Lee I, Chou Fan-Hao, Chen Chung-Hey
Department of Nursing, I-Shou University.
Hu Li Za Zhi. 2011 Apr;58(2):57-62.
Due to the phenomenon of Taiwan'saging population has made, long-term care has become an issue of increasingly emphasized importance. According to the statistics, the family takes responsibility for most long-term care duties and more than 70% of primary family caregivers are female. In the past, because of gender-based divisions of labor and gender role expectations made, it was taken for granted that females would be the socially preferred family caregivers. Those men who devoting in themselves to such work were regarded as a rare precious. As such, family care signified entailed different life experiences for males and females. Over the years, amendments to the civil code have recognized family care contributions, and the allowance for caregivers underlines that care responsibilities have shifted away from the family to society. Traditional gender divisions of labor today are significantly more blurred; family structures have become smaller in size; female labor in the workplace has increased; and ten-year long-term care plans and long-term care insurance have been successively implemented. These transformations will make labor outsourcing more and more popular and transform family care from a private problem to a pubic policy issue. In the future, family caregivers require consideration and support on a sustained basis. It is also important to improve and monitor the quality of care services. Nurses, the major professional members of long-term care teams, should be concerned over the issue of family care while providing nursing care. They should include family caregivers in the care plan so that they can make sure that patients receive comprehensive and constant care in order to enhance the overall quality of nursing care.
由于台湾人口老龄化现象日益凸显,长期照护已成为一个愈发受到重视的问题。据统计,家庭承担了大部分长期照护职责,超过70%的主要家庭照护者为女性。过去,由于基于性别的劳动分工以及性别角色期望,女性成为社会首选的家庭照护者被视为理所当然。那些投身于此类工作的男性则被视为珍稀可贵之人。因此,家庭照护对男性和女性意味着不同的生活经历。多年来,民法修正案认可了家庭照护的贡献,对照护者的津贴也凸显出照护责任已从家庭转移至社会。如今,传统的性别劳动分工显著更加模糊;家庭结构规模变小;职场中的女性劳动力增加;十年长期照护计划和长期照护保险相继实施。这些转变将使劳务外包越来越普遍,并将家庭照护从一个私人问题转变为一个公共政策问题。未来,家庭照护者需要持续得到关注和支持。提高并监督照护服务质量也很重要。护士作为长期照护团队的主要专业成员,在提供护理时应关注家庭照护问题。他们应将家庭照护者纳入护理计划,以便确保患者得到全面持续的照护,从而提高整体护理质量。