Demenssjukdom är en av de folksjukdomar som inte kan botas och drabbar årligen 20–24 000 personer i Sverige. Vårdpersonal som arbetar med personer med demenssjukdom måste tolka beteenden och andra icke verbala signaler för god symtomlindring och i sin tur gott välbefinnande. Palliativ vård är ett förhållningssätt där det syftar till att förbättra livskvalitetenför patienter och deras närstående med livshotande sjukdom, genom förebyggande och lindralidande, genom tidig identifiering, bedömning och behandling av smärta och andra symtom som fysiska, psykosociala, och existentiella problem. Syftet med arbetet är att belysa vårdpersonalens upplevelser av palliativ vård till personer meddemenssjukdom i livets slut.Metoden för studien är en litteraturöversikt med integrerad analys utfördes med induktiv ansats. Sökningar gjordes i tre databaser och resulterade i 15 artiklar som bedömdes relevantaför Litteraturöversiktens syfte.Resultatet som framkom efter granskning av de artiklar som inkluderas kategoriseras efterpositiva upplevelser, negativa upplevelser och framtida förbättringsförslag för att påverkapersonalens upplevelser till den palliativa vården med personer med demenssjukdom i livetsslut. Vårdpersonalen upplever svårigheter i när den palliativa vården ska introduceras ochbrister i kunskap. Ett fungerande teamsamarbete och god kommunikation i teamet och tillnärstående upplevs som positivt för livskvaliteten hos patienten. Slutsatsen som dras är att behov av riktlinjer efterfrågas för att upprätthålla ett struktureratarbets sätt, utbildning i palliativ vård för personer med demenssjukdom för att förbättra livskvaliteten. Det finns behov för vidare forskning inom området för att få en mer tydlig bild om när i sjukdomsskedet den palliativa vården ska appliceras. / Dementia is one of the common diseases that cannot be cured and affects 20–24,000 people in Sweden every year. Healthcare professionals working with persons with dementia must interpret the behaviors and other nonverbal signals for good symptom relief and, in turn, goodwell-being. Palliative care is an approach where it aims to improve the quality of life ofpatients and their relatives with life-threatening illness, through prevention and alleviation of suffering, through early identification, assessment and treatment of pain and other symptoms such as physical, psychosocial, and existential problems. The purpose of this work is to elucidate the experiences of the palliative care of caregivers to people with dementia at theend of life. The method for the study was a literature review with integrated analysis conducted withinductive approach. Searches were made in databases to and resulted in 15 articles that were considered relevant for the purpose of the overview. The results that emerged after reviewing the 15 articles included are categorized by positive experiences, negative experiences and future improvement suggestions to influence the staff'sexperiences of palliative care with persons with dementia at the end of life. Caregivers experience difficulties in introducing palliative care, lack of knowledge. Functioning teamcollaboration and good communication in the team and close relatives are perceived aspositive for the quality of life of the patient.The conclusion drawn is that there is a difference in the experiences of the healthcare staff, there is a need for guidelines to maintain a structured way of working and further education in palliative care for persons with dementia in order to improve the quality of life. There is aneed for further research in the area to get a clearer picture of when palliative care is to beapplied during the disorder stage.

本研究旨在瞭解臺北市公立高中職校長空間領導與行政人員工作滿意度之現況為何，並分析不同背景變項之行政人員於知覺其校長空間領導和工作滿意度之差異情形，更進一步探究二者之相關程度高低情形；輔以分析校長空間領導對於行政人員工作滿意度之預測力效果，最後，再以結構方程模式檢定校長空間領導與行政人員工作滿意度之間的適配效果。 本研究採問卷調查研究法方式進行數據資料蒐集，抽取臺北市全部公立高中職合計35所學校，一共發出700份問卷，回收621份問卷，其中有效問卷計574份，問卷有效率為82%。調查問卷資料處理以平均數及標準差進行描述性統計分析、t考驗、單因子變異數分析、Pearson積差相關、多元逐步迴歸以及結構方程模式等統計方法進行探究。最後，本研究獲致相關結果如下： 一、公立高中職行政人員知覺「校長空間領導」整體屬中高程度，而以「融入課程教學」構面知覺程度最高。 二、公立高中職行政人員知覺其「工作滿意度」整體屬中高程度，而以「人際關係」構面知覺程度最高。 三、行政人員不同背景變項分析，對於校長空間領導的知覺上，在性別上男性高於女性；年齡上51歲以上高於31-40歲；服務總年資則是26年以上者高於1-10年及11-15年者；行政年資21年以上高於6-10年者；以及職務則是專職組長高於兼職組長者，均達顯著程度之差異。 四、行政人員不同背景變項分析，對於其工作滿意度的知覺上，服務總年資26年以上高於1-10年者；學制類別則以高職學校高於高中及完全中學者，均達顯著程度之差異。 五、公立高中職校長空間領導整體與行政人員工作滿意度整體之關係，達非常顯著程度相關，係屬高度正相關，意即校長空間領導的情形愈佳，行政人員工作滿意度也愈高。其中校長空間領導以「使用者共同參與」構面對於整體行政人員工作滿意度相關性最高；另校長空間領導整體對於行政人員工作滿意度之「校長領導」構面相關性最高。 六、公立高中職校長空間領導對於行政人員工作滿意度具有顯著預測效果，其中以「使用者共同參與」預測力最佳。 七、校長空間領導與行政人員工作滿意度結構方程模式適配性尚佳。 最後依據研究結果與結論，提出各項建議供教育行政主管機關、校長以及未來後續研究之參考。 / This study aims to understand the status of a public high school level principal’s space leadership and administrative staff’s job satisfaction in Taipei city, and analyze the administrative staffs of different background about their principal’s space leadership and job satisfaction of the case. And this study also investigates the relevance of principal’s space leadership and administrative staff’s job satisfaction. In addition, analysis of principal’s space leadership for administrative staffs to predict the effects of job satisfaction. Finally, it tries to verify structural equation modeling for principal’s space leadership and administrative staff’s job satisfaction. The study adopts the questionnaire survey method. The main subjects of the questionnaire survey are directors, leaders and staffs in the high school level in Taipei city. The total numbers of questionnaires that were distributed to school is 700, 574 of which are valid. That is, the percentage of availability is around 83%. The collected datas are analyzed by the statistical method of descriptive statistics, t-test, one-way ANOVA, Pearson’s product-moment correlation coefficient, multiple stepwise regression analysis and structural equation modeling. So the findings of the study are as follows: 1.Principals in the Taipei public high school level have medium-high degree performance on their practice of leadership with regard to space. And the highest score is the dimension of “ integrating into curriculum teaching“. 2.Administrative staffs of the Taipei public high school level evaluate consequences of the job satisfaction as medium-high degree. And the highest score is the dimension of “ relationship between the people”. 3.Administrative staffs who are male , aged over 51, years of service working more than 26 , years of administrative working more than 21, and serving as full-time team leader evaluate the principal’s space leadership higher degree than the others of the subjects. 4.Administrative staffs who are service working more than 26 years, and working in vocational high schools have a higher evaluation on their job satisfaction. 5.The relation between principal’s space leadership and administrative staff’s job satisfaction in Taipei city is positively correlated. The higher the principal’s space leadership is, the more administrative staff’s job satisfaction. 6.The principal’s space leadership shows a significant predictability on administrative staff’s job satisfaction, particularly 0n the dimension of “ the users joint participation “ with a highest predictability is on administrative staff’s job satisfaction. 7.The structural equation modeling shows the adaptability between principal’s space leadership and administrative staff’s job satisfaction. According to the above conclusions, the researcher is trying to provide some suggestions as further reference for the institution of education administration, schools and whom wants to be a principal.

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