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博碩士論文 etd-0901102-225552 詳細資訊
Title page for etd-0901102-225552
論文名稱
Title
護理『專業能力進階制度』對護理人員之影響
The influence of Clinical Ladders on Nursing staff
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
101
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2002-06-14
繳交日期
Date of Submission
2002-09-01
關鍵字
Keywords
專業能力進階制度、護理人員、進階角色、護理能力
nurse, Clinical Ladders Program, competency, nursing, advanced role
統計
Statistics
本論文已被瀏覽 5776 次,被下載 37618
The thesis/dissertation has been browsed 5776 times, has been downloaded 37618 times.
中文摘要
由於護理評鑑將護理人員「專業能力進階制度」列入評鑑項目,造成許多醫院護理部門莫大的衝擊,各醫院紛紛規劃並推展進階制度,以期能達到更好的績效與發展。有關探討「專業能力進階制度」推展與規劃之文獻相當多,但有關成效方面研究少見,故本研究以探討進階制度對護理人員之影響為主,比較不同層級護理人員之護理能力及對進階制度之滿意度。同時探討護理人員對未來進階角色選擇之影響因素。
本研究所採用的研究方法為問卷調查法,問卷之設計以文獻探討和相關研究為基礎,共計發出700份問卷,有效問卷571份,回收率79.51%,採用SPSS進行統計分析,利用平均數、標準差、因素分析、單因子變異數及多重比較分析、皮爾森相關分析、複迴歸分析及羅吉斯迴歸分析等統計方法,對研究資料進行了解。
研究結果顯示:層級「N4」之護理人員在8個護理能力構面及整體護理能力上均高於層級「N1」之護理人員。層級較高之護理人員對「專業能力進階制度」有較高滿意度。護理人員傾向選擇專科護理師作為未來進階角色。個人特質、醫院屬性、護理能力以及對進階滿意情形均會影響護理人員未來選擇進階角色。最後,根據研究結果,提出護理多方向之建議。


Abstract
The occurrence in which Nursing Accreditation has included Clinical Ladders Program impacts the Nursing Department significantly. Nursing administrators of hospitals need to plan and adopt Clinical Ladders Program in order to maintain good performance and development. The published literatures in planning this program are numerous. We investigated the influence of Clinical Ladders on nursing staff. The purpose of this study was to differentiate nursing competency, and satisfaction of program between low level of staff nurses and high level of staff nurses. Another purpose was to explore the influencing factors in nurse’s choice of advanced role in Clinical Ladders Program.
The study is conducted by questionnaire surveying. The designing of questionnaire was based on the reviewing of literature and the studying of reference. The researcher sent out 700 questionnaires and 571 were responded. The responding rate was 79.51%. SPSS for Window was in use of data analysis, the statistic methods of Mean, Standard Deviation, Factor analysis, ANOVA and Scheffe’s test, Pearson’s Correlation, Multiple Regression analysis and Logistic analysis.
Results of this study were as followed:
1. Comparing different levels, the fourth level nurses had the highest scores in eight-dimensional and total nursing competencies; the first level nurses had got the lowest scores.
2. The nurses on higher level had higher satisfaction in program.
3. Most of staff nurses tend to choose CNS as advanced role in their nursing career.
4. The influencing factors of staff nurses in choosing the advanced role included individual characteristic, hospital trails, nursing competencies, and program satisfactions.
Recommendations were made regarding nursing policy, nursing administration, nursing education, and nursing research.



目次 Table of Contents
目 錄
第一章 緒論……………………………………………………… 1
第一節 研究動機……………………………………………………… 1
第二節 研究目的……………………………………………………… 2
第二章 文獻探討……………………………………………………… 3
第一節 護理人員「專業能力進階制度」之意義與內涵…………… 3
第二節 「專業能力進階制度」之內容與評估……………………… 8
第三節 護理能力之相關理論研究…………………………………… 14
第四節 進階角色與角色選擇………………………………………… 20
第三章 研究設計與實施………………………………………………… 24
第一節 研究架構………………………………………………………… 25
第二節 研究假設……………………………………………………… 26
第三節 研究變項與操作型定義……………………………………… 27
第四節 研究對象……………………………………………………… 29
第五節 研究工具……………………………………………………… 31
第六節 分析方法……………………………………………………… 36
第四章 研究結果與討論……………………………………………… 39
第一節 描述性統計分析……………………………………………… 39
第二節 研究變項相關分析…………………………………………… 48
第三節 研究變項之差異分析………………………………………… 51
第四節 迴歸預測分析………………………………………………… 64
第五章 結論與建議…………………………………………………… 85
第一節 主要發現……………………………………………………… 85
第二節 結論…………………………………………………………… 88
第三節 建議…………………………………………………………… 89
第四節 研究限制……………………………………………………… 91
參考文獻 ………………………………………………………………… 92
研究問卷 ………………………………………………………………… 98
圖、表目錄
圖目錄:
圖2-2-1 ………………………………………………………………… 10
圖3-1-1 ………………………………………………………………… 24
表目錄 .
表2-3 ………………………………………………………………….. 18
表3-3-1 ………………………………………………………………….. 28
表3-3-2 ………………………………………………………………….. 28
表3-4-1 ………………………………………………………………….. 30
表3-5-1 ………………………………………………………………….. 34
表3-5-2 ………………………………………………………………….. 35
表4-1-1 ………………………………………………………………….. 42
表4-1-2 ………………………………………………………………….. 43
表4-1-3 ………………………………………………………………….. 46
表4-1-4 ………………………………………………………………….. 47
表4-1-5 ………………………………………………………………….. 47
表4-2-1 ………………………………………………………………….. 50
表4-3-1 ………………………………………………………………….. 54
表4-3-2 ………………………………………………………………….. 55
表4-3-3 ………………………………………………………………….. 56
表4-3-4 ………………………………………………………………….. 57
表4-3-5 ………………………………………………………………….. 58
表4-3-6 ………………………………………………………………….. 60
表4-3-7 ………………………………………………………………….. 61
表4-3-8 ………………………………………………………………….. 62
表4-3-9 ………………………………………………………………….. 63
表4-3-10 ………………………………………………………………….. 63
表4-3-11 ………………………………………………………………….. 64
表4-4-1 ………………………………………………………………….. 66
表4-4-2 ………………………………………………………………….. 67
表4-4-3 ………………………………………………………………….. 67
表4-4-4 ………………………………………………………………….. 68
表4-4-5 ………………………………………………………………….. 69
表4-4-6 ………………………………………………………………….. 69
表4-4-7 ………………………………………………………………….. 70
表4-4-8 ………………………………………………………………….. 71
表4-4-9 ………………………………………………………………….. 71
表4-4-10 ………………………………………………………………….. 73
表4-4-11 ………………………………………………………………….. 74
表4-4-12 ………………………………………………………………….. 75
表4-4-13 ………………………………………………………………….. 76
表4-4-14 ………………………………………………………………….. 79
表4-4-15 ………………………………………………………………….. 82
表4-4-16 ………………………………………………………………….. 84

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