A Key Factor Mind Mapping Decision Model For Home Care Nurse Occupational Hazards

• Main Authors: Yun-Hsiang Chen, 陳芸香
• Other Authors: Chun Pei
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/33584626289689725361

碩士 === 南開科技大學 === 福祉科技與服務管理所 === 103 === Background: In Taiwan, the aging of society entails an increasingly prominent role for home care nurses in long-term care. However, occupational hazards related to home visits constitute a severe threat. Therefore, ensuring the occupational safety of home care nurses warrants in-depth investigation. The main purpose of this research is to analyze the key factors affecting the occupational hazards of home care nurse through weighted analysis. Research Method: The research involved qualitative and quantitative methods. For the qualitative method, according to the modified Delphi method, the preliminary key factors, including major and sub key factors, were adopted through a literature review. Expert questionnaires based on the modified Delphi method were employed to confirm the key factors, and a mind map depicting the key factors was created. For the quantitative method, the decision making trial and evaluation laboratory (DEMATEL) method was adopted to analyze the degree of relevance and the influence of the major key factors. An analytic hierarchy process (AHP) was adopted to compute the weights and the priority of the sub-key factors. Finally, these results were integrated to complete a mind-mapping decision model. Results and Discussion: The qualitative results confirmed by 14 experts after two rounds of administering the expert questionnaire revealed seven major key factors and 27 sub-key factors. The quantitative results obtained using the DEMATEL method revealed that the major key factor “infection hazards” yielded the highest level of relevance among the major key factors and was the most considerable factor influenced by other factors. The major key factor “transportation problem” was a crucial factor influenced other factors. The sub-key factor result determined using the AHP indicated that “lack of experience in clinical practice” , “poor illumination” , “spreading infectious diseases” , “fatigued driving” , “physical violence” , “weather change” and “medical disputes” yielded the highest weighting under the major key factors branch that they belong to. The qualitative and quantitative results were integrated and presented entirely using a mind map, which can provide crucial information for decision-making and resource distribution. In addition, the results can be used as an occupational safety indicator for home care nurses. Keywords: Analytic hierarchy process (AHP), Decision making trial and evaluation laboratory (DEMATEL), Home health care, Mind mapping, Modified Delphi method, Occupational Hazards