- 學位論文
養護機構導入生活自立支援照護之個案研究－組織變革過程及效益分析
A Case Study of Implemented Self–Independent Living Care Model in A Long-Term Care Facilit Analyses of the Organization Change Process and Effects.
摘要
隨著政府政策發展，長照機構的經營日益辛苦。人力不穩定是台灣目前住宿式長照機構的一大隱憂。個案機構為突破上述困境經由財團法人臺灣省永信基金會的指導決心導入生活自立支援照護，除希望提升照護品質外，亦希望藉由長輩的進步，提升工作人員之成就感，進而達到降低離職率的雙贏結果。 由於個案機構將生活自立支援照護的導入視為組織變革的手段，故本個案研究利用John Kotter的組織變革八步驟來檢視某養護機構導入生活自立支援的過程，藉由詳細的變革指引計劃，來導正機構執行生活自立支援照護時可能遇到的問題或錯誤，以協助機構順利導入創新的照護模式。 儘管導入過程雖然辛苦，但個案機構遵循明確的變革步驟，成功推動導入「生活自立支援照護」的組織變革計劃，得到機構氣氛正向改變、導入長輩生活功能提升、照顧服務員工作成就感提升、照護思維改變，但對離職率之影響尚無法得到直接關聯。分析個案機構四個關鍵成功因素為:1.擁有堅強的改革團隊； 2. 引進外部人力降低員工反彈； 3. 順暢的溝通管道；和4. 工作人員獲得激勵。
並列摘要
The purpose of this study was to explore the organization change process and effects of a long-term care facility implemented "Self–Independent Living Care" model. With cooperating the program developed by Yungshin Social Welfare foundation, this facility implemented "Self–Independent Living Care" model successfully by following John Kotter’s eight-step organization change model and increase higher sense of accomplishment of the care workers in facility. There were four key success factors of this organization changed: (1) Building a strong guiding team; (2) Develop the human resource for the team; (3) Good communicating with the team; and (4) creating the inspiration . However, this research cannot conclude implemented Self–Independent Living Care can raise accomplishment and lower the turn-over rate of the facility. However, this case study concludes that Self–Independent Living Care model can support the elderly not to lose their physical functions as aging and maintaining them independent. The experience can also promote more long term care facility to adapt Self–Independent Living Care model and improve the quality of care in Taiwan.
參考文獻
延伸閱讀
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