醫院與長照機構推動社區安寧整合性服務

某區域醫院協助長照機構推動社區安寧療護過程中發現，長照機構內護理人員接受安寧緩和教育訓練僅為5.6%，經要因分析為缺乏社區安寧收案之標準、對社區安寧照護認知不足、缺乏社區安寧照護之流程、缺乏適當社區安寧照護之動線。故擬定對策為制定社區安寧收案標準作業、規劃教育訓練、製作社區安寧照護多媒體光碟、制定社區安寧照護流程、規劃機構適當社區安寧照護環境動線，目標為提升安寧整合性服務滿意度達90%，運用上述對策後，推動安寧整合性服務滿意度達到94%，有鑒於解決辦法成效良好，已平行展開推行至合約養護機構群。

關鍵字

醫院與機構；社區安寧；整合性服務

並列摘要

During a campaign to promote community palliative care service through long term healthcare organization by a regional hospital, it was realized that there was an absence of such service in this particular organization. A total of 5.6% of the nurses in this long term health care organization had received educational training on palliative care before. Analysis results into the issue showed that the lack of such training was due to the followings. First, there was a lack of standard and procedure for receiving palliative care cases, knowledge of community palliative care, as well as a route for conducting the services. Hence, we established standard operating procedures for receiving palliative care cases, organized educational training, produced CD-ROM on community palliative care, setting up caring procedures, and planned routes for the use of the services. The aim was to achieve an overall satisfaction of 90% on integrated palliative services. After the implementation of the above solutions, the overall satisfaction reached 94%. The scheme has also been implemented in other private organizations due to its success.

並列關鍵字

Hospital and organization ； Community palliative ； Holistic service

被引用紀錄

劉依薰、黃淑鶴（2017）。施行安寧緩和照顧協助機構長者在機構善終之實務經驗－以台中市某私立養護機構執行現況為例。安寧療護雜誌，22(3)，310-324。https://doi.org/10.6537/TJHPC.201711_22(3).004

黃秀梅（2016）。臺北市公立安養護機構照顧工作人員執行安寧照顧經驗分享〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201602257

簡惠慧、陳柏安、朱正偉、游曼玲、賴甫誌（2022）。住宿式長照機構跨專業健康照護人員實施安寧療護經驗之質性研究。護理雜誌，69(5)，34-43。https://doi.org/10.6224/JN.202210_69(5).06

鄒淑萍、陳秀卿、于宗梅（2023）。推動機構式安寧照護。北市醫學雜誌，20(1)，20-29。https://doi.org/10.6200/TCMJ.202303_20(1).0003

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醫院與長照機構推動社區安寧整合性服務

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