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某醫學中心推動技術混合照護模式與成效評值

Establishment and Evaluation of the Skill-Mix Model in a Medical Center

摘要


The purpose of this study was to compare the work efficiency and proficiency, nurse satisfaction, care quality, and cost effectiveness before and after implementing the skill-mix nursing care model by using the investigation method with convenience samples. Researchers selected nurses from 24 medical-surgical wards with RN-to UAP (unlicensed assistive personnel) skill-mix ratio percentages of 85%, 90% and 100%. There were 433 nurses and 36 UAPs that participated in the study and filled out the questionnaires. The results showed that: (1) UAP were most frequently doing environment management while least frequently ficilitating range of motion for patients, (2) The UAP most proficient at preparing ice water bags, and least proficient at ficilitating physical exercise, (3) UAP were most satisfied by helping with patients' daily care, (4) Nurse satisfaction was significantly different before and after implementing the skill-mix model (p<.05), and (5) The infection rate and patient fall rate were significantly different before and after implementing the skill-mix nursing care model (p<.05).

並列摘要


The purpose of this study was to compare the work efficiency and proficiency, nurse satisfaction, care quality, and cost effectiveness before and after implementing the skill-mix nursing care model by using the investigation method with convenience samples. Researchers selected nurses from 24 medical-surgical wards with RN-to UAP (unlicensed assistive personnel) skill-mix ratio percentages of 85%, 90% and 100%. There were 433 nurses and 36 UAPs that participated in the study and filled out the questionnaires. The results showed that: (1) UAP were most frequently doing environment management while least frequently ficilitating range of motion for patients, (2) The UAP most proficient at preparing ice water bags, and least proficient at ficilitating physical exercise, (3) UAP were most satisfied by helping with patients' daily care, (4) Nurse satisfaction was significantly different before and after implementing the skill-mix model (p<.05), and (5) The infection rate and patient fall rate were significantly different before and after implementing the skill-mix nursing care model (p<.05).

被引用紀錄


張月霞(2012)。醫院照顧服務人員對洗手之認知、態度與行為之探討 ─以某區域醫院為例〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2012.00004
蔡衣帆、陳雅芳、馮容莊(2015)。推動全責照顧服務模式十年成效分析-以臺北市立聯合醫院為例源遠護理9(3),5-13。https://doi.org/10.6530/YYN/2015.5.11
石善德(2014)。長期照護機構護理人員工作負荷與工作壓力關係之研究〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2014.00233
王桂芸、張淑容(2014)。世紀回眸-台灣護理專業的演變與發展護理雜誌61(4),55-61。https://doi.org/10.6224/JN.61.4S.55
伍麗珠、王瑞霞(2017)。護理人員對混合照護模式評價之初探榮總護理34(1),57-68。https://doi.org/10.6142/VGHN.34.1.57

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