中彰投地區護理之家工作人員對98年護理之家評鑑指標看法

Staff Members at Nursing Homes in Taichung, Changhua and Nantou Counties and Their Views on the Indicators of the 2009 National “Evaluation of Nursing Home” Project

江滿(chiang man)

指導教授 ： 藍守仁

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2010年)

摘要

背景：98年全國首次護理之家評鑑，探討不同型態護理之家對此次評鑑指標看法及成績之影響。
方法：本研究以衛生署公布之護理之家評鑑計畫為參考指標。採立意取樣方式，針對護理之家94位工作人員進行調查，以SPSS12.0統計軟體進行分析。
結果：看護組年齡(平均為45.88歲)顯著高於行政人員及護理人員，護理之家工作人員學歷以專科、大學最多，有59人，佔62.8%；碩士以上最少，服務年資五年以上佔最多，佔36.2%，規模部分，最少15床，最多239床。護理之家不同機構特性與評鑑成績，結果發現，在「規模」、「屬性」、「位址」部分，均有顯著差異。工作人員不同特性背景變項與評鑑指標，以「健康照護」、「經營管理」表現出有顯著差異；不同機構特性與評鑑指標看法，以「經營管理」、「安全與環境」、「生活照顧」表現出有顯著差異。
結論：本研究顯示依據評鑑成績，護理之家規模應為中型機構最適宜；
而私立護理之家照護品質仍有很大的改善空間，護理之家評鑑確實是必須的。護理之家之住民狀況皆較重症，顯示護理專業的需求度非常重要。

關鍵字

護理之家 ； 指標 ； 獨立型護理之家 ； 醫院附設型護理之家

並列摘要

Background: This study explores the impact of various types of nursing homes on the results of the 2009 National “Evaluation of Nursing Homes” Project.
Method: Using the indicators of the “Evaluation of Nursing Homes” Project launched by the Department of Health as a reference, this study adopts the technique of purposeful sampling and surveys a total of 94 staff members from various nursing homes. Survey results are analyzed using SPSS12.0.
Results: The average age of the nursing staff members (45.88 years) is considerably higher than those of the administrative and medical staff members. In regard to the educational background of all the staff members at nursing homes, 59, or 62.8%, are graduates of senior colleges and universities; only a handful of them have received a master’s degree. A considerable number of staff members (36.2%) have worked for more than five years. In terms of the scopes of these nursing homes, their minimum number of beds is 15, while the maximum number of beds is 239. When comparing results of evaluation with the types of nursing homes, substantial differences are found between their “scopes”, “attributes” and “locations”. When comparing the indicators of evaluation with the variables in the work backgrounds of staff members, substantial differences are found between “health care” and “administrative management”. When comparing the indicators of evaluation with the characteristics of nursing homes, substantial differences are found between “administrative management”, “safety and environment” and “care of life”.
Conclusion: This study suggests that in accordance with the results of evaluation, the most appropriate scope of nursing homes should be within the middle range. There is still ample room for improvement in the quality of care provided by private nursing homes, hence it is absolutely necessary to conduct evaluation on nursing homes. As most residents at nursing homes are in relatively severe conditions, it is important to demand for the professional qualities of nurses.

並列關鍵字

nursing home ； indicators ； Independent nursing home ； Hospital based nursing home

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