本研究以某公立醫院附設護理之家主要照護人員（護士、照顧服務員）及住民為主要研究對象，採用連續觀測法進行護理時間的資料蒐集，探討各等級健康功能住民實際所接受照護工時之差異。依據日本學者高橋泰所編製之TAI高齡者照護計畫視覺量表評估護理之家住民功能等級，以計算符合住民照護所需之實際護理人力。研究結果發現護理之家個案現有照護人力數尚稱充足，且部份單位人力配置有餘裕。建議未來若能建構專屬於長期照護機構住民的分類分級系統，將有助於協助機構內部人力調派與資源的合理利用，並可提升重症病人長期照護的可近性，與改善照護機構之服務品質。
The subjects of this study encompassed the nursing staffs (nurses and nursing aids) and residents of a public hospital-based nursing home. By intensive sampling, this study explored the differences in actual times that nurses spent caring for residents. We assessed the functional status of nursing home residents of various illness severities as well as measured the actual nursing manpower needed to meet the residents' care needs using Typology of the Aged with Illustration (TAI). Results showed that current nursing manpower levels in nursing homes was adequate, although some units had excessive manpower allocation. As a result, this study suggests the establishment of a resident classification system for use in long-term care (LTC) facilities to assist with manpower allocation and reasonable utilization of resources within the facility. Adequate nurse staffing will enhance the quality and accessibility of care for the residents with severe illnesses in LTC facilities.
