頁籤選單縮合
題名 | 護理照顧方式及其影響因素之預測=Nursing Care Delivery System and Related Factors |
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作者 | 蔡欣玲; 邱淑芬; 林惠蘭; | 書刊名 | 公共衛生 |
卷期 | 23:4 1997.01[民86.01] |
頁次 | 頁199-211 |
分類號 | 419.7 |
關鍵詞 | 護理照顧方式; 德爾菲預測術; 全責護理; 成組護理; Nursing care delivery system; Delphi technique; Primary nursing; Team nursing; |
語文 | 中文(Chinese) |
中文摘要 | 護理照顧方式與護理專業發展及社會脈動的變化息息相關,醫院護理長在每日工 作經驗中,最能匯集並反映這些內容。本研究目的在預測未來十年內最適合的護理照顧方式 及影響因素。 研究設計採德爾菲預測術 (Delphi technique),以分層抽樣方式,邀請 136 位分佈於醫學中心、區域醫院、地區醫院之護理長,及 25 位教授大學或專科護理行政課程 的教師擔任護理專家。研究期間自民國 83 年 2 月 1 日至 84 年 11 月 30 日。研究工具 為三回合問卷,第一回合為開放式問題,第二、三回合為閉鎖式 (closed-end) 問卷。完成 全程三回合問卷的醫院護理專家有 69 位 (佔 50.74 % ), 學校教師有 8 位 (32 % )。 研究結果顯示,預測未來十年內影響護理照顧方式的重要因素可歸納為 10 類,分別為病人 特性、提供照顧者的特性、護理行政、單位環境、與醫療人員分工、機構特性、社會環境、 國家政策、護理專業問題與發展、與護理照顧方式的種類;未來十年內最適合的護理照顧方 式是全責併成組護理、社區護理。因此本研究建議,在學校課程方面,影響未來護理照顧方 式十大主題,宜涵蓋於護理課程設計中,並針對這十大主題,邀請學者專家提供最新資訊, 期護理人員能掌握專業與社會脈動,提供病人最佳護理服務。 |
英文摘要 | Nursing care delivery system is closely related to nursing professional development and social changes. The purpose of this study is (1) To investigate major factors that may be influencing the nursing care delivery system in the future ten years. (2) To propose some suitable nursing care delivery system in the future. In this study, Delphi technique was used with 136 head nurses and 25 college faculties selected as nursing experts. Research has been conducted with open-ended questions in the first round, itemized closed-ended questionnaries in the second and the third round. Sixty-nine head nurses (50.74%) and eitht (32%) faculties had completed all three rounds. From these data, it can be concluded that there are major ten factors affecting the nursing care delivery system in the future. These factors are patients' characteristics, nurses' characteristics, nursing administration, unit environment, hospital role, social changes, national health policy, collaboration with other hospital personnels, nursing professional issues, and methods of nursing care delivery system. The other conclusion is that integration of institutional nursing and community nursing is the suitable nursing care delivery system in the future. Based on the study results, we would like to propose (1) For the nursing curriculum, ten factors influencing the nursing care delivery system may be considered in the curriculum design. (2) In the hospitals, up-data knowledge concerning these ten factors may be incorporated into the continuing education program. With our proposals, we may expect that nurses might be able to improve their ability to cope with the social and professional changes, and give the most suitable nursing care services. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。