Case Management Knowledge and Preparedness among Public Health Nurses

背景　臺灣公共衛生護理師逐漸運用個案管理為服務方式，但對其執行個案管理的知識及準備度瞭解甚少。目的　本文探討公共衛生護理師對個案管理之知識及執行個案管理實務之準備度。方法　採橫斷式調查臺灣公共衛生護理師之個案管理知識及實務活動的自覺準備度。招募臺北市之公共衛生護理師為研究對象，以結構式問卷於約定時間收集資料。問卷內容包括：第一部分為20題個案管理知識之選擇題；第二部分為個案管理角色活動及基本資料。結果　178位公共衛生護理師完成問卷調查，問卷回收率達99%。個案管理知識答對率為49%，此分數低於一般可接受60%之標準；個案管理實務活動的自評準備程度為中等，平均3.2分。另發現高達82%護理師未曾接受個案管理繼續教育；知識高分群之年紀顯著比低分群年輕。結論／實務應用　本結果顯示，臺灣公共衛生護理師對個案管理知識及實務準備度不足，急需提供繼續教育，強化知識缺失項目及較低準備度之實務活動。

關鍵字

個案管理；公共衛生護理師；知識；準備度；護理繼續教育

並列摘要

Background: Taiwanese public health nurses are increasingly required to act as case managers. However, little is known about nurses' knowledge and preparedness levels in assuming the responsibilities of case management.Purpose: This article explores the knowledge and preparedness levels of experienced public health nurses related to case management.Methods: A cross-sectional survey of Taiwanese public health nurses was conducted. A structured questionnaire was used to collect data on participants' knowledge of case management and perceived preparedness levels in performing role activities. The questionnaire consisted of three sections: Section One featured 20 multiple-choice items, Section Two included case manager role activities, and Section Three gathered demographic information.Results: One hundred seventy-eight public health nurses were recruited from 10 health offices, with a 99% valid response rate. The overall average correct response rate for case management knowledge was 49%, which fell significantly below the minimum acceptable average score of 60%. Participants held neutral opinions regarding their preparedness levels for performing case management role activities, with a mean score of 3.2 (SD = 0.5, range = 1-5). In addition, this study unexpectedly found that the higher knowledge level group was significantly younger on average than the lower knowledge group. More than three quarters (82%) of participants had no prior education in case management.Conclusions/Implications for Practice: The results reflect substantial gaps in Taiwanese public health nurses' knowledge and preparation for the practice of case management. There is an urgent need to strengthen case management continuing education for public health nurses and address knowledge deficits and the role activities identified with lower preparedness levels.

並列關鍵字

case management ； public health nurses ； knowledge ； preparedness ； continuing nursing education

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