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    標題: 南部護理之家使命內容要素內涵和品質研究
    Study of the Mission Statement Components and the Quality of Performance in the South District on Nursing Homes
    作者: 王玉芬
    貢獻者: 醫務管理系
    陳惠芳
    關鍵字: 護理之家
    品質
    目標
    願景
    使命宣言
    quality
    goals
    vision
    mission statement
    nursing homes
    日期: 2015
    上傳時間: 2015-10-21 17:07:04 (UTC+8)
    摘要: 衛生福利部公告一般護理之家評鑑基準,其內容指標將「機構有訂定目標或使命」列為評鑑項目之一。使命宣言內容要素亦是評鑑機構在經營理念中,發展成策略之重要指標,而護理之家評鑑的結果,將會影響機構後續經營。使命宣言是領導者用來擬訂企業發展的策略與整合企業資源運用的焦點,說明員工組織存在的目的與前進方向,讓全體成員有共同努力的目標,並發揮團隊力量。使命宣言是組織明確方針、服務範圍的依據,作為行動準則與策略規劃,發展評估測量的使命或陳述目的。故本研究目的在探討護理之家訂定使命宣言、使命宣言內容要素、品質績效現況及相關與差異性。 本研究以南部某地區開業的一般護理之家66家為研究母群體,以問卷調查法在地方衛生主管機關例行護理之家衛生查核時給機構負責人,請機構負責人填寫使命宣言內容,共回收樣本59筆,合併機構名冊中之基本資料,採用內容分析法、描述性分析、卡方分析、T和ANOVA差異檢定。結果共擷取316個語幹,再依Pearce and David的九種定義分類使命宣言內容要素。根據Holsti提出的公式,平均相互同意度為0.73,信度為0.89。 研究顯示機構有89.8%架設網頁、64.4%有陳述使命宣言;使命宣言要素有撰寫比例前三名為公司哲學和服務各為(94.9%)、自我認知(74.6%)、技術(69.5%)。護理之家機構特性之屬性、機構型態、機構的開業年資與是否有陳述九大使命宣言內容要素有關。 護理之家的結構面品質和九大要素陳述的項目總數會因機構屬性而有差異;產出品質會因是否有陳述對員工關心使命宣言要素而有差異;開業年資與是否有目標顧客有關;屬性與是否有技術使命宣言要素有關;是否有對員工的關心使命宣言要素與評鑑等級有關。 機構欲提昇品質(住床率、評鑑等級、照護品質稽查是否符合查核),應加強市場特性區隔、形象塑造對生存的關懷及對員工的關心使命的陳述;強化機構對使命宣言的宣導、溝通與教育;從各個面向分類清楚撰寫使命宣言,發展相關管理策略;建立過程控制之機制,達到第三者要求,才是這種類型的組織利基與生存目標。
    Ministry of Health and Welfare announcement benchmark general nursing home evaluation, the content index will "agencies have set goals or mission," as one of the evaluation project. Mission Statement of components is also in the business philosophy of evaluation mechanism, developed into an important indicator Strategies, and evaluation of the results of nursing homes, will affect the future operation of institutions. Mission Statement is a leader in business development focus to formulate strategies and integration of enterprise resource use, and explain the purpose of the organization and staff present in the forward direction, so that all members have a common goal and play a team strength. Mission statement is to organize a clear policy, based on the scope of services, as guidelines for action and strategic planning, development mission or statement of purpose of assessment measures. Therefore, this study aimed at investigate nursing home set a mission statement, mission statement content elements, performance status and quality associated with the differences.In this study, an area south of the opening of the general nursing home for the study of 66 female groups, questionnaires to local health authorities at the time of nursing home routine health check to agency heads, please fill out the department's mission statement content, total 59 samples recovered pen, consolidated agency roster of basic information, content analysis, descriptive analysis, chi-square analysis, T test and ANOVA analysis. Results A total of 316 language stem, then follow Pearce and David nine defined mission statement classification of content elements. Holsti according to the formula proposed by the average mutual consent degree was 0.73, reliability was 0.89.Studies have shown that organizations have set up web pages 89.8%, 64.4% have stated mission statement; elements have written mission statement for the company's philosophy and the proportion of the top three services each (94.9%), self-awareness (74.6%), technology (69.5%). Property characteristics of a nursing agency, opening patterns of funding institutions, agencies and nine mission statement is a statement about the content elements. Structural surface quality nursing home and the total number of nine elements of the project and there will be a statement due to differences in institutional property; output quality will differ depending on whether the mission statement of the staff concerned elements of a declaration; the opening years of the target customer and whether there is relevant; property and whether there are technical elements related to the mission statement; if there is a mission statement for employees concerned about the elements and evaluation grade. To enhance the quality of institutions (live bed rate, evaluation levels, quality of care audit compliance check), should strengthen market segmentation characteristics, image-building and survival of care for employees care mission statement; institutional strengthening of the mission statement Vision guidance, communication and education; clearly written from the classification of each facing a mission statement, the development of relevant management strategies; the establishment of mechanisms for process control, to a third party claims, is organizational survival niche and target this type.
    關聯: 校外公開:2020-08-01,校內公開:2017-08-01,學年度:103,140頁
    顯示於類別:[醫務管理系(所)] 博碩士論文

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