病人安全與護理人力配置

Patient Safety and Nursing Staff Allocation

李卓倫(Jwo-Leun Lee) ； 紀駿輝(Chun-Huei Chi) ； 徐明儀(Ming-Yi Hsu)

《護理雜誌》 60卷2期 (2013/04) Pp. 19-23

https://doi.org/10.6224/JN.60.2.19

摘要

本文的架構主要來自三個概念。第一，透過與病人健康安全相關的經典文獻與科學證據的詮釋，探討相似的證據在許多國家不易重複出現的可能原因。第二，討論在未有完整的資料庫和科學證據狀況，護理專業的價值仍可藉由社群主義思考策略，提升其專業地位與改善病人照顧品質。第三，進一步探討社群主義，對於台灣未來醫療資源分配原則及護理專業價值的關係。本文將藉由這三個概念的推論，提出確保病人安全最有可能的政策之概念性建議。

關鍵字

病人安全 ； 死亡率 ； 護理人力 ； 倫理典範 ； 社群主義

並列摘要

This article aims to explore three main concepts related to the professional development of nursing professionals. This paper first critically reviews and reinterprets scientific evidence on the relationship between nurse staff allocation and healthcare outcomes and then challenges some of the common interpretations of this evidence in the professional literature. Secondly, in the absence of solid empirical evidence provided by sophisticated datasets in this field, we consider how Communitarianism may provide a well-defined, highly appropriate ethical framework for further developing and improving the nursing profession and healthcare outcomes. Thirdly, this article examines the role of Communitarian ethics in setting Taiwan's healthcare priorities and promotion nursing's core professional values. In conclusion, we recommend several conceptual health policy frameworks to ensure patient safety.

並列關鍵字

patient safety ； mortality ； nurse staffing ； ethical paradigm ； Communitarianism

參考文獻

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