| 摘要: | 背景與目的：對醫院而言，「教育訓練」的成效是否可以達到或超過所期待的效益一直都是主管思考的課題，透過培訓課程與專案實作能增強員工對「病人安全文化」的態度認知，是醫院確保高品質、安全照護的關鍵。本研究希冀對病人安全教育訓練做一全面性之成效評估，並將研究結果提供醫院管理單位，做為將來推動教育訓練之培訓參考。
研究方法：本研究以量化研究為主，針對個案醫院進行問卷調查，問卷包含三大部分：病人安全態度量表(SAQ)、教育訓練滿意度及員工基本資料，共計70題。共發放375份，有效問卷261 份，回收率69.60%。並進行描述性統計、t-tests、ANOVA及逐步複迴歸分析，探討醫院實施教育訓練後的成效。
研究結果：實施教育訓練後，員工對訓練滿意度各題項皆有極佳的評比，另外，有參與教育訓練培訓課程及專案實作的員工相較沒有參加教育訓練的員工，在六項病人安全文化態度構面上皆有正向的評價，且在「團隊合作風氣」、「安全的風氣」、「工作滿意度」、「對管理部門的感受」及「工作狀況」構面都達到統計上的顯著意義。從研究調查結果也可得知員工屬性與病人安全文化態度的關聯，「性別」、「年齡」、「教育程度」、「任管理職與否」及「工作職稱」在病人安全文化態度構面中達統計上的顯著意義。
結論與建議：研究發現醫院推動病人安全教育訓練確實可以增強員工對病人安全文化的認知，對員工在專業知識與能力的精進及日常工作應用中也有相當的幫助，建議醫院管理者應定期追蹤調查並持續改善，進而提升整個組織之病人安全文化並增進醫療照護品質，減少因醫療疏失而增加的成本負荷。由此可知，醫院實施教育訓練可獲得諸多有形利益及無形效益。
Objective: Whether training outcomes can exceed the input cost, this is the topic that hospital senior managers always want to know. Through training programs and projects practice by doing can enhance employees’ patient safety attitude. That is the key for improving quality and keeping safe environment. This study is going to understand the benefits from doing training. The study result will offer the health care managers to be a reference of patient safety training in the future.
Methods: The study is a quantitative research and surveyed by questionnaire. The questionnaire includes three sections: safety attitude, training satisfaction and staff imformation. We sent out 375 questionnaire, and a total of 261 valid questionnaire were returned with a mean response rate of 69.60%. Descriptive, t-tests, ANOVA, and multiple regression analysis were used in this study.
Results: After educational training intervention, employees’ training satisfaction had a well response. Additionally, compared to those without participating training, healthcare workers had joined training have positive attitudes in six SAQ dimensions. Also, teamwork climate,safety climate, job satisfaction, perception of management, and working conditions have significant differences. The results showed that the relevance between employees personnel and patient safety attitude as well. Sex, age, educational status, administration managers and job title have significant differences in attitudes of patient safety culture.
Conclusion and suggestions: Research findings that hospital implemented patient safety training can significantly to enhance staff in the positive attitude of patient safety culture and strengthen professional knowledge and abilities in routine works. So, we recommend that hospital manager should follow up and continuous improve patient safety culture regularly. Then, reducing the costs from medication error. It will be seen from this that hospital implement educational training can get visible and intangible benefits. |
