臺北市醫院護理人員對醫事法律知識認知情形之探討

Taipei Nurses Knowledge About Health Laws

本研究在瞭解護理人員對醫事法律知識的認知情形，以提供護理人員此方面在職教育課程設計之參考。本研究工具係採是非題問卷表，題目分十類共90題，問卷的再測信度0.757、難易度0.713。對象為臺北市公私立醫院護理人員，採分層隨機取樣方式，抽出七家醫院，問卷共發出708份，回收657份，有效回收率92.8%。研究結果發現：一、護理人員對醫事法律知識之平均答對率為78.54%。二、各類別答對率：最高者為醫師法95.67%；最低者為人體器官移植條例及施刪細則為65.25%。三、護理人員對各項醫事法律知識答對率最高的前二項為：（一）護理人員執業，應向所在地直轄市或縣（市）主管機關送驗護理人員證書，申請登記，發給執業執照。（二）診所若因設備不良，無法對危急病人提供完整治療，也應先作適當之急救處理才臺轉診。四、護理人員對各項醫事法律知識答錯最高的前二項為：（一）提供移植之器官，臺以採買賣方式為之。（二）護理人員法所稱之護理人員，為護理師、護士和助產士。五、護理人員對醫事法知識認識之差異中。40歲以上、其他婚姻狀況（鰥、寡、離、分居）、大學以上畢業、工作年資較久、在護理部工作、職稱為主任/副主任和在區域醫院工作者，對醫事法律知識的答對率較高。The purpose of this study was to understand the current condition about nurses' knowledge on medical laws. This understanding can then provided a good reference for the design nurses' on the job education of curriculum. This study used a questionnaire sheet containing 90 questions; reliability is 0.757 and difficultiablity is 0.713. The targets of this questionnaire were nursing staff both in public and private hospitals located in Taipei City. 7hospitals were choosing by the method of random selection. 708questionnaire papers were went out, and 657 were collected. The in-out ratio is 92.8%. Five important findings were drawn from this study. 1. Average correct ration of nurses' knowledge on medical laws is 78.54%. 2.Respondents were able to answer the greatest number of questions correctly for: The highest is Physician's Low 95.67%. The lowest is Human Organ Transplant Ordinance and its bylaws 65.25% 3.The first three questions of correct answers on knowledge of medical laws by nursing personnel are: (1)Nurses need to get a license to practice by registering and obtaining certification document through the city or county office. (2)Clinics should provide proper initial medication to emergency patients even without medical equipment for complete treatment. 4.Thequestions with the greatest percentage of wrong answers were: (1)Organ transplant may be arranged though monetary payment. (2)Under nursing law, nurses and accompanying staff are all considered nursing staff. 5.Nurses whose background included the allowing variables had higher percentages of correct answers: over 4.years experience, other marital status (widows, divorce and separation), university education and above, longer years of service, chiefs and deputies in nursing departments or working in regional hospitals.