醫護品質與組織承諾之相關因素研究－ 以臺灣北中南現任護理人員為例

Abstract

隨著臺灣全民健保財務壓力不斷增加所進行的一連串健保支付制度上的改革，大幅縮減護理人力，造成整體護理人力供需失去平衡，讓護理人員的薪酬與工作壓力量不成正比，接二連三的醫療疏失，讓護理人員的執業上面臨很大的挑戰。藉由多個層面的討論及研究來瞭解目前護理人力供需及血汗醫院護理人員工作超時的問題，以改善護理薪酬，福利及工作品質。

Since the implementation of the national budget-based reimbursement plan by Taiwan’s National Health Insurance (NHI) program, nursing shortage has become prevalent across all medical. As a result, nurses in Taiwan today are facing a situation where the salary scale and the workload are disproportionate. However clinical care loading become complicated under the situation of increased service coverage, aging population, prevail of chronic disease, and number of critical patients. To provide the best care to patients, the physical wellness of nursing staff is essential. Thus, efforts must be made not only to prevent nurses from working overtime, but also resolve the problem of understaffing in order to retain qualified nurses in hospital and improve working quality for registered nurses in Taiwan.