Effects of Aging Simulation Program on Nurses' Attitudes and Willingness toward Elder Care

老人體驗於護理人員對老人態度及照顧意願之影響

李彩緣(Chai-Yuan Lee) ； 徐慧娟(Hui-Chuan Hsu) ； 李秋香(Chiu-Hsiang Lee)

《台灣老年醫學暨老年學雜誌》 11卷2期 (2016/05) Pp. 105-115

https://doi.org/10.29461/TGG.201605_11(2).0003

摘要

Purpose: Nursing professionals play an important role in elder care, and their attitudes toward the elderly may affect the quality of the provided care and its outcomes. The study accordingly aimed to evaluate the effectiveness of an aging simulation intervention program in improving nurses' attitudes and willingness toward elder care. Methods: Participants were recruited from the nurses from a medical center (N=134). All the participants wore a ＂senior simulator＂ suit to perform daily activities in this program. Data were collected before and 3 months after the intervention. Logistic regression analysis was then conducted. Results: The participants developed more positive attitudes toward the elderly after the intervention. Nurses' willingness toward elder care increased from 67.8% to 78.4% (P= .000). After adjusted for related factors of the sample characteristics, their attitudes toward the elderly did not significantly improved, but willingness toward elder care (OR=2.719) were observed to report a significant correlation after the intervention. Nurses’ willingness toward elder care appeared to be related to demographic variables before the intervention, the elder care frequency (regularly vs sometimes) (OR=0.115) showed a significant correlation after the intervention. Conclusion: Nurses’ attitudes toward the elderly are not necessarily related to demographic variables. The aging simulation intervention program increases the willingness of nursing professionals toward elder care and should be incorporated in clinical nursing education for enhancing the overall quality of elderly care.

關鍵字

attitudes ； willingness to care ； nursing professionals ； aging simulation

並列摘要

背景：護理專業角色於老人照護居重要地位，如何提升護理人員對老人態度可能影響照護品質與結果。目的：本研究在探討某醫學中心護理人員於老人體驗介入後，對老人態度及照顧意願之影響成效。方法：針對某醫學中心134位病房護理人員，提供護理人員「模擬高齡者體驗裝置(senior simulator)」體驗老人活動；以「對老人態度量表」進行前後測調查，後測於介入後三個月，以邏輯式迴歸分析進行資料分析。結果：老人體驗介入後，對老人態度有正向提升，有意願照顧老人的比例由67.8提升為78.4%。調整人口學變項因素分析發現，老人體驗介入後，對老人態度無顯著影響；於老人照顧意願方面，老人體驗介入後，有願意照顧是介入前的2.719倍，且於照顧頻率有統計上顯著差異，偶而照顧老人是常常照顧的0.115倍。結論：研究結果顯示護理人員對老人之態度不受個人經驗或環境背景相關因素所影響，老人體驗介入能提升其對老人照顧意願。建議臨床安排老人相關在職教育時，能納入老人體驗課程，以提升護理人員對老人照護之的重視，進而提升老人照護品質。

並列關鍵字

態度 ； 照顧意願 ； 老人體驗 ； 護理專業