| Summary: | 碩士 === 義守大學 === 管理科學研究所 === 89 === Abstract
The utmost concerns of any hospital administrator faced nowaday is how to lower the operational cost whereas the quality of medical care can be simultaneously maintained. For this reason, in order to be competitive in medical services, most hospitals begin to adopt and to implement a variety of quality management tactics for the purpose of maintaining their competitiveness and long-term survival in the medical profession. These tactics include quality control circle, procedural remodelization, total quality management, and ISO….etc.
The aims of the present research are to assess the efficacy of nursing quality control circle(NQCC) and to delineate the factors influencing NQCC. The basis for this research is based upon the question and answer approach. The subjects who participated in this study encompassed the nursing staffs in three types of hospital (medical centers, district hopositals and local hospitals )in which NQCC are currently being conducted. The survey was conducted during the period from November, 2000 through April, 2001. A total of 464 questionnaires had been sent out. After eliminating the inappropriate returning questionnaires, a 86.6% (401 of 464) of respondent rate was obtained. The two key purposes of this questionnaire survey can be outlined: (1) to analyze the data regarding the nursing personnel and the hospital itself for the activities involving NQCC, and (2) to delineate the effects of three variables (individual, group and organization) on the performing efficacy of NQCC. The four preset goals of NQCC are: (A) Nursing quality assurance (NQA); (B) cost-effectiveness(CE); (C) Risk management (RM), (D)Staff need（SN）.
Firstly, we found that “action orientation”, the fourth element of the “organization” factor, influenced NQA, CE and SN greatly (p 0.01). Conversely, “mission and goal orientation” affected RM significantly. Secondly, “group factor ” was found to affect NQCC significantly. The most obvious influencing factor in this category is “team leaders attitude and ability”, the fourth element of group factor (p 0.01) which greatly affect NQA and SN, respectively. Conversely, “specific goal” can affect CE and RM, respectively. Thirdly, “individual factor” generally affects all phases of NQCC. Among these, “personal commitment”, the first element of “individual factor”, can influence NQA, CE, RM and SN greatly (p 0.01).
Keywords：nursing , quality control circle, efficacy of implementing.
|
|---|
