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篇名
長期照護機構外籍看護工適應歷程之前驅性研究
並列篇名
A Pilot Study for the Process of Adaptation among Foreign Nurse Aides at Long-term Care Facility
作者 李蕙瓊賀湘君車慧蓮
中文摘要
本研究旨在探索長期照護機構外籍看護工的適應歷程。以立意取樣方式召募五名越南籍、第一次來臺、已工作三年的女性看護工,運用半結構式的訪談指引進行焦點團體訪談。訪談過程以錄影、錄音方式記錄,所得內容轉譯為逐字稿後進行內容分析。研究結果發現,外籍看護工來臺灣從事長期照顧工作,在過程中,她們面臨聽不懂、不會說中文的「語言的挑戰」,工作時數長、人力吃緊及休假少的「工作負荷」,面對照顧情境的「真實工作的震撼」,以及「訴求無法滿足」的壓力。此外,「低報酬」、機構主管以責罵、恫赫的言語折磨的「管理模式」等是加重因素。但另一方面,「語言的精進」、「照顧技能熟能生巧」、「住民正向回饋」及「工作人員善待」的因素,能夠激勵外籍看護工產生正向力量,轉換情緒適應工作。本研究可提供相關單位瞭解外籍看護工在異鄉服務所遇到的困難,並可作為實務工作者以及長期照顧人力培訓和管理的參考。
英文摘要
The purpose of this research is to explore the process of adaptation of foreign nurse aides at long-term care facility. A purposive sample of five Vietnamese female foreign nurse aides was recruited. It was their first time working in Taiwan. They already had three years of experience working as nurse aides. They already had three years of experience working as caregivers. The semi-structured interview guide was used to conduct focus group interviews. Interviewing was carried out using audio visual recording. The content obtained was transcribed verbatim for later analysis. The results of the research were that, during the process of working in Taiwan at long-term care facility, foreign nurse aides face 'challenges of language', do not understand, do not speak Chinese, long working hours, manpower shortages and limited leave 'burden of the job', and 'shock of finding out what the job actually entails' in the care setting; as well as the pressure they feel due to 'inability to meet demands' made upon them. Meanwhile, significant aggravating factors were 'low pay' and 'management models' characterized by verbal scolding and intimidating on the part of institute managers. On the other hand, factors such as 'developing higher language standards', 'developing care skills through a practice-makes-perfect approach', 'positive feedback from facility residents' and 'good treatment of nursing staff' can incentivize foreign nurse aides, generating positivity and enabling emotional adaptation to the work. This study may provide reference materials for understanding the difficulties faced by foreign nurse aides in providing services in an alien environment, and as well as for training and management of long-term care personnel.
起訖頁 41-58
關鍵詞 長期照顧機構外籍看護工適應歷程焦點團體訪談long-term care facilityforeign nurse aidesprocess of adaptationfocus group interview
刊名 長期照護雜誌  
期數 201505 (19:1期)
出版單位 社團法人台灣長期照護專業協會
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