「做」簡單，「教」很難：照顧實務指導員試辦計畫之行動研究

It's Easy to Do, but It's Hard to Teach: Action Research on Pilot Project of the Care Practice Instructor

照顧服務員的培訓與留用是長期照顧領域關注的議題。本研究結合「參與者」與「研究者」的角色，透過參與式行動研究，觀察弘道基金會2015年承接衛生福利部社會及家庭署之「照顧實務指導員」計畫之培訓與輔導之角色，彙整該組織執行過程的檔案資料與社家署推動本試辦計畫的相關規定，以及針對44個居家服務提供單位以及所有受訓學員進行問卷調查；另以立意抽樣方式，訪談8位接受培訓之照顧服務員，及5位負責實務指導員執行的居家服務督導員，立基於本試辦計畫經驗，思考現有的居家式長期照顧服務單位之照顧服務員在職教育訓練以及長期照顧給付及支付標準等面向對於照顧服務員勞動條件、價值轉換、職業選擇與職涯的發展影響因素，勾勒照顧實務指導員於長照2.0的角色定位，其與居家服務單位、居家復能單位配搭的角色定位與價值，以及對家庭照顧者、長照失能者的影響，對居家場域的照顧服務員所需的在職教育訓練及支持提出政策與實務建議。

The training and retention of care workers is an important issue in the field of long-term care. This research combines the roles of ＂participant＂ and ＂researcher＂, and through participatory action research, observes the role of Hongdao Foundation in 2015 undertaking the training and counseling role of the ＂Caring Practice Instructor＂ program of the Ministry of Health and Welfare Department of Social and Family Affairs. Additionally, a questionnaire survey was conducted of 44 home service providers and trainees; a deliberate sampling method was used to interview eight trainees and five home service supervisors. Based on this pilot plan experience, the education and on the job training of care attendants in the existing home-based long-term care service units, as well as the long-term care payment standards were considered. Other factors affecting the development of the care worker conditions, career choice and career development of the care workers were also considered. The role positioning of the care practice instructor in Long-term Care 2.0, its role positioning and value with home service units and home rehabilitation units, as well as the impact on family caregivers and long-term care disabled persons are outlined.