DC 欄位 | 值 | 語言 |
dc.contributor | 指導教授:陳佳慧 | - |
dc.contributor | 臺灣大學:護理學研究所 | zh_TW |
dc.contributor.author | 胡尹齡 | zh_TW |
dc.contributor.author | Hu, Yin-Ling | en |
dc.creator | 胡尹齡 | zh_TW |
dc.creator | Hu, Yin-Ling | en |
dc.date | 2014 | - |
dc.date.accessioned | 2014-12-01T01:48:45Z | - |
dc.date.accessioned | 2018-07-07T01:30:25Z | - |
dc.date.available | 2014-12-01T01:48:45Z | - |
dc.date.available | 2018-07-07T01:30:25Z | - |
dc.date.issued | 2014 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/264543 | - |
dc.description.abstract | 器官移植協調師是串聯移植流程的一線人員。隨著臺灣器官移植醫學的進步,
器官移植協調師也漸受重視,但在角色發展上仍較歐美晚了近 20 年。民國 100 年 爆發愛滋器官誤植事件,更突顯器官移植協調師在角色發展上模糊的工作範疇與 定位。本研究遵循 Bucher 於 1988 年提出的 Natural History Framework 中新健康照 護角色發展步驟,透過德菲法研究設計,調查器官移植領域各層級專家意見,藉 以歸納現今臺灣器官移植協調師的角色定義、核心工作範疇,及角色背景期待。 研究結果顯示,81 位器官移植各層級專家在臺灣器官移植協調師的核心工作範疇 上,有高度的一致性。本研究根據其共識,將器官移植協調師的角色定義為『健 康照護人員,負責器官捐贈者與受贈者資料的確認、統整建檔與文件的取得;協 助醫療團隊提供器官捐贈家庭及受贈家庭之術前術後照護;協調院內移植團隊與 其他科部間之移植業務,擔任院際移植器官的分配、轉運的聯絡人;辦理醫院及 社區的器官捐贈宣導活動,並於其專業上積極自我成長』。本研究寄望藉由明確的 工作範疇與具體的角色定義,以促進器官移植協調師角色的永續發展。 | zh_TW |
dc.description.abstract | Organ transplant coordinator is a front-line practitioner who facilitates patient care throughout all phases of transplantation. However, a lack of consensus on role definition, essential job functions, and licensure and education preparation of these important practitioners results in role confusion. This role confusion was evident from the event of HIV-infected organs mistakenly transplanted into five patients in Taiwan back to year 2011. Based on Bucher’s framework on the natural history of health care occupation, this study aimed to survey the viewpoints on role definition, essential job functions, and licensure and education preparation of organ transplant coordinator from field experts, using a Delphi survey design. The results show that the survey participants (n=81) have a high consensus on essential job functions and licensure and educational preparation of organ transplant coordinator. Based on the findings, we defined the role of organ transplant coordinators as "health care practitioners, responsible for obtaining, verifying, and completing necessary documentation for the transplant patients including donors and recipients; assisting multidisciplinary team members to provide care of the transplant patients and their family pre-transplant or post-transplant; coordinating transplantation process when a donor is available including communication between physicians, organ procurement organization, patient/families and the medical team involved including ER, OR, and histocompatilbility labs; organizing educational activities about transplantation and organ donations for the hospital system and local community; and enhancing the professional competences through self-learning and growth. We hope by delineating the role of organ transplant coordinator in Taiwan, public discussion and rigorous research can be initiated leading to a pathway for professional role development. | en |
dc.description.tableofcontents | 第一章緒論
第一節 背景分析與研究動機..............................................1
第二節 研究問題..............................................................2
第三節 研究目的..............................................................3
第二章 文獻探討
第一節 新角色發展的原因.................................................4
第二節 新健康專業人員角色的演進過程..............................5
第三節 國內外器官移植協調師的發展背景與沿革.................7
第四節 應用新健康照護角色之演進於臺灣器官移植協調師的發展...9
第三章 研究方法
第一節 德菲法介紹.........................................................16
第二節 德菲法的施測程序...............................................17
第三節 研究對象............................................................19
第四節 研究工具與研究設計............................................20
第五節 資料分析方法......................................................21
第四章 研究結果
第一節 研究對象基本資料...............................................22
第二節 器官移植協調師工作範疇結果分析.........................24
第三節 角色背景期待分析...............................................32
第五章 討論、研究限制、結論
第一節 討論.................................................................36
第二節 研究限制..........................................................39
第三節 結論.................................................................40
圖目錄
圖一 填答專家之職務...............................................................22
圖二 填答專家所屬單位............................................................23
圖三 填答專家平均年資............................................................23
圖四 八大工作範疇的重要性......................................................24
圖五 器官勸募活動 ..................................................................25
圖六 活體器捐 ........................................................................25
圖七 屍捐臨床作業細項分析......................................................27
圖八 器官移植臨床作業............................................................28
圖九 組織/器官保存.................................................................29
圖十 器官移植關懷活動............................................................30
圖十一器官移植教育訓練活動.......................................................31
圖十二自我專業提昇....................................................................31
圖十三名稱適用度.......................................................................32
圖十四 角色背景分析...................................................................33
圖十五 基本學歷分析...................................................................33
參考文獻 ...................................................................................41
附錄
附錄一 前驅性研究問卷...........................................................47
附錄二 德菲法問卷..................................................................60 | zh_TW |
dc.format.extent | 1491068 bytes | - |
dc.format.mimetype | application/pdf | - |
dc.language | zh-TW | - |
dc.rights | 論文使用權限:同意有償授權(權利金給回饋學校) | - |
dc.subject | 器官移植協調師 | zh_TW |
dc.subject | 角色定義 | zh_TW |
dc.subject | 工作範疇 | zh_TW |
dc.subject | 德菲法研究設計 | zh_TW |
dc.title | 臺灣器官移植協調師角色定義與工作範疇 | zh_TW |
dc.title | Role Delineation of Organ Transplant Coordinator in Taiwan:
A Delphi Survey | en |
dc.type | thesis | en |
dc.identifier.uri.fulltext | http://ntur.lib.ntu.edu.tw/bitstream/246246/264543/1/ntu-103-R98426002-1.pdf | - |
item.openairecristype | http://purl.org/coar/resource_type/c_46ec | - |
item.openairetype | thesis | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.fulltext | with fulltext | - |
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