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題名:病人家屬對全責照護模式服務之觀點:質性研究     (20點)
The Perspectives of Family Caregivers concerning a Skilled Mixed Care Model in a Hospital: A Qualitative Study
著者:林麗娟(Li-Chuan Lin) ;許秀月(Hsiu-Yueh Hsu) ;宋惠娟(Huei-Chuan Sung)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:全責照護模式 ; 家屬 ; 護理 ; 質性研究 ; Skilled-Mixed-Care Model ; family's perspectives ; nursing ; qualitative research
刊名:醫護科技期刊
頁碼:38-47
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

背景:衛生署自2006 年起委託辦理「全責照護計畫」積極推行使用者付費原則之「全責照護模 式J (Skill Mix) ,即以經過訓練的照顧服務員來協助護理人員執行病人基本護理照顧活動,而此服 務由病人自行付費。此照護模式主要目的可緩解護理人力短缺問題、降低住院病人家屬之照顧負擔 及提昇照顧品質。目前評值此照護模式成效相關研究非常有限,更鮮少研究探討家屬對此照護模式 的看法。目的:本質性研究主要探討接受全責照護模式住院病人家屬對服務之觀點。方法:本研究 以立意取樣東部某區域醫院住院病人家屬為研究對象,研究者以深入訪談方式針對八位受訪者進行 資料收集,訪談過程以錄音方式轉為逐字行為過程記錄,以主題分析法進行分析歸納。結果:研究 發現家屬的觀點有四大主題:一、傾心為親、不畏艱難;二、全賣出擊、誠滿溫暖;三、共獻良策、 再造福澤;四、全責永續、有助經濟。結論:全責照護模式為一可行且有助於戚輕家屬照顧負荷的 照護服務,本研究結果可為有計畫推行全責照讓模式醫院管理者之參考,以期提供病人及家屬更完 善的照護服務。
Background: In 2006, the Department of Health conducted a Skilled Mixed Care Model project and actively promoted the idea of “pay for service". In this model, a registered nurse helps train a nurse's aid to provide basic daily living care for patients who pay for this service. This skilled mixed care model can relieve nursing shortage problems and reduce the care burden of families. Research related to the evaluation of this care model is very limited in Taiwan, and little is known about family perspectives. Purposes: This study aimed to explore the perspectives of families of inpatients concerning the service of the Skilled Mixed Care Model. Methods: A qualitative research design was used. A purposive sample of subjects from a regional hospital *in eastern Taiwan was recruited. [Dear Author: *Is this what you mean?] The families of eight patients were recruited and underwent in-depth interviews. The interviews were tape-recorded and transcribed. The interview data were analyzed using thematic analysis. ResuIts: Four themes emerged from families' perspectives as follows: 1. Unfearful to the hardship for the sake of the patients. [Dear Author: The previous sentence is completely unclear and 1 could not guess your meaning. Please rewrite.] 2. The warmth of the nursing staff could be felt with the skilled mixed care model. 3. A holistic care plan can contribute to the well-being of patients and 4. The model can reduce the costs of health care. Conclusions: The model is a feasible and useful service to reduce the care burden for families of inpatients. The findings of this study can provide a reference for hospital administrators who want to implement the model to provide a comprehensive care service for patients.


    

本卷期目次
醫護科技期刊
運動教育介入對心臟病學童之社會心理因素及身體活動量影響之探討/ 高毓秀廣怡秀黃奕清
以電子郵件方式介入某醫學中心護理人員運動行為/ 廖如文李淑燕欒靜莞顧乃平
北部某地區低年級國小學童家長協助孩童視力保健行為與學童近視之相關性/ 丁怡方吳澈娥池易釧游文長苗其志魏川淵張麗春
病人家屬對全責照護模式服務之觀點:質性研究/ 林麗娟許秀月宋惠娟
醫院市場導向對醫病關係影響之質性研究/ 黃金安胡哲生賴其勛翁瑞宏
 
   
 
   

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