一般護理之家工作人員住民安全文化認知差異及組織特性對住民照護品質的影響

Yia-Wun Liang; Hsiao-Feng Chang; Tsung-Hua Tsao; Chun-Ning Su

doi:10.6317/LTC.202412_27(2).0002

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P17 - 39

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6317/LTC

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一般护理之家工作人员住民安全文化认知差异及组织特性对住民照护品质的影响

Resident Safety Culture Gap Among Nursing Home Workers and Organizational Characteristics' Impact on Resident Care Quality in General Nursing Homes

梁亚文(Yia-Wun Liang) ；张晓凤(Hsiao-Feng Chang) ；曹宗华(Tsung-Hua Tsao) ；苏侰宁(Chun-Ning Su)

长期照护杂志； 27 卷 2 期 (2024 / 12 / 01) ， P17 - 39

繁体中文;英文 DOI： 10.6317/LTC.202412_27(2).0002

住民安全文化；照顾服务员；护理人员；护理之家； resident safety culture ； nurse aide ； licensed nurses ； nursing home

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摘要 │ 参考文献 (38)

摘要〈TOP〉

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Objectives: This study aims to investigate the differences in resident safety culture perceptions among nursing home staff and the impact of organizational characteristics on the quality of resident care. Methods: This is an exploratory cross-sectional research, utilizing a self-developed questionnaire distributed via mail survey to 122 nursing homes between March and June 2019. The resident safety culture comprised five dimensions: nursing home work, communication, supervisors of respondents, nursing home resident safety practices, and overall assessment. Basic demographic information included respondents' sociodemographic variables and nursing home organizational characteristics such as location, affiliation, ownership, size, and resident functional status. Statistical analysis began with descriptive statistics to outline sample characteristics, followed by independent sample t-tests to explore differences in staff perceptions of resident safety culture. Lastly, a Poisson regression analysis was conducted to investigate the impact of staff perception gaps in resident safety culture and organizational characteristics on residents' unplanned transfers to acute hospitals. Results: This study distributed a total of 750 questionnaires, receiving 403 responses, of which 399 were deemed valid. Significant discrepancies were observed between head nurses and frontliner in dimensions such as communication, managerial practices, and patient safety culture within nursing homes. Regression analysis indicated that the average disparity in perception of resident safety culture between frontliner and head nurses, as well as nursing home characteristics including location, affiliation, ownership, years in operation, workload, and the proportion of disabled residents, significantly influenced the rate of unplanned transfers of nursing home residents to acute hospital admissions. Conclusions: The discrepancy in perception of resident safety culture between head nurses and frontliner underscores deficiencies in implementing resident safety culture and emphasizes the necessity for enhanced inter-role communication. Moreover, the organizational characteristics of nursing homes influence the frequency of unplanned transfers of residents to acute hospital admissions.

参考文献 ( 38 ) 〈TOP〉

叶淑娟, S.-J.(2006)。组织特质、管理风格与长期照护品质之关系。中山管理评论，14(3)，751-787。
连结：
Abusalem, S.,Polivka, B.,Coty, M. B.,Crawford, T. N.,Furman, C. D.,Alaradi, M.(2021).The relationship between culture of safety and rate of adverse events in long-term care facilities.Journal of Patient Safety,17(4),299-304.
Alexander, J. A.,Fennell, M. L.,Halpern, M. T.(1993).Leadership in stability in hospitals: The influence of board-CEO relations and organizational growth and decline.Administrative Science Quarterly,38(1),74-99.
Alrawi, Y. A.,Parker, R. A.,Harvey, R. C.,Sultanzadeh, S. J.,Patel, J.,Mallinson, R.,Potter, J. F.,Trepte, N. J. B.,Myint, P. K.(2013).Predictors of early mortality among hospitalized nursing home residents.QJM: An International Journal of Medicine,106(1),51-57.
Backhaus, R.,Verbeek, H.,van Rossum, E.,Capezuti, E.,Hamers, J. P. H.(2014).Nurse staffing impact on quality of care in nursing homes: A systematic review of longitudinal studies.Journal of the American Medical Directors Association,15(6),383-393.

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