疫情前後醫院員工對醫院管理感受之相關因素探討

Discussion on The Related Factors of Hospital employees Perception of Hospital Management Before and After COVID19

陳美如(Mei-Ju Chen)

指導教授 ： 郭佳瑋

國立臺灣大學/管理學院/碩士在職專班商學組/碩士(2022年)

https://doi.org/10.6342/NTU202202067

摘要

本研究欲了解，Covid19疫情前後，台北市傳染病專責醫院與備援醫院，其員工對醫院管理的感受與病人安全態度相關構面是否會有所差異。本研究研究對象為台北市某專責醫院與其備援醫院之員工，研究工具為醫策會全國病人安全文化網路調查資料，2018、2020年某專責醫院分別回收498與470份問卷，其備援醫院回收180與192份問卷。統計方法採用描述性分析、卡方檢定與邏輯式迴歸分析，以了解專責醫院與備援醫院之員工，對於醫院管理的感受與個人因素、職務因素與醫院病人安全態度相關構面之相關性。
研究結果發現對於醫院之管理感受正向者比例，專責醫院較備援醫院為高，但是都不超過40%。2020年之正向比例較2018年更低，備援醫院、專責醫院護理人員對管理感受為正向比例分別由38.7%降至21.8%以及43.3%降至36.7%。壓力認知構面，專責醫院較備援醫院為高，但是正向者比例都不超過55%。2018與2020年皆是復原力正向者比例最低。備援醫院之復原力正向者比例較高，但是不超過20%；專責醫院復原力正向者比例甚至降至17.2%。2018年之院區、是否為護理人員、工作滿意度、工作狀況、復原力與生活平衡與管理感受達顯著相關性。2020年則是院區、是否擔任主管、安全風氣、工作滿意度、工作狀況、復原力以及生活平衡與管理感受達顯著相關性。
疫情大流行下，醫院員工對於管理感受、壓力認知甚至復原力明顯受到影響。因應未來不可知的變化，建議公立醫院提供財政和組織支援以及專業培訓。必須通過系統各級的透明度和團隊合作，建立強大的醫療系統和穩定的醫院，以快速應對不斷變化的、不可預知的環境挑戰。

關鍵字

COVID19疫情 ； 專責醫院 ； 病人安全 ； 醫院管理

並列摘要

Purposes
This study was conducted to find out whether there were differences in the perceptions of hospital management and patient safety-related components between staff at the Taipei City Infectious Disease Dedicated Hospital and the backup hospital before and after the Covid19 outbreak.

Methods
The target population of this study was the staff of the Taipei City Infectious Disease Dedicated Hospital and its backup hospital, and the research instrument was the National Patient Safety Culture Network Survey of the Medical Policy Association.
In 2018 and 2020, 498 and 470 questionnaires were returned by a Dedicated hospital, and 180 and 192 questionnaires by its backup hospital, respectively. Descriptive, chi-square, and logistic regression analyses were used to understand the correlation between the perceptions of hospital management, personal factors, duty factors, and attitudes toward patient safety among the staff of the infection control hospital and the backup hospital.

Results
The percentage of positive perceptions of hospital management was higher in Dedicated hospitals than in redundant hospitals, but neither exceeded 40%. 2020 had a lower percentage of positive perceptions than 2018, with the percentage of positive perceptions of management decreasing from 38.7% to 21.8% and 43.3% to 36.7% in backup hospitals and Dedicated hospitals, respectively. In addition, this study found that the stress perception profile was higher in the Dedicated hospitals than in the backup hospitals, but the percentage of positive respondents did not exceed 55%.
The percentage of positive resilience was the lowest in both 2018 and 2020. The percentage of positive resilience in the backup hospitals was higher, but not more than 20%; the percentage of positive resilience in the specialized hospitals even dropped to 17.2%.For the year 2018, the correlation between the different hospital, being a nurse, job satisfaction, job status, resilience, and life balance and management feeling is significant, and for the year 2020, the correlation between the different hospital, being a nurse supervisor, safety culture, job satisfaction, job status, resilience, and life balance and management feeling is significant.

Conclusions
The results of this study revealed that hospital staff perceptions of management, stress perceptions, and even resilience were significantly affected by the pandemic.
In light of the unpredictable changes ahead, it is recommended that public hospitals provide financial and organizational support as well as professional training. Staff must be empowered through transparency and teamwork at all levels of the system to build strong health care systems and stable hospitals that can quickly respond to the challenges of a changing and unpredictable environment.

並列關鍵字

COVID19 epidemic ； Dedicated hospital ； Patient safety ； Hospital management

參考文獻

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