充能式教育在長期照護機構的應用－以安養護機構中的外籍照顧服務員為對象

Application of Empowering Education in Long-Term Care Facilities: The Experience with Foreign Nurse Aides

李怡娟(I-Chuan Li) ； 吳麗瑜(Li-Yu Wu) ； 張麗春(Li-Chun Chang) ； 陳俞琪(Yu-Chi Chen)

《護理雜誌》 52卷6期 (2005/12) Pp. 23-29

https://doi.org/10.6224/JN.52.6.23

摘要

充能的理念逐漸受到各專業的重視，並已在實務上被廣泛地應用。它所隱含的意義是個人對其生活具掌控能力，並進而影響其生活中的組織與社會結構之過程。本文主要透過一個由作者群運用充能式教育於長期照護機構中的外籍照顧服務員的實例，以具體呈現充能過程在不同的群體及情境，會有不同的充能策略、過程及成效。長期照護機構中外籍照顧服務員充能的前置因素為其工作壓力源與其壓力源相關之因素，充能過程包括在率備期建立信任的夥伴關係、在過程期喚起她們對於工作環境的知覺與察覺照護工作的困難／需求、激發批判性思考及正向肯定與回饋、結果期的充能成效有解決問題的能力提升、對自己的照顧能力有信心、肯定自我價值、正向的適應工作行為。相信本文可提供實務界有關如何具體地將充能運用於臨床的過程及長期照護機構對於外籍照顧員的管理。

關鍵字

充能式教育 ； 外籍照顧服務員 ； 長期照護機構

並列摘要

The concept of empowerment, widely accepted and utilized in many health-related disciplines, connotes a process of gaining control over one's life and influencing the organizational and social structures in which one lives. This article demonstrates an example of how empowering education can be applied on foreign nursing aides working in long-term care facilities and how differing empowering strategies, processes and effects can be adopted to address differing situations and ethnic backgrounds. How high priority issues of concern for foreign nurses are handled impacts upon their ability to perform their jobs well. Empowering strategies can help deal with such issues more effectively and, as a result, reduce work stress and improve on-the-job performance. During the preparation stage, the empowerment process focuses on building a trusting partner relationship. During the work stage, the process focuses on inspiring foreign nurses' self-awareness, encouraging their perceiving the barriers and needs at work, and, most importantly, encouraging nurses to think critically and positively and to provide feedback. The effects of empowering education include enhanced problem solving abilities, rising nurse self-confidence in his/her caretaking abilities, enhanced self-esteem, and improved adaptation to the work environment. This paper provides empirical experiences with regard to the application of empowering education in clinical settings as well as process and management strategies related to foreign nursing aides employed in long-term care facilities.

並列關鍵字

empowering education ； foreign nurse aides ； long-term care facility