A Study of the Experiences in Medical Disputes Related to Nursing Practice─An Example in a Medical Center

• Main Authors: Sh- wu Liaw, 廖淑媛
• Other Authors: Chen Yang Cheng
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/32824635210486414077

碩士 === 東海大學 === 工業工程與經營資訊學系 === 98 === Nursing staff always work under pressure and in conditions of frictional disputes; the unstable personnel are also a major concern for the Nursing administration. This research probes into the medical disputes related to nursing practice including the frequency of disputes, the bothering degree of the disputes, and the feeling of staff. Furthermore, the experience of handling the disputes causing nursing staff demission of personnel is also lined up in the discussion of this research. This research sorted out 27 items of nursing practice disputes and grouped them into four major categories: nursing administration affair, nursing intervention practice, medical intervention practice, and nurse−patient relationship. In this research, a total of 275 valid samples were collected from the nursing staff who have worked in the medicine and surgical wards for at least 3 months (samples were from 13 medicine wards in a medical center located centrally within Taiwan). Results showed that the nursing administration affair is the most tormented area where the frequency of disputes within the nursing staff was very high. The medical disputes of nursing practice caused due to safety consideration and of patients’ condition were the biggest concern. This research also found that the frequency of disputes, the degree of botheration due to medical disputes, and the feeling of nursing staff all are strongly related to unstable personnel. Therefore, to combat such situations of medical disputes in nursing practice, this research recommends the following major action items: improve the work flow of the nursing administration affair; carry out necessary nursing intervention practices for patients’ safety centered; and listen to the concerns of nursing staff who encounter difficult situation to help increase the stability of the personnel.