Exploring Characteristics of Hospital visits among Nurses in Taiwan

碩士 === 國立成功大學 === 護理學系碩博士班 === 96 === Present studies associated with the health issues of nurses in Taiwan focus largely on individual diseases, while hospitalization characteristics of nurses are poorly studied. Hence, this study is aimed at providing an insight into the hospitalization characteri...

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Main Authors: Hsiao- hsun Huang, 黃小壎
Other Authors: Maiofen Yen
Format: Others
Language:zh-TW
Published: 2008
Online Access:http://ndltd.ncl.edu.tw/handle/13565157603957551744
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spelling ndltd-TW-096NCKU55630072016-05-16T04:10:17Z http://ndltd.ncl.edu.tw/handle/13565157603957551744 Exploring Characteristics of Hospital visits among Nurses in Taiwan 台灣地區護理人員就醫特性之探討 Hsiao- hsun Huang 黃小壎 碩士 國立成功大學 護理學系碩博士班 96 Present studies associated with the health issues of nurses in Taiwan focus largely on individual diseases, while hospitalization characteristics of nurses are poorly studied. Hence, this study is aimed at providing an insight into the hospitalization characteristics of nurses. This study used descriptive research design, file streaming was performed with data on “Inpatient expenditures by admissions” from the National Health Insurance Research Database for 1997 to 2005 and data on “Registered Nursing Practitioners” from the “Registry for medical personnel”. After file streaming, it was found that there were 23,547 nurses associated with hospitalization service among the 99,842 registered nursing practitioners from 1997 through 2005, leading to a hospitalization rate of 23.6%. Later, statistical analysis was performed with such variables as gender, age, years of work experience, employing agency, days of hospitalization, number of times of hospitalization, medical care type, diagnosis and expense. As to the results achieved in this study, we found that the female nurses had a hospitalization rate of 99.58%, an average hospitalization age of 28.6, an average work experience of 6.1 years, an average number of times of hospitalization of 1.7, and that a majority 37.88% of the female nurses were employed by a district hospital, a majority 37.84% of them were served by a district hospital and a majority of them were hospitalized gynecological reasons. As to diagnosis, early or threatened labor was most frequently seen in addition to normal delivery. As far as systematic diagnosis is concerned, gestagenic and puerperal complications, trauma and poisoning, urogenital diseases, respiratory diseases, digestive diseases, cancer diseases, musculoskeletal and connective tissue diseases ranked among top 7. On an average basis, NT$22,098.1 was spent per time of hospitalization resulting in an aggregate expense on hospitalization of NT$ 0. 92135 billion, and gestagenic and puerperal complications incurred the largest amount of hospitalization expense. As far as the effect of hospitalization cost on manpower cost is concerned, 919,245 nursing work days were spent from 1997 through 2005 due to hospitalization of nurses with an annual cost of 102,138 nursing work days. On average, each hospitalized nurses took 4.3 days off, which meat that a manpower cost of NT$ 0.1237 billion was incurred annually in economic terms due to hospitalization of nurses. Therefore it is suggested that nursing supervisors have a nearest nursing facility serve the pregnant nurses to avoid staying on their feet for long hours and fatigue due to frequent traveling between work site and nursing facility. A manpower assistance network should be established to reinforce manpower when pregnant nurses are off. In performing work design, nursing supervisor should take workflow fluency and facility integrity into consideration, for example, they could meliorate the vehicle in which a pregnant nurse works to enable the vehicle to hold a drinking container easily, while the schedule could be designed on a two-hour-session basis to allow the nurses a chance to go to the restroom. It’s also suggested that the nursing professions include a mammography in their regular physical check-up and that work shift be substituted with monthly permanent shift to have nursing professions coordinate their regular physical check-up with shift and enhance the flexibility of physical check Last of all, it’s suggested that clinic nurses wear knee shields to provide protection when bending their knees and that electric bed should be given priority over manual bed to reduce nursing bending moves for nursing professionals. Maiofen Yen 顏妙芬 2008 學位論文 ; thesis 74 zh-TW
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description 碩士 === 國立成功大學 === 護理學系碩博士班 === 96 === Present studies associated with the health issues of nurses in Taiwan focus largely on individual diseases, while hospitalization characteristics of nurses are poorly studied. Hence, this study is aimed at providing an insight into the hospitalization characteristics of nurses. This study used descriptive research design, file streaming was performed with data on “Inpatient expenditures by admissions” from the National Health Insurance Research Database for 1997 to 2005 and data on “Registered Nursing Practitioners” from the “Registry for medical personnel”. After file streaming, it was found that there were 23,547 nurses associated with hospitalization service among the 99,842 registered nursing practitioners from 1997 through 2005, leading to a hospitalization rate of 23.6%. Later, statistical analysis was performed with such variables as gender, age, years of work experience, employing agency, days of hospitalization, number of times of hospitalization, medical care type, diagnosis and expense. As to the results achieved in this study, we found that the female nurses had a hospitalization rate of 99.58%, an average hospitalization age of 28.6, an average work experience of 6.1 years, an average number of times of hospitalization of 1.7, and that a majority 37.88% of the female nurses were employed by a district hospital, a majority 37.84% of them were served by a district hospital and a majority of them were hospitalized gynecological reasons. As to diagnosis, early or threatened labor was most frequently seen in addition to normal delivery. As far as systematic diagnosis is concerned, gestagenic and puerperal complications, trauma and poisoning, urogenital diseases, respiratory diseases, digestive diseases, cancer diseases, musculoskeletal and connective tissue diseases ranked among top 7. On an average basis, NT$22,098.1 was spent per time of hospitalization resulting in an aggregate expense on hospitalization of NT$ 0. 92135 billion, and gestagenic and puerperal complications incurred the largest amount of hospitalization expense. As far as the effect of hospitalization cost on manpower cost is concerned, 919,245 nursing work days were spent from 1997 through 2005 due to hospitalization of nurses with an annual cost of 102,138 nursing work days. On average, each hospitalized nurses took 4.3 days off, which meat that a manpower cost of NT$ 0.1237 billion was incurred annually in economic terms due to hospitalization of nurses. Therefore it is suggested that nursing supervisors have a nearest nursing facility serve the pregnant nurses to avoid staying on their feet for long hours and fatigue due to frequent traveling between work site and nursing facility. A manpower assistance network should be established to reinforce manpower when pregnant nurses are off. In performing work design, nursing supervisor should take workflow fluency and facility integrity into consideration, for example, they could meliorate the vehicle in which a pregnant nurse works to enable the vehicle to hold a drinking container easily, while the schedule could be designed on a two-hour-session basis to allow the nurses a chance to go to the restroom. It’s also suggested that the nursing professions include a mammography in their regular physical check-up and that work shift be substituted with monthly permanent shift to have nursing professions coordinate their regular physical check-up with shift and enhance the flexibility of physical check Last of all, it’s suggested that clinic nurses wear knee shields to provide protection when bending their knees and that electric bed should be given priority over manual bed to reduce nursing bending moves for nursing professionals.
author2 Maiofen Yen
author_facet Maiofen Yen
Hsiao- hsun Huang
黃小壎
author Hsiao- hsun Huang
黃小壎
spellingShingle Hsiao- hsun Huang
黃小壎
Exploring Characteristics of Hospital visits among Nurses in Taiwan
author_sort Hsiao- hsun Huang
title Exploring Characteristics of Hospital visits among Nurses in Taiwan
title_short Exploring Characteristics of Hospital visits among Nurses in Taiwan
title_full Exploring Characteristics of Hospital visits among Nurses in Taiwan
title_fullStr Exploring Characteristics of Hospital visits among Nurses in Taiwan
title_full_unstemmed Exploring Characteristics of Hospital visits among Nurses in Taiwan
title_sort exploring characteristics of hospital visits among nurses in taiwan
publishDate 2008
url http://ndltd.ncl.edu.tw/handle/13565157603957551744
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