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腫瘤護理品質之評值

The Evaluation of the Quality on Oncological Nursing Care

摘要


本研究是以修訂美國Rush Medicus Tool---Monitorring the Quality of Nursing Gare量表爲基礎,建立本土化的腫瘤護理品質標准,並發展護理品質過程評值量表,進而依此量表進行臨床腫瘤病房之護理品質評值性研究。研時間自民國82年8月1日起至民國83年7月31日爲止。研究對象是以本院38個內外科病究房所有腫瘤住院病人,以隨機取樣10%爲調查對象,實訪210人,先作病人分類後再取問卷(含四大類,十九份問卷)施以評值。問卷之信度採觀察員間信度(inter-rater reliability),觀察員的一至性爲90%,觀察員內在信度(intra-rater reliability)遠100%一致性,效度採專家效度法。 研究結果顯示一般腫瘤住院病人的護理品質分數在目標-「擬定護理計畫」平均得分爲87.11分,目標二「確保病人生理需要」得分爲95.68分,目標三「確保病人心理祔文化靈性需要」得分爲96.14分,目標四「執行護得目標之評值」得分爲90.89分。比較不同分類腫瘤住院病人在同一目標的護理品質得分以變異數分析及Scheffe’test結果顯示:四類病人在同一目標,如目標一、二、四的護理品質得分均無顯著差異,但在目標三上有顯著差異。另比較同一類腫瘤住院病人在不同四大目標,如目標一、二、三、四的護理品質得分則有顯著差異。本研究結果可提供護理行政者、護理教師及護理人員做爲改善腫瘤科護理服務品質之參攷。

關鍵字

腫瘤護理 護理品質

並列摘要


The purpose of this study was to establish a set of oncological nursing care standards, develop an evaluation tool, and monitor the quality of nursing care. The survey of the quality of nursing care for oncological patients started on August 1, 1993 and ended on July 31, 1994. All medical and surgical wards from 38 units were chosen as test units and a total of 210 oncological patients were monitored. Tests for inter-rater and intra-rater reliability were used. There was 90% agreement between 2 raters and 100% agreement in observer herself for intra-rater reliability. The quality scores for Objective Ⅰ 「frmulating nursing care plan」 was 87.11; Objective Ⅱ 「attending patient’s physical needs」 was 95.68; Objective Ⅲ 「attending patient’s psycho-social-spiritual-culture needs」 was 96. 14; and Objective Ⅳ「the achievement of objectives」 was 90.89. There was no significant difference in the quality of nursing care for four types of patients on the same objective scores except Objective 3. There were significant differences on the quality of nursing care scores for Objective 1,2,3 and 4 for four types of patients. The results will help nurses, nursing administrators, and educators know the strengths and weaknesses of nursing care and help to improve the quality of nursing care.

被引用紀錄


徐英傑(2007)。護理人力資本與護理品質之關聯性研究〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2007.00762
劉沛雯(2009)。住院病患護理依賴度、護理層級組合與照護時間之相關性〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2009.00133
陳虹伶(2006)。復健科病房病患需求探討〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916273226
張倩蜜(2011)。探討護理人力運用對病人照護品質影響之研究〔碩士論文,中臺科技大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0099-1908201114062024

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