| Summary: | 碩士 === 明新科技大學 === 服務事業管理研究所 === 101 === This research aims at studying the distinctive management qualities as well as the plight of some excellent rated elderly nursing institutions in Taipei City. To achieve the purpose, this study conducted in-depth interviews with 12 experts at nine small-scale excellent-rated elderly nursing institutions, inviting them to discuss their institutes’ management characteristics. Moreover, this study interviewed 7 institute owners or directors in two focus group interviews to understand the operational difficulties these institutes faced as well as the owners’ views toward the situation. The study has come to the following conclusion:
1. The management characteristics: With regard to “administrative organization and operating management,” these institutes had the following characteristics: (1) operating in their own houses; (2) having financial independence; (3) operators keeping learning and growing; (4) owners or directors engaging themselves in the operation; and (5) employee benefit, expertise and policy making being highly regarded. With regard to “care and professional service,” these institutes had (1) operation strategies and care service innovation; (2) complete and professional service teams; and (3) results of employee education and training being translated into improved care and services. Regarding “rights and benefits protection,” the study found that the institutes (1) implemented rights and benefits of the residents and their families according to regulations; (2) hosted diversified group recreation activities; and (3) took an active role in community building.
2. Operational difficulties: (1) part of the regulations was outdated or difficult to follow; (2) the house prices of the institutes were too expensive, and they were not located in industrial districts; (3) part of the regulations regarding barrier free environment and facilities was too strict with no expedients; (4) registered nurses and care attendants were hard to recruit because of shortage of such professionals; (5) foreign care attendants were overpaid and often caused trouble to employers with their discretionary violation of regulations; and (6) new items were added to the criteria for rating institutes without advance testing and promulgation.
3. The seven owners or directors of the excellent rated institutes proposed their views on their institutes’ respective operational difficulties in the hope that these views can be used by governing agencies as helpful references when they make related regulatory revisions or implement institute evaluation.
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