Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan.
Department of Public Health, China Medical University, Taichung 40402, Taiwan.
Int J Environ Res Public Health. 2020 Dec 15;17(24):9413. doi: 10.3390/ijerph17249413.
With the increasing number of people with disabilities caused by an aging global population, the need for long-term care is gradually increasing. Nursing assistants (NAs) are the primary providers of direct care services to older adults with disabilities, whose knowledge, skills, and beliefs affect the quality of care provided. This study aimed to investigate the influential factors affecting NAs' current competences. A total of 255 NAs' valid questionnaires were collected from 20 long-term care institutions in Taiwan through convenience sampling. The questionnaire comprised dimensions of demographics and care competence. The study results indicated that NAs had the greatest care competence in the domain of recognition of patient rights (4.64 ± 0.54 points). The multiple regression indicated that age, religion, job category, disability care experience, the receiving of performance bonuses, and the receiving of year-end bonuses significantly affected the level of care competence ( < 0.05). With the aforementioned findings, the results of this study serve as references for the government in employing long-term care NAs and developing management policies. Training programs for NAs should be developed to improve the quality of care provided to older adults with disabilities.
随着全球人口老龄化导致的残疾人数不断增加，对长期护理的需求逐渐增加。护理助理（NAs）是为残疾老年人提供直接护理服务的主要提供者，他们的知识、技能和信念影响着所提供的护理质量。本研究旨在探讨影响护理助理当前能力的因素。通过方便抽样，从台湾的 20 家长期护理机构共收集了 255 名护理助理的有效问卷。问卷包括人口统计学和护理能力维度。研究结果表明，护理助理在患者权利认知领域的护理能力最强（4.64±0.54 分）。多元回归分析表明，年龄、宗教、职业类别、残疾护理经验、获得绩效奖金和获得年终奖金显著影响护理能力水平（<0.05）。根据上述发现，本研究结果可为政府雇用长期护理护理助理和制定管理政策提供参考。应制定护理助理培训计划，以提高为残疾老年人提供的护理质量。
