護理人員對失能病患主要照顧者出院需求處理自信及其相關因素探討

Nurse's Confidence in Addressing the Discharge Needs of Disabled Patient Caregivers

本研究係探討護理人員對失能病患主要照顧者出院需求處理自信與其相關因素。以南部地區有參與衛生署推動之出院準備服務的醫院，且願意配合本研究之七所醫院。以結構性問卷收集413位南部地區醫學中心及區域教學醫院之護理人員，研究工具係採建構效度及內在一致性信度之檢測，Cronbach掇 α值為.95。研究結果發現：（1）護理人員對失能病患主要照顧者出院需求處理自信平均值（標準差）為62.4（15.04）。（2）護理人員對失能病患主要照顧者出院需求處理自信分量表中，以醫療照護相關訊息（2.79）得分最高，其他依序為後續性醫療照護服務（2.52）、人力支持服務（2.07）、情感支持服務（2.02）。（3）經複迴歸分析發現，護理人員對失能病患主要照顧者出院需求處理經驗、護理進階層級、高層主管支持度是處理自信的重要預測因子，其可解釋總變異數為45.4%。經由本研究之發現，期能提供實務中對出院準備服務之促進及臨床護理人員在職教育之依據。

A challenge among nurses is giving appropriate counseling to the caregivers of disabled patients who are ready for discharge. This cross-sectional study was designed to determine levels of confidence among 413 nurses who perform this task in discharge planning units at one medical center and regional teaching hospitals in southern Taiwan. Participants were asked to fill out a questionnaire specifically designed for this study (Cronbach’s alpha = .95). The data show: a) an average confidence score of 62.4 (S.D. = 15.04); b) a high-to-low order of scores regarding nursing confidence of providing medical care information (2.79) continuing care service (2.52) manpower services (2.07) and emotional support (2.02); c) according to the results a multiple regression analysis, the main predictors of confidence in this area are experience in dealing with disabled patients' discharge needs, nursing level, and administrative support (45.4% of total variance). It is hoped that this information will be of use to nurses and administrators involved in discharge planning, in-service education, and nursing education.