Perception of Risk by Home Health Care Nurses in Taiwan

臺灣居家護理人員工作傷害事件危險知覺程度之探討

陳曉悌(Hsiao-Ti Chen)；李怡娟(I-Chuan Li)

居家護理人員 ； 作傷害 ； 危險知覺 ； home health nurses ； occupational hazard ； risk perception

The Journal of Nursing Research

10卷1期（2002 / 03 / 01）

33 - 42

英文

本橫斷性問卷調查研究欲瞭解台灣居家護理人員工作傷害事件危險知覺程度，採郵寄自擬結構式問卷，共寄出413份，回收300份，回收率72.6%，有效問卷258份。本研究工具涵蓋之傷害事件共90題分成：專業、交通、案家地理位置、與個案或家屬間之互動關係，法條以及機構六大類。結果顯示：六類傷害事件危險知覺程度最顯著的前三名依序爲法條、與個案或家屬間之互動關系，機構方面傷害事件。研究結果顯示：已婚者、曾接受居家護理訓練者對於六類傷害事件危險知覺程度均高於未婚者或未受訓練者。居家護理工作年資與專業及個案或家屬間之互動關係呈統計上顯著負相關。訪視量則與交通、案家地理位置危險知覺程度呈顯著正相關。各人口學變項與法條方面危險知覺程度無統計上顯著相關。不同之教育程度，接受居家護理訓練與否以及是否領有訓練證書各組間之危險知覺程度沒有統計上顯著差異。本研究並分別針對居家護理實務、護理教育、安全政策、健保給付制度及未來研究提出建議。

A study of cross-sectional design was used to understand the level of risk perceived by home health care nurses in Taiwan and its correlators. A total of 413 self-administrated structured questionnaires were sent by mail. 300 responses were received, with 258 valid ones. The response rate was 72.6%. The 90 occupational hazards fell into six risk factors: “professional”, “traffic”, “geographical”, “clients’ condition and interaction among clients and families”, “law” and “organization”. The highest scores among the six factors were associated with “law”, “clients’ condition and interaction among clients and families”, and “organization”. Marital status and borne health care training were significant variables related to the level of risk perceived. Respondents who were married or had home health care training had higher level of risk perceived in the six risk factors than those who were not married or without any training. The variable of years of experience in home health care had a significantly negative correlation with both level of risk perceived for the factors “professional” and “clients” condition and interaction among clients and families”. There was a significant positive correlation between the number of visits made by respondents and level of risk perceived for the traffic and geographical factors. There was no statistically significant correlation between the demographics of respondents and level of risk perceived in law. The variables educational level, whether received home health care training, and whether obtained training certificate showed no significant difference in six levels of risk perceived by respondents. The study proposed several suggestions for practice, education, policy and future study.

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