台灣地區居家護理人員連結社區資源之相關因素探討

Factors Related to Home Care Nurses' Integration of Community Resources

戴文珠(Wen-Chu Tai) ； 陳靜敏(Ching-Min Chen) ； 劉淑娟(Shu-Chuan Liu) ； 徐亞瑛(Yea-Ing Shyu)

《長期照護雜誌》 9卷3期 (2005/09) Pp. 263-278

https://doi.org/10.6317/LTC.200509_9(3).0006

摘要

The major aim of the study was to explore the factors related to Home Care Nurses' integration of community resources. The cross-sectional correlation research design was used. 70 hospital-based home care agencies were simple. A total of 135 subjects completed the questionnaires (response rate 65.2%). A total of 135 subjects completed the questionnaires (response rate 65.2%). The instruments were self developed with acceptable content validity (CVI＞0.86) and internal consistency (α=0.83-0.92).The major results indicated that home care nurses' self-efficacy in integration of formal community resources and self-expectancy were between ”sometimes can do it” and ”usually can do it”; however, self-efficacy in integrating informal community resources was between ”seldom can do it” and ”sometimes can do it”. Home care nurses' integration of community resources were significantly correlated with the three aspects of self-efficacy: formal resources (r=.56, p＜.01), informal resources (r=.52, p＜.01) and the self-expectancy (r=.39, p＜.01). Home care agencies which assigned tasks (t=4.5, p＜.01) and caseloads (t=3.3, p＜.01) based on employee's educational background and job evaluation, their nurses integrated more community resources than those without delegation. The agency's total number of visits per month was negatively correlated with degree of integration of community resources (r=-.24, p＜.01). The multiple regression identified the major factors predicting the integration of community resources were self-efficacy. Through this study, home care nurses' current behaviors and difficulties in integrating community resources can be examined which further can be applied to improve nurses' integration of community resources.

關鍵字

連結社區資源 ； 自我效能 ； 居家護理

並列摘要

The major aim of the study was to explore the factors related to Home Care Nurses' integration of community resources. The cross-sectional correlation research design was used. 70 hospital-based home care agencies were simple. A total of 135 subjects completed the questionnaires (response rate 65.2%). A total of 135 subjects completed the questionnaires (response rate 65.2%). The instruments were self developed with acceptable content validity (CVI＞0.86) and internal consistency (α=0.83-0.92).The major results indicated that home care nurses' self-efficacy in integration of formal community resources and self-expectancy were between ”sometimes can do it” and ”usually can do it”; however, self-efficacy in integrating informal community resources was between ”seldom can do it” and ”sometimes can do it”. Home care nurses' integration of community resources were significantly correlated with the three aspects of self-efficacy: formal resources (r=.56, p＜.01), informal resources (r=.52, p＜.01) and the self-expectancy (r=.39, p＜.01). Home care agencies which assigned tasks (t=4.5, p＜.01) and caseloads (t=3.3, p＜.01) based on employee's educational background and job evaluation, their nurses integrated more community resources than those without delegation. The agency's total number of visits per month was negatively correlated with degree of integration of community resources (r=-.24, p＜.01). The multiple regression identified the major factors predicting the integration of community resources were self-efficacy. Through this study, home care nurses' current behaviors and difficulties in integrating community resources can be examined which further can be applied to improve nurses' integration of community resources.

並列關鍵字

integration of community resources ； self efficacy ； home care