[[alternative]]The relationship between facility characteristics

[[abstract]]隨人口老化、家庭結構改變、社會變遷因素影響使護理之家供給增加，其照護品質良窳漸受重視。本研究旨在初探護理之家機構特性（經營型態、規模、佔床率、護理人員護理時數、病患服務員護理時數）與照護品質（壓瘡率、跌倒率、轉∕住至急性照護機構率、感染率、使用身體約束率）的相關性。 本研究參考Donabedian品質管理理論模式，採描述相關性設計，於89年10月至12月為期3個月調查，依經營型態為分層基礎，按所佔母群體比例隨機抽樣，以郵寄結構式問卷方式調查台灣地區39家立案護理之家，有效樣本數共32家，有效回收率82﹪。利用描述性統計及邏輯斯迴歸方式進行資料分析。 本研究結果為控制住民特性後，獨立型態護理之家比醫院附設型態護理之家傾向低跌倒率與低感染率，且規模大的機構傾向有高跌倒率。本研究結論為經營型態與規模為未來照護品質提昇之主要考量因素，此外並針對本研究進行之限制提出建議，及對未來研究、實務、教育、政策制定應用加以討論。[[abstract]]In recent years, the numbers of nursing home are increasing rapidly to take care of the aging population because of the change in the structure of the family and society. Therefore, the government and the public have concerned the quality of care in nursing homes. The purpose of this study was to examine the relationship between the characteristics of nursing homes (e.g. ownership, size, occupancy rate, RN hours per patient day, NA hours per patient day) and the outcome of quality care (e.g. pressure ulcer rate, falls rate, rate of transfer/discharge to in-patient acute care, infection rate, rate of use of physical restraint). Based on the Donabedian’s quality management model, a descriptive correctional design was adopted. A stratified random proportionate sampling procedure was used for selecting 39 homes from 123 legitimate nursing homes. Data were collected from a tree-part post survey completed by 32 / 39 (82%) administrators of homes. Data was analyzed by using descriptive statistics and logistic regression at organizational-level. Results of this study revealed that after controlling the resident characteristics, the freestanding nursing homes had lower falls rate and infection rate; nursing homes with larger size had higher falls rate. Findings hold important implications for professional education, research, administration and policymaking. Recommendations were discussed for further study

危害因子、工作態度與傷害事故關係之研究-以50嵐員工為例

[[abstract]]近數十年來，台灣飲料業不斷的蓬勃發展，外帶式飲料業的霸主則是隨著時間的變遷以及口味的改變有著不同的文化，所以業者除了提升自己的競爭力外，還必須迎合大眾的口味，提供出各種不同的需求。因此，本小組與中部知名飲料連鎖店合作，並找出各項關鍵因素來設計問卷，對於此店員工的傷害事故以做為對象進行發放，將所得到的資料，利用SPSS統計套裝軟體(敘述統計、雙變數分析、次數分配百分比、迴歸分析)進行分析，分別以敘述統計分析分析基本資料與傷害事故之顯著差異，以及危害因子與工作態度對於傷害事故之相關分析。從員工工作方面找到此店須改進之問題所在，並建議以提昇店家的安全規範與減少傷害事故發生

The Relationship between Facility Characteristics and the Quality of Care in Nursing Homes

[[abstract]]本研究目的在探討護理之家機構性性(經營型態、規模、佔床率、護理人員護理時數、病患服務員照護時後)與照護品質(壓瘡率、跌倒率、轉／住至急性照護機構率、感染率、使用身體的束率)的相關性。參考Donabedian品質管理理論模式，採描述相關性設計，以隨機分層抽樣方式，自全台123家立案護理之家抽取39家，以郵寄結構式問卷方式共進行3個月的資料收集，計32家護理之家全程參與。以組織層級分析單位，採描述性統計及邏輯迴歸進行資料分析。結果顯示經控制民特性後，獨立型態護理之家比醫院附設型態護理之家傾向有低跌倒率與低感染率，且機構床位數大於45床者傾向有較高跌倒率。本研究結論是護理之家機構的經營型態及機構規模與機構所提供的照護品質(跌倒率及感染率)有關。討論與建議在文內有詳細描述。 The purpose of this study was to examine the relationship between the facility characteristics (ownership, size, occupancy rate, registered-nurse hours per patient day, nursingassistant hours per patient day) and the quality of care (pressure ulcer rate, falls rate, rate of transfer/discharge to inpatient acute care, infection rate, rate of use of physical restraint) in nursing homes. Based on Donabedian's quality management framework, a descriptive correlational design was used. Stratified random sampling was adopted to select 39 homes from 123 licensed nursing homes. Thirty-two nursing homes returned the structured questionnaires by mail over a three-month period. Data were analyzed using descriptive statistics and logistic regression at the organizational level. The results of this study revealed that after controlling for characteristics of residents, independent nursing homes had lower falls and infection rates than hospital-affiliated homes. Facilities with over 45 beds had higher falls rates. The study concludes that the ownership and size were associated with the quality of care (falls and infection rates) in nursing homes. Discussion and suggestions are described