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研究生: 黃維珍
Huang, Wei-Jen
論文名稱: 探討護理工作負荷與住院病人護理照護滿意度之關係
Exploring the Relationship between Nursing Workload and Patient Satisfaction
指導教授: 顏妙芬
Yen, Miaofen
學位類別: 碩士
Master
系所名稱: 醫學院 - 護理學系
Department of Nursing
論文出版年: 2010
畢業學年度: 99
語文別: 中文
論文頁數: 41
中文關鍵詞: 工作負荷住院病人滿意度
外文關鍵詞: workload, inpatient satisfaction
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  • 本研究為描述性研究,目的是瞭解國內各級醫院護理工作負荷與住院病人護理照護滿意程度之相關性。研究資料包含116個護理單位(56個內科病房、50個外科病房、10個綜合科病房)4163位病人參與,由同意參與之醫院的護理單位提供護理工作負荷資料,同時於該單位以隨機取樣方式調查住院病人護理照護滿意度。自變項為住院病人屬性(性別、平均年齡、教育程度)、護理單位之工作密集度、病床週轉率、護理時數、病護比例及技術組合,依變項為住院病人護理照護滿意度,資料以迴歸分析探討自變項與依變項之間的關係。研究結果:一、住院病人屬性與護理照護滿意度無統計上相關。二、白班病護比與病人護理照護滿意度呈負相關(p < 0.05),即白班每位護理人員照顧的病人數愈多,病人護理照護滿意度愈低。建議護理行政管理者需調整白班病護比,以提升病人護理照護滿意度。

    The purpose of this study was to explore the relationship between nursing workload and patient satisfaction with nursing care. A total of 116 nursing units (56 medical wards, 50 surgical wards and 10 integrated wards ) and 4163 patients participant. Independent variable were characteristics of patient (gender, age , education level), work intensity, turnover rate, daily average nursing hours per patient day, nurse-patient ratio and skill mix. Dependent variable was patient satisfaction with nursing care. Regression analysis was used to illustrate how independent variables related to dependent variables. Study result showed no statistically significant correlation satisfaction with nursing care and characteristics of patient. Nurse-patient ratio of the day shift was significantly correlated to inpatient satisfaction with nursing care . Nursing administrators should appropriately arrange nursing staffing of the day shift, in order to increase patient satisfaction with nursing care.

    中文摘要……………………………………………………………………………I 英文摘要……………………………………………………………………………II 誌謝……………………………………………………………………………… III 目錄…………………………………………………………………………………IV 第一章 緒論………………………………………………………………………1 第一節 研究動機及背景......................................1 第二節 研究目的…………………………………………………………………3 第三節 研究問題…………………………………………………………………3 第二章 文獻查證…………………………………………………………………4 第一節 護理工作負荷……………………………………………………………4 第二節 住院病人護理照護滿意度……………………………………………10 第三節 護理工作負荷與住院病人滿意度之關係……………………………12 第三章 研究方法………………………………………………………………15 第一節 研究架構………………………………………………………………15 第二節 名詞定義………………………………………………………………16 第三節 研究假設………………………………………………………………18 第四節 資料來源………………………………………………………………18 第五節 研究工具………………………………………………………………19 第六節 研究過程………………………………………………………………20 第七節 資料分析………………………………………………………………20 第八節 倫理考量………………………………………………………………22 第四章 研究結果………………………………………………………………22 第一節 住院病人屬性、護理工作負荷與護理照護滿意度之描述性統計…22 第二節 住院病人屬性、護理工作負荷與護理照護滿意度之相關分析……26 第三節 住院病人屬性、護理工作負荷與護理照護滿意度之迴歸分析……29 第五章 討論……………………………………………………………………31 第一節 住院病人屬性與護理照護滿意度之關係………………………………31 第二節 護理工作負荷與護理照護滿意度之關係……………………………31 第六章 結論與建議……………………………………………………………34 第一節 結論……………………………………………………………………34 第二節 研究結果應用與建議…………………………………………………34 第三節 研究限制………………………………………………………………35 參考文獻…………………………………………………………………………36 中文部份………………………………………………………………………….36 英文部份………………………………………………………………………….37 圖 目 錄 3-1探討護理工作負荷與住院病人護理照護滿意度之關係架構圖……………15 表 目 錄 表4-1 住院病人屬性及護理工作負荷次數分配表....................24 表4-2 住院病人護理照護滿意度結果分析……………………………………25 表4-3 住院病人屬性、護理工作負荷與病人護理照護滿意度之皮爾森相關分析27 表4-4 病人屬性、護理工作負荷與病人護理照護滿意度迴歸分析…………30

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