| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學研究所 === 98 === Abstract
Title of Thesis: Post-occupancy Evaluations of Nursing Stations – Exploring the Effect of Centralized versus Decentralized Nursing Stations on Communication among Staff
Author: Chiao-Wen Wu
Thesis Advised by: Nai-Wen Kuo, Ph.D, M.P.H.
Objectives: Nursing station is a common space in the hospital. But there were few people understood the importance of nursing station. Without the well-designed nursing station, the hospital may incur unnecessary cost or waste and even decrease the care quality and staff’s job satisfaction. The purpose of this study is to investigate the communication and interaction between physicians and nurses, and contrast the situation in centralized nursing stations with the situation in decentralized nursing stations.
Methods: The study adopts the focus group discussion, social network analysis and questionnaire. The data was collected from eleven nursing stations. Six of them are centralized nursing stations in a hospital in Taipei city in Taiwan. The others are decentralized nursing stations in a hospital in Changhua county in Taiwan. For the evaluation of communication and interaction situation from the viewpoint of physicians and nurses who works in the centralized and decentralized nursing stations, a self-report instrument with five point Likert scales and a social network questionnaire was written by 185 staff who works in the centralized and decentralized nursing stations. After data collected from nursing stations, multi-methods were used to investigate the post-occupancy evaluation (POE) of nursing stations.
Results: The result indicated significant differences between centralized nursing stations and decentralized nursing stations on communication among staff. Further, the findings support all of the hypotheses that centralized stations are significantly higher than decentralized stations on the consultation and working interaction network’s degree and closeness centrality. Besides, decentralized stations are significantly higher than centralized stations on the consultation and working interaction network’s betweenness centrality.
Conclusion: Although these two types of nursing station each have its own merits and shortcomings, but in this research, centralized stations are more facilitate the communication and interaction for physicians and nurses than decentralized stations. Some limitations and future directions of the study are discussed.
Key word: Post-occupancy Evaluation; Nursing station; Communication
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