病患服務員在長期照護機構之滿意度研究

Nurse Aides Job Satisfaction in Long-Term Care Facilities

台灣地區的老年人口日漸增多；慢性病則為老年人常見的疾患。患有慢性病、甚或導致機能障礙的老年人，需要或多或少的長期照護。長期照護是勞力密集的工作，主要的人力資源是病患服務員。病患服務員的工作滿意度，會影響其照護品質，繼而影響老年人的健康照護及生活品質。本研究乃嚐試探討長期照護機構病患服務員的工作滿意度，期待藉由其不滿意方面的改善，得能確保慢性病長期照護的品質。本研究採橫斷性（cross-sectional）之實證研究，以問卷蒐集高雄市護理之家病患服務員的意見；對象包含35家、252位病患服務員。有效問卷共209份，有效回收率為82.50%。所得到的資料，以描述統計與多變量方法，加以分析。教育程度較高的病患服務員，薪資較高，在專業地位的構面之工作滿意度也較高。性別、薪資、年齡、教育程度，分別對不同的工作滿意度構面，有不同程度之影響。重視病患服務員的工作滿意度，有助於提升長期照護的品質。高雄市護理之家的分布較不均勻，而病患服務員之滿意度與國外文獻也頗有差異；能否以高雄市長期照護機構的調查結果，推論全台灣護理之家的狀況，本研究仍持保留態度。

The growing elderly population as well as the chronic diseases have increased the demand of long-term care. The main caregivers in long-term care are nurse aides. Therefore, the job satisfaction among nurse aides will have significant impact on the performance of their works. Furthermore, the performance will influence on the quality of residential care. The purposes of this study were to examine the job satisfaction of nurse aides as well as the relations between characteristics of nurse aides, and their job satisfaction.This study was a cross-sectional study with individual nurse aides as the unit of analysis. Primary data collection was performed from 252 nurse aides as in 35 nursing homes, The response rate was 82.5%, with an effective sample size of 209. Descriptive and multivariate analyses were conducted to attain the research purposes. The higher education nurse aides had, the higher salary nurse aides received, and hence the more satisfied in job professionals, Gender, salary, age, and education are associated in different domains of job satisfaction.The distribution of nursing home in Kaohsiung is so uneven and so different from other areas in Taiwan. The factors that influence job satisfaction in nurse aides are also different from those in the international literature. Therefore, generalization of the results from Kaohsiung city to Taiwan should be more careful.