病房護理人員對醫院傳送人員單位駐點與集中調派模式之看法比較

The Comparison of Views Between On-site Model And Centralized Dispatch Model for the Hospital Porters by Ward Nurses

背景及目的：傳送人員一直是醫療人力不可缺少的一環，不但可減輕醫護人員工作量，更能以低成本來完成相同的工作。而傳送人員之管理有單位駐點及集中調派模式。文獻中未見學者對這二種模式作比較。由於病房是使用傳送人員最多的單位，故本研究欲探討病房護理人員對此二種模式之滿意度。方法：本研究採問卷調查法，發放對象為個案醫院中之病房護理人員，收回有效問卷331份。資料處理含次數分配、敘述統計、獨立樣本t檢定、變異數分析及卡方分析。結果：填答者多認為單位駐點模式優於集中調派模式，進一步分析得知：工作年資未滿一年者對集中調派模式傳送人員之看法比起其他較高年資者要偏向正面。雖然多數填答者認為簡訊傳呼系統之操作比資訊傳呼系統方便，但亦發現工作年資未滿一年者對資訊傳呼系統操作方便性之認同顯著高於其他較高年資者。結論及建議：上述研究結果有可能是因為調查樣本多為年資較久之員工，以至填答者多習慣於之前之簡訊傳呼系統及單位駐點模式，而尚未習慣2017年8月才全面實施之資訊傳呼系統及集中調派模式，故建議個案醫院應徵詢新系統及新模式有何不便之處或缺點，謀求改進之道，以便使用者能樂意使用之。

Background and Purpose: Porters have been the important human resource of medical organization. Porters can not only reduce the workload of medical or nursing staff, but also fulfill the same amount of tasks at a lower cost. Management of porters includes on-site model and centralized dispatch model. We could not find any research about the comparison between the two models. Because the ward is the unit having the most porters, the purpose of this study is to explore the degree of satisfaction with the two management models by ward nurses. Methods: We used questionnaires issued to ward nurses of the hospital. A total of 331 valid questionnaires were collected. The statistical methods we used included frequency distribution, descriptive statistics, independent samples t-test, ANOVA and chi-square analysis. Results: Most respondents thought that on-site model is better than centralized dispatch model. Further analysis showed that respondents with seniority less than one year had a more positive view of porters of centralized dispatch model than those seniors. Although most respondents thought that the operation of the message call system is more convenient than information call system, we could find that respondents with seniority less than one year are more likely to agree on the operational convenience of the information call system than other seniors. Conclusion and Suggestions: Above results may be due to the fact that most respondents are senior, so that they were used to the message call system and on-site model that had been performed, and not yet become accustomed to information call system and centralized dispatch model implemented in August 2017. We suggest that case hospital should find out any inconvenience or shortcomings of information call system and centralized dispatch model and improve them to make users like to use them.