探討照顧服務員執行維護病人安全照護項目之認知與需求－－以中區四縣市醫院為例

A Survey on the Nursing Assistant’s Scope of Practice for Patient Safety-data from Four Hospitals in Central Taiwan

本研究目的在瞭解醫護人員及病人或家屬對照顧服務員執行病人安全照護之認知與需求，藉以提升病人住院期間的安全照護。採結構式問卷，以醫學中心、區域醫院、地區醫院之醫護人員及病人、家屬為對象，進行立意取樣調查，共712份有效問卷。結果：（一）照顧服務員在病人安全上的貢獻同意度方面醫護人員及病人、家屬均認為：協助病人從床上移動到輪椅之正確性及有基本的醫療（照顧），可以提高病人在住院期間的安全且最重要。（二）在照顧服務員角色定位上，兩者共同認為可以執行的服務為：陪伴、紀錄飲食量。且共同認為不可執行協助急救；抽痰、消毒尿管等二項侵入性治療之動作，區域及地區型醫療院所之患者家屬皆認為不可做。建議：推動聘用有執照之照顧服務員、建立照顧服務員之教育制度。

A structured questionnaire was used. With purposive sampling, the subjects were nursing professionals, patients, and families of the medical centers, metropolitan hospitals, and local community hospitals. 712 effective responses were obtained. The results showed that (a) nursing professionals, patients, and families agreed that nursing assistants contributed to safe patient care by correctly assisting patient transfer from bed to wheelchair during hospitalization, (b) nursing professionals, patients, and families agreed that nursing services under the nursing assistants' scope of practice included accompanying patients and recording amount of intake and output. Services which were disagreed to be performed by nursing assistants were invasive nursing activities, such as suction of sputum and insertion of a urinary catheter. This research suggested that the government should facilitate in hiring licensed nursing assistants and establishing the educational training program for nursing assistants.