老人養護機構照護者對預防住民跌倒認知、歸因、自我效能與處預方式之探討

Purpose: The purpose of this study is to explore the relationships among knowledge, attributes, self-efficacy and the process of preventing fall between the nurse and nurse aides in long-term care facilities. Methods: This study method combined qualitative and quantitative. The quantitative data used a structured questionnaire survey. According to a purposive sampling method, 98 caregivers were recruited in Taipei and New Taipei City' long-term care facilities. The qualitative data were collected using a semi-structured interview format and analyzed using qualitative content analysis. Participants comprised 10 caregivers recruited from 11facilities. Result: They are 34 nurses, the 35 native nurse aides and 34 foreign nurse aides from 11 registered facilities in Taipei. Education and license (training) are related to the knowledge of nurse and nurse aides; education is related to approval, and the approval of native nurse aides is higher than foreign nurse aides; Training is related to preventable attribution. In addition, in the case of nurses, native nurse aides and foreign nurse aides, knowledge and preventable attribution have significant predictive effect on the process of preventing fall. For nurses and native nurse aides, approval and preventable attribution have significant predictive effect on the process of preventing fall. When having more preventable attribution, they would take more related processes. Suggestions: For employing nurses and nurse aides with higher education and well-trained, and offering relevant courses are able to prevent residents to fall. Long-term care facilities can strengthen in-service programs of fall prevention issues to increase care quality.