以焦點團體方式探討護理之家照護品質

Nursing Home Care Quality--A Focus Group Study

本研究旨在探討並比較住氏、家屬、護理人員與照顧服務員四者所感知 的護理之家照護品質之異同，並暸解不同型態護理之家所認知的照護品質是 否有所差異。採質性研究的焦點團體方式，在中部地區三所不同型態的護理 之家（醫院附屬型、獨立型一位於都市、獨立型一位於鄉鎮），針對住氏、家 屬、護理人員與照顧服務員各舉辦一次焦點團體座談會。焦點團體的錄音資 料轉譯成文字稿後，再依內容分析的程序做編碼與檢視其共通論題。結果發 現護理之家照護品質可分成五大類組， 15 項次類組及57 項照護品質指標。住 氏、家屬、護理人員與照顧服務員對護理之家照護品質的感知有顯著差異； 不同型態護理之家與所感知的護理之家照護品質則無顯著差異。研究結果有 助於從事長期照護的專業人員們，瞭解護理之家內提供照護者與接受照護者 對照護品質認知上的異同，從而提供切乎接受照護者觀點與需求的護理措 施。此外，研究結果所發現的護理之家照護品質指標，可做為日後建立護理 之家照護品質量表的依據。

The purpose of this study was to explore and compare the perceptions of care quality in nursing home from the perspectives of residents, families, nurses and nursing assistants, and investigate the viewpoints among different types of nursing home hospital-based; non-affiliated city-based; non-affiliated county-based). Twelve focus groups were recruited from three different types of nursing homes in the middle Taiwan, four focus groups for each nursing home. The focus groups were audiotaped and transcribed verbatim. Transcripts were analyzed systematically by coding responses and examing for common themes according to content analysis procedures. There were five categories, 15 subcategories and 57 care indicators to describe the care quality in nursing home. The perceived care quality in nursing home among residents, families, nurses and nursing assistants were different. Nevertheless, the perceptions of care quality in nursing home for three types of nursing home were not significant difference. The results of this study may help the longterm care professionals to understand the similarity and difference of perceptions in nursing home quality between providers and receivers of care. Furthermore, the results can provide common indicators for establishing the instrument of care quality in nursing home.