Robert Wood Johnson Foundation Future of Nursing Scholar.
School of Nursing, 16142University of Pennsylvania, Philadelphia, PA, USA.
J Appl Gerontol. 2023 Apr;42(4):651-659. doi: 10.1177/07334648221113322. Epub 2022 Jul 8.
Identify determinants of home care workers' (HCW) self-efficacy in contributing to heart failure (HF) self-care.
Secondary analysis of a survey ( = 328) examining characteristics of HCWs caring for adults with HF in New York. Self-efficacy assessed using Caregiver Self-Efficacy in Contributing to Self-Care Scale. Standardized scores range 0-100; ≥ 70 points indicate adequate self-efficacy. Characteristics determined by self-efficacy (low vs. adequate). Prevalence ratios with 95% confidence intervals (PR [95% CI]) were estimated using multivariable Poisson regression with robust standard errors.
Home care workers with adequate self-efficacy had at least some prior HF training (55% vs. 17%, < .001) and greater job satisfaction (90% vs. 77%, = .003). Significant determinants for adequate self-efficacy were employment length (1.02 [1.00-1.03], = .027), preparation for caregiving (3.10 [2.42-3.96], < .001), and HF training (1.48 [1.20-1.84], < .001).
Home care agencies and policy-makers can target caregiving preparation and HF training to improve HCWs' confidence in caring for adult HF patients.
确定居家照护工作者（HCW）对心力衰竭（HF）自我护理贡献的自我效能感的决定因素。
对在纽约为 HF 成人提供护理的 HCW 进行调查（n=328）的二次分析。使用照顾者对自我护理贡献的自我效能感量表评估自我效能感。标准分数范围为 0-100；≥70 分表示自我效能感充足。通过自我效能感确定特征（低与充足）。使用多变量泊松回归和稳健标准误差估计具有 95%置信区间（PR [95%CI]）的患病率比。
自我效能感充足的居家照护工作者至少接受过一些 HF 培训（55%比 17%，<0.001），工作满意度更高（90%比 77%，=0.003）。充足自我效能感的显著决定因素包括就业时间（1.02[1.00-1.03]，=0.027）、护理准备（3.10[2.42-3.96]，<0.001）和 HF 培训（1.48[1.20-1.84]，<0.001）。
居家照护机构和政策制定者可以针对护理准备和 HF 培训，以提高 HCW 对照顾 HF 成年患者的信心。
