THE COMPARISON OF THE QUALITY OF NURSING CARE UNDER PRIMARY AND TEAM NURSING IN TAIWAN (PRIMARY NURSING).
Contributors: University Of Illinois At Chicago, Health Sciences Center.
Published: 1989
Number of pages: 166
Subjects: Health Sciences, Nursing.
Description: This study sought to modify the United States-based Rush Medicus Tool (RMT) to monitor the quality of nursing care in Taiwan and to establish its reliability and validity for use in a hospital in Taiwan. Also, it compared the quality of nursing care under primary and team nursing models in Taiwan. A revised tool was labeled RMT-MQNC-VGH referring to Rush Medicus Tool-Monitoring the Quality of Nursing Care-Veterans General Hospital. Two medical and surgical nursing units which provided primary care and two medical and surgical nursing units which provided team care were chosen as test units in a hospital in Taiwan. Four nursing research observers were trained and four different questionnaires were used to test the quality of nursing care from October through December, 1988. A total of 384 patients in the Veterans General Hospital were monitored. The interrater reliability for the observers was 98% agreement.

The modified Rush Medicus Tool for monitoring the quality of nursing care in Taiwan has four main objectives: formulating a nursing care plan, attending to a patient's physical care, attending to a non-physical needs, and evaluating the achievement of objectives. The combined primary medical and surgical units were significantly different from the combined team nursing medical and surgical units on the quality of nursing care scores. There were statistically significant differences on the quality of nursing care scores for objectives 1, 3, and 4 between the nursing modality, primary nursing and team nursing for both the medical and surgical units. There was no significant difference on the quality of nursing care scores for objective 2 between primary and team nursing for both the medical and surgical units. There was no significant difference between the nursing specialty, medical and surgical specialty units on the quality of nursing care scores. There was a significant difference between months on the quality of nursing care scores. Further research to analyze the factors that influence the quality of nursing care should be conducted in the future.
Notes: Source: Dissertation Abstracts International, Volume: 51-01, Section: B, page: 0144.

Thesis (PH.D.)--UNIVERSITY OF ILLINOIS AT CHICAGO, HEALTH SCIENCES CENTER, 1989.

School code: 0806.