An Exploration of Factors Related to Quality of Life in Indonesian Care Workers in Home-Based Care Settings

Shu-Fen LO ； Li-Jung CHANG ； Mark HAYTER ； An-Chi O YANG

《The Journal of Nursing Research》 27卷5期 (2019/10) Pp. 1-9-009

https://doi.org/10.1097/jnr.0000000000000314

摘要

Background: Indonesians constituted 79% of foreign care workers for long-term care in Taiwan in 2015. Therefore, it is crucial to explore the effect of work stress and quality of life (QoL) on this population. Purpose: This study aims to explore stress levels, social support requirements, and perceived QoL among Indonesian care workers (ICWs) who work in home care settings. Methods: A cross-sectional design was used. Data were collected between 2014 and 2016 from a convenience sample of ICWs working in eastern Taiwan using a self-administered questionnaire that comprised the Stress Perception Scale (SPS), Social Support Scale (SSS), and World Health Organization Quality of Life-Brief scale. One hundred fifty-seven valid questionnaires were collected. The response rate was 80.51%. Data were analyzed using descriptive statistics, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: The results found that the average SPS of the sample was 70.50, with low QoL scores and requirements for more social support. In addition, significant and positive correlations were found between QoL and SPS, SSS, duration of patient care, and hours of care per week. Stepwise regression analysis showed that the most predictive variables for QoL were time spent caring, preservice training, psychological stress, and emotional support, which together accounted for 60.9% of the total variance. Conclusions/Implications for Practice: This study facilitated understanding of the stress on ICWs and the impact of social support on their QoL. The findings suggest that new immigrants in Taiwan should be introduced to foreign care workers or nursing attendants. Moreover, long-term-care-related teachers should work with homecare institutions or agencies to develop a teaching model for innovative care skills to relieve the perceived stress of ICWs.

關鍵字

Indonesian care workers ； quality of life ； stress perception ； social support

參考文獻

Chang Chien, H. C., Lee, C. H., Sun, C. A., Chou, Y. C., & Yang, T. (2012). Factors influencing the quality of life of Vietnamese nursing aides working at medical institutions in Taiwan. Journal of Nursing and Healthcare Research, 8(3), 212–222. https://doi.org/10.6225/JNHR.08.3.212 (Original work published in Chinese)

Chen, C. F. (2011). Management or exploitation? The survival strategy of employer of family foreign care workers. Taiwan: A Radical Quarterly in Social Studies, 85, 89–155. https://doi.org/10.29816/TARQSS.201112.0004 (Original work published in Chinese)

Chen, M. J., Lu, Y. H., Chen, C. C., & Li, A. C. (2014). A project to reduce the incidence of intubation care errors among foreign health aides. The Journal of Nursing, 61(4), 66–73. https://doi.org/10.6224/JN.61.4.66 (Original work published in Chinese)

Chen, S. H., Liu, H. E., Li, C. L., & Kao, C. Y. (2012). An exploration of quality of life and related factors in foreign nurse aides. The Journal of Health Sciences, 14(1), 57–68. https://doi.org/10.6563/TJHS.2012.14 (1).5 (Original work published in Chinese)

Huang, W. Y., & Hsieh, Y. P. (2010). A study on work stress and its related factors for foreign nursing aides in nursing homes around Taichung and Changhua area. Journal of Mei Ho Institute of Technology, 29(1), 181–198. https://doi.org/10.7067/JMHIT.201003.0181 (Original work published in Chinese)