探討照護人員離職率與照護品質之關聯性-以南部某長照連鎖機構為例

研究目的政府為滿足未來龐大的長照需求，積極推動長照2.0，開創了照顧服務員及護理人員的多元就職管道，提高住宿式長照機構照顧人員招聘與留任的難度。是以，本研究目的係為探討住宿型長照機構照護人力離職率是否會影響機構照護品質。研究方法本研究係以南部某長照連鎖機構為研究對象，使用2013年至2019年機構建置的人事資料庫、住民資料庫與照護品質指標，共收集156筆數據資料，探討長照機構照顧者(照顧服務員及護理人員)離職率，與四項長照機構照護品質之間相關性。採用SPSS 20統計軟體分析工具，使用敘述性分析、推論性統計、概化估計方程式分析等方法進行統計分析。研究結果研究結果發現機構工作人員離職率為5.65%，跌倒發生率為0.12%、壓瘡點盛行率為1.68%、總感染發生密度為1.25%、非計畫性體重減輕比率為2.12%，機構照顧人員離職率越高，機構內住民壓瘡點盛行率、總感染率發生密度，而跌倒發生率、非計畫性體重減輕比率無顯著影響。結論與建議長照機構人力不足是現在所有長照服務所面臨到的困境與難題，機構經營管理者應該妥善地管理人力資源，確保住民的照護品質，營造優質的長照服務體系。

關鍵字

照護人員；離職率；照護品質；住宿式長期照顧機構

並列摘要

Purpose For the need of long-term care, the government prompts the long-term care 2.0, creating multiple employment method of care attendants and nursing staff. The policy makes the recruit and maintenance of caring staff of long-term caring facilities more difficult. This research analyzes whether the resigning percentage of long-term caring facility staff affects caring qualification. Methods This research object is a southern chain long-term caring facilities, using the personnel data from 2013-1029, resident data, caring index to analyze the relationship between the resigning percentage of caring staff and caring qualification. SPSS 20, narrative analysis, inferential analysis, and general estimation are employed by this research. Results This research finds that the resigning percentage of caring staff is 5.65%, felling percentage 0.12%, bedsore percentage 1.68%, infection 1.25%, and non-purpose weight-loss 2.12%. The resigning percentage affects bedsore and infection but does not significantly affects felling and non-purpose weight-loss. Conclusion Manpower shortage is the difficulty for all long-term caring facilities. Facility managers should properly manages manpower, ensure the caring qualification, and create a fine long-term caring system.