Impact of Medical Ecology on Role Identity of Nursing Personnel

• Main Authors: MEI-CHEN PAN, 潘美珍
• Other Authors: CHIN-CHUN CHEN
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/08709122731678694205

碩士 === 銘傳大學 === 公共事務學系碩士在職專班 === 103 === Medical institutions in Taiwan have been suffering from insufficient nursing personnel over recent years. If an increasing number of nurses choose to leave the industry, it may cause the collapse of the medicare system and put the health and safety of patients in jeopardy. Despite the efforts from the Ministry of Health and Welfare in Quality Improvement toward Hospital Patient Care Proposal, the hospitals still experience a shortage of nursing personnel. The nurse/patient ratio is still low in major hospitals for all the three shifts. In fact, it is imperative for Taiwan to enhance the quality of medical care and increase the allocation of nursing personnel. This study endeavours to explore the role identity of nursing personnel and the factors that affect nursing staff retentions in different medical ecologies by conducting in-depth interviews with scholars, medical supervisors and clinical practitioners. The purpose is to examine the effects of the National Health Insurance System in Taiwan and working conditions in local hospitals on how medical personnel perceive their roles. This is to understand the network ties in the medicare system and the impact of medicare capital on medical quality and nurse-patient relationships. This paper argues that the competent authorities should develop a safe environment for practitioners and improve the regulations on medical labour by revisiting Quality Improvement toward Hospital Patient Care Proposal. It is necessary to review the connection between subsidies and nurse/patient ratios, and demand hospitals to provide financial reporting on wages when requesting for funding. Regulators are advised to periodically announce online the human resource allocations in hospitals and examine the reasonable allocations of nursing personnel, in order to enhance the quality of medical care for inpatients and protect the health and welfare of the public.