaviors as ”often” while patients' indicated ”sometimes” and ”often”. The nurses ranked caring behavior from ”Knowing the patient” to ”Patient advocacy” and then ”Help patient through illness.” The rank order of the patients' perception progressed from ”Help patient through illness” to ”Knowing the patient” and finally to ”Patient advocacy.” Compared to the nurses, the patients scored the item ”Help patient through illness” higher. There is a highly positive correlation between the nurses' caring behavior and the patients' perceptions (p＜.01). Conclusions: Although there is a difference between the nurses' provision of caring behavior and the patients' need for care, the patients perceived the care and felt indebted to the nurses.

並列關鍵字

caring behavior ； nurses ； patients

參考文獻

Lin, P. F.(2004).Nursing Care in Taiwan: A Qualitative Study.The Journal of Health Science.6(1),1-12.

陳國瑚、陳麗如、蘇喜(2006)。護理人員對護理工作認知與離職傾向之探討。臺灣公共衛生雜誌。25(3)，177-188。

游惠瑜(2008)。關懷倫理是女性所獨有的道德特質嗎？。哲學與文化。35(4)，171-180。

林遠澤(2007)。從醫學技術主義回歸人道關懷如何可能？試論醫護人文教育的關懷倫理學基礎。哲學與文化。34(9)，61-86。

財團法人醫院評鑑暨醫療品質策進會(2009)：〈96-98年度醫院評鑑及教學醫院評鑑合格名單〉。2009年2月1日，取自http ://www.tjcha.org.tw/hafee/list.aspx。