技術混合照護模式下護理人員自覺護理活動之改變

The Changes of Nurses' Perception of Nursing Activity in the Skill-Mixed Model

梅婷婷(Ting-Ting Mei) ； 李卓倫(Jwo-Leun Lee) ； 梁亞文(Yia-Wun Liang) ； 黃立琪(Li-Chi Huang)

《長庚護理》 21卷4期 (2010/12) Pp. 417-429

https://doi.org/10.6386/CGN.201012_21(4).0001

摘要

Objective: The purpose of this study is to explore the changes of nurses' perceptions of nursing activity, work stress, workload, overtime, and the relationship between variables after implementing the Skill-Mixed model. Method: This is a cross-sectional designed study. The structure questionnaire is used after implementing the Skill-Mixed model for 6 months. The 39 registered nurses were enrolled from the 3 Skill-Mixed model hospitals. The questionnaire consists of 52 items which include demographic data and nursing activity. The questionnaire contains expert face validity (mean CVI:.9) and internal consist reliability (Cronbach's Alpha=.964). The nursing activities are divided into four categories including direct, indirect, related nursing activities, and personal activities. Result: The results reveal that nurses' perception of activity decreased in direct nursing activity such as assisting patient's position change and personal hygiene. The nurses' perception of indirect activity increased (p＜.05 such as conducting nurse assistants' skills of health care. confirming nurse assistants' works, and time of duty shift: while related nursing activities also increased (p＜.05) such as collaborating with others in health team. participating continuous education and conference. At the same time, personal activity increased such as suppressing urine, and the nurses' perception of work stress also increased. Only related nursing activity positively associated with work stress, workload, and overtime. Conclusion: The study finds that basic direct nursing activities decreased while indirect and related nursing activities and work stress increased in this Sill-Mixed model. The results of this study can serve as a reference for nursing practice in the hospital in Taiwan.

關鍵字

技術混合照護模式 ； 護理活動 ； 輔助人員 ； 護理人員

並列摘要

Objective: The purpose of this study is to explore the changes of nurses' perceptions of nursing activity, work stress, workload, overtime, and the relationship between variables after implementing the Skill-Mixed model. Method: This is a cross-sectional designed study. The structure questionnaire is used after implementing the Skill-Mixed model for 6 months. The 39 registered nurses were enrolled from the 3 Skill-Mixed model hospitals. The questionnaire consists of 52 items which include demographic data and nursing activity. The questionnaire contains expert face validity (mean CVI:.9) and internal consist reliability (Cronbach's Alpha=.964). The nursing activities are divided into four categories including direct, indirect, related nursing activities, and personal activities. Result: The results reveal that nurses' perception of activity decreased in direct nursing activity such as assisting patient's position change and personal hygiene. The nurses' perception of indirect activity increased (p＜.05 such as conducting nurse assistants' skills of health care. confirming nurse assistants' works, and time of duty shift: while related nursing activities also increased (p＜.05) such as collaborating with others in health team. participating continuous education and conference. At the same time, personal activity increased such as suppressing urine, and the nurses' perception of work stress also increased. Only related nursing activity positively associated with work stress, workload, and overtime. Conclusion: The study finds that basic direct nursing activities decreased while indirect and related nursing activities and work stress increased in this Sill-Mixed model. The results of this study can serve as a reference for nursing practice in the hospital in Taiwan.

並列關鍵字

Skill-Mixed Model ； nursing activity ； nurse assistance ； nurse