English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 45422/58598 (78%)
造訪人次 : 2527439      線上人數 : 224
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋


    請使用永久網址來引用或連結此文件: http://libir.tmu.edu.tw/handle/987654321/6865


    題名: 急診室護理人力需求與因應策略探討-以臺北市立聯合醫院為例
    A Study of Nurse Staffing Requirements and Accordance of Strategy in the Emergency Departments in Taipei City Hospital
    作者: 李秋霞
    Chiu-Hsia Li
    貢獻者: 護理學研究所
    關鍵詞: 急診室
    護理人力
    延遲下班
    因應策略
    異常事件
    Emergency department
    nurse staffing
    adverse event
    overtime
    日期: 2009
    上傳時間: 2009-09-16 13:41:25 (UTC+8)
    摘要: 護理人力配置是影響病人安全與照護結果的主要原因，而強制性或自願性加班經常被用來填補護士空缺，導致護士疲累及崩潰，醫療疏失堪慮。本研究目的探討急診室護理人力需求與因應策略，並通過臺北市立聯合醫院人體試驗委員會審查。研究方法係以資料庫分析臺北市立聯合醫院5個院區，自97年1月1日至97年12月31日止之急診室病人就診特性資料189,590筆、護理人員延遲下班時間紀錄22,335筆及異常事件56筆，分析護理人力與護理人員延遲下班時間及異常事件之關聯，及自擬式問卷調查109份，問卷CVI值為1.0，分析急診室護理人員對護理人力相關議題看法。研究結果顯示：
    一、依醫院評鑑標準人力計算公式或以各級病人所需護理時數總和，各院區現有配置人數不足5~11人。
    二、異常事件類型與班別有統計上顯著差異，異常事件小夜班佔39.6%，大夜班佔29.3%其中以病人跌倒居多。
    三、影響急診室護理人力需求因素為病人疾病嚴重度、病人來診數、病人留觀人數及護理人員事、病、產假及年休的需求。
    四、降低單位護理人力困難方法：建立部分工時人力庫、人員單位調動或調整班別時間、人員固定班別制、人員離職前先遞補新進人員及增設病房助理。
    根據本研究結果建議如下：
    一、依病人來診特性適時調整護理人力，以降低異常事件，提升病人就安全。
    二、各院區可各針對因人員及環境所產生之護理人力問題，運用不同的管理策略來解決，以降低護理人員職業疲潰，提升工作滿意度。
    三、未來研究可增加急診室離職、請調單位護理人員對於急診室護理人力問題之探討。

    Background: The nurse staffing related to patient’s care quality although mandatory or voluntary overtime to replace nurse vacancy that is to worsen nursing shortage and patient’s safety.
    Objective: These research purposes are (1) to evaluate nurse’s overtime and nurse staffing of emergency department. (2) to compare the number of nurse staffing in the actual situation to the hospital accreditation in emergency department.
    Method: This study was used emergency department (ED) data mining to analysis nurses workload and nurses staffing requirement. This study was collected 189590 patient visits ED, 22335 staff nurses’ overtime, and 56 adverse events from five regional hospitals in Taipei from January 1st to December 31, 2008. This study had IRB approval. Also, 109 ED nurse staffs have answered self–designed questionnaire on the nurse staffing issue.
    Results: (1) According to appraisal standard of hospital or patient hours, it had a shortage of nurse staffing in ED in the five regional hospitals, it showed short of nurse staffing 5 to 11 persons. (2) There are statistically significant differences between the adverse event type and work shifts at evening and night. (3) There are main factors of nurse staffing including patient disease severity, the amount of visiting patients and patients in observation status, and staffing from sick leave, maternity leave and vacations. (4) To reduce the difficulty of nurse staffing shortage as follows: setting up database of part-time workforce, changing units or flexible work shift, fixing work shift, new staff recruitment before staff resign, and setting up a clerk.
    Conclusions: (1) To adjust nurse staffing based on patient conditions, adverse events. (2) To utilize the ancillary staff strategy to release nurse staffing shortage and nurses’ work stress. (3) Staffs’ desired future for creating a healthy workplace.
    資料類型: thesis
    顯示於類別:[學士後護理學系] 博碩士論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    摘要.doc28KbMicrosoft Word211檢視/開啟
    摘要.pdf70KbAdobe PDF280檢視/開啟
    摘要.ppt114KbMicrosoft Powerpoint234檢視/開啟
    摘要.ps438KbPostscript136檢視/開啟


    在TMUIR中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    著作權聲明 Copyright Notice

    • 本平台之數位內容為臺北醫學大學所收錄之機構典藏，包含體系內各式學術著作及學術產出。秉持開放取用的精神，提供使用者進行資料檢索、下載與取用，惟仍請適度、合理地於合法範圍內使用本平台之內容，以尊重著作權人之權益。商業上之利用，請先取得著作權人之授權。

      The digital content on this platform is part of the Taipei Medical University Institutional Repository, featuring various academic works and outputs from the institution. It offers free access to academic research and public education for non-commercial use. Please use the content appropriately and within legal boundaries to respect copyright owners' rights. For commercial use, please obtain prior authorization from the copyright owner.

    • 瀏覽或使用本平台，視同使用者已完全接受並瞭解聲明中所有規範、中華民國相關法規、一切國際網路規定及使用慣例，並不得為任何不法目的使用TMUIR。

      By utilising the platform, users are deemed to have fully accepted and understood all the regulations set out in the statement, relevant laws of the Republic of China, all international internet regulations, and usage conventions. Furthermore, users must not use TMUIR for any illegal purposes.

    • 本平台盡力防止侵害著作權人之權益。若發現本平台之數位內容有侵害著作權人權益情事者，煩請權利人通知本平台維護人員([email protected])，將立即採取移除該數位著作等補救措施。

      TMUIR is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff([email protected]). We will remove the work from the repository.

    Back to Top
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回饋