教育訓練對護理師之長照2.0政策知識態度與執行成效-以偏鄉某區域醫院為例

楊志惠

doi:10.6834/csmu202100038

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教育訓練對護理師之長照2.0政策知識態度與執行成效-以偏鄉某區域醫院為例

An Education Program Improves Knowledge, Attitude and Implementation of the Long-Term Care 2.0 Policy among Nursing Staff: an Example from a Rural Regional Hospital

楊志惠 , Masters　　Advisor：李淑杏　　

繁體中文 DOI： 10.6834/csmu202100038

教育訓練；護理人員；知識；態度；執行；長期照護2.0政策； education program ； nursing staff ； knowledge ； attitude ； implementation ； Long-Term Care 2.0 Policy

Abstract │ Reference (80) │ Altmetrics

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Background: Due to the rapidly aging population in Taiwan, the government began to implement the Long-Term Care 2.0 Policy in 2017 to expand care for elderly patients with dementia and/or disabilities. Most of the elderly population in rural areas have limited access to healthcare information, thus rely on nurses to provide relevant information related to care.
Purpose: This study explored the effectiveness of an education training program on the knowledge, attitude and implementation of the Long-Term Care 2.0 Policy among nurses working at a rural hospital.
Methods: Quasi-experimental study design, conducted as a single-group intervention with repeated measures. A self-developed Long-Term Care 2.0 Policy education and training course was delivered to a total of 259 clinical nurses at a regional hospital in a remote township between June and September 2020. Due to the COVID-19 pandemic, the hospital adopted a sub-cabin and diversion control program. Thus, the 60-minute education and training course was delivered to groups of less than 20 nurses at a time. The self-developed "Nursing Staff's Questionnaire on Policy Knowledge, Attitudes and Implementation Behaviors for Long-term Care 2.0" was employed before (T1) and immediately (T2), four weeks (T3) and eight weeks (T4) after the intervention. SPSS version 20.0 was used to calculate frequencies, percentages, averages, standard deviations, paired t-tests, repeated measures and linear regression analysis.
Results: The nurses included in this study had an average age of 34.3±7.7; 96% were female, 57.9% were married; 41.3% were employed at the N2 level, and the average number of years’ experience was 10.37±7.07. The education and training course significantly improved (p<.05) the nurses' knowledge of the Long-Term Care 2.0 Policy immediately (T2), four weeks (T3) and eight weeks (T4) after the intervention. Nurses’ attitude towards the Long-Term Care 2.0 Policy was significantly better immediately after the intervention (T2; p<.05 vs. before the intervention), but not four and eight weeks later (p>.05). In the eighth week after the intervention, the nurses’ attitude to the Long-Term Care 2.0 Policy and their understanding of patients’ need for the Long-Term Care 2.0 Policy significantly affected the nurses’ implementation behavior.
Conclusion: The education and training intervention improved nurses’ knowledge and attitude towards the Long-Term Care 2.0 Policy, and the improvements in attitude relatively increased the nurses’ Long-Term Care 2.0 Policy implementation behavior. This research provides a practical reference for clinical promotion of the Long-Term Care 2.0 Policy to achieve local improvements in elder care and increase the demand for elder care.

Reference ( 80 ) 〈TOP〉

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