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題名:居家服務工作的任職、留任與離職因素
書刊名:臺灣社會福利學刊
作者:楊筱慧
作者(外文):Yang, Hsiao-hui
出版日期:2014
卷期:12:1
頁次:頁165-214
主題關鍵詞:長期照顧居家服務照顧人力工作選擇因素Long-term careHome-helpCare workersWork selection factors
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(11) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:11
  • 共同引用共同引用:61
  • 點閱點閱:66
失能人口持續增加,對於長期照顧需求也隨之成長,缺乏照顧人力,其中以居家服務缺工最為嚴重,反觀國內失業率居高不下的狀況,如何讓勞動力進入照顧服務領域與增加居家服務照顧人力即成為重要的議題。本研究之目的為探討照顧服務工作特性,並了解影響照顧服務工作留任與流動的因素,研究對象包含從事各照顧服務模式之服務員,其曾經或目前從事的服務領域都將影響其工作選擇,個別受訪者的想法為研究之內容,故採取質性研究中的「深入訪談法」。研究結果發現各照顧服務模式具有不同特性,在居家服務中流動者轉換工作職場的原因包含缺乏良好應變能力、無薪的在職訓練。而工作彈性、工作成就感與居家服務督導角色則成為其留任考量。政府為提升照顧服務人力所施行策略中,有正向效益者僅為將時薪全面提高至150元,產生負面效益者則是取消國小學歷限制,與全面將居家服務納入勞基法適用對象,其他相關策略則未對提升人力產生有效影響。歸納研究之結果,本研究建議檢討照顧服務員職前訓練課程內容、增強居家服務留任動機、檢視各服務模式在職訓練要求與重新檢討提升人力策略之成效。
The disabled population is continually increasing, along with the demands of long-term care. However, the lack of an adequate workforce in long-term care is gaining increasing attention, especially in home-help. Considering the high rate of unemployment, it is critically important to increase the workforce in long-term care and home-help. The research described in this paper not only identified the characteristics of long-term care but also investigated retention and turnover issues. The subjects in the study were care workers representing each type of care service. Because the subjects’ previous or current working experiences could have influenced their work choices, a qualitative “in-depth interview” method was adopted through which subjects’ opinions about what were solicited. Results showed that the characteristics of each care service type as practiced by the care workers were different. With home-help, the reasons for turnover included lack of flexibility and no pay for training. The factors affecting retention included work flexibility, work achievement and the performance of the home-help supervisor. Care worker promotion was positively affected by increasing the hourly wage to $150. It was negatively affected by removing the care service restriction on elementary education and requiring that workers conform to the Labor Standard Law. The other strategies did not impact the workforce. The findings suggest that it is necessary to take into consideration whether there a pre-service training class, to increase retention in home-help, to investigate the requirements for job training for each service type and to review the government’s procedures for care worker promotion.
期刊論文
1.謝玉玲(20111200)。看得到的照護政策、看不見的勞動差異:照顧工作者與勞動場域的檢視。臺灣社會福利學刊,10(1),53-96。new window  延伸查詢new window
2.吳玉琴(20130300)。照顧服務人力的培育與留任。社區發展季刊,141,113-130。new window  延伸查詢new window
3.Buckwaltcr, K. C.(1999)。Managing long-term carc facilities three myths about nurse aide work。Journal of Gerontological Nursing,52-55。  new window
4.宋惠娟、張淑敏(20001200)。東部某護理之家在職護佐留任因素之探討。長期照護雜誌,4(2),42-55。  延伸查詢new window
5.葉淑惠、楊麗玉、楊麗珠、林麗味、葉明莉、曾錦花、李婉萍(20030300)。發展病患服務員與居家服務員整合性課程及配套措施。長庚護理,14(1)=41,31-41。new window  延伸查詢new window
6.蔡啟源(20001000)。老人居家服務之探討。社區發展季刊,91,252-268。new window  延伸查詢new window
7.王雲東、薛承泰、鄧志松、陳信木、楊培珊、詹慶恩(20120600)。我國失能與失智人口及其所需照顧服務員人力之推估。臺大社會工作學刊,25,51-102。new window  延伸查詢new window
8.Abelson, Michael A.(1986)。Strategic management of turnover: A model for the health service administrator。Health Care Management Review,11(2),61-71。  new window
9.林金定、嚴嘉楓、陳美花(20050600)。質性研究方法:訪談模式與實施步驟分析。身心障礙研究,3(2),122-136。  延伸查詢new window
10.Mobley, William Hodges(1977)。Intermediate Linkages in the Relationship between Job Satisfaction and Turnover。Journal of Applied Psychology,62(2),237-240。  new window
11.Monahan, R. S.、Mc-Carthy, S.(1992)。Nursing home employment: The nurse's aide's perspective。Journal of Gerontological Nursing,18(2),13-16。  new window
12.Alexander, J. A.、Lichtenstein, R.、Oh, H. J.、Ullman, E.(1998)。A Causal Model of Voluntary Turnover among Nursing Personnel in Long-term Psychiatric Settings。Research in Nursing & Health,21(5),415-427。  new window
13.Genevieve, E. C.(1990)。Retention: Has it obstructed nursing's view?。Nursing Administration,14(4),70-75。  new window
會議論文
1.內政部(2012)。照顧服務員人力擴充--留任與培訓。長期照護人力「學、考、訓、用」研討會,行政院衛生署(主辦) (會議日期: 2012/08/08)。  延伸查詢new window
研究報告
1.內政部(2012)。照顧服務人力結訓學員就業意向調查。  延伸查詢new window
2.胡幼慧(1994)。社區性長期照護之支持體系研究:看護工、義工、專業網絡及病家網絡之需求與規劃。  延伸查詢new window
學位論文
1.羅詠娜(1993)。居家照顧服務員工作動機與工作滿意度之研究:以臺北市為例(碩士論文)。東吳大學。  延伸查詢new window
圖書
1.齊力(2005)。質性研究方法概論。嘉義:南華大學教育社會學研究所。  延伸查詢new window
2.Patton, M. Q.(2002)。Qualitative Research and Qualitative Research and Evahialion Methods Evaluation Methods。United States Publications。  new window
3.Tesch, Renata(1990)。Qualitative Research: Analysis types and software tools。The Falmer Press。  new window
4.Berg, B. L.(2001)。Qualitative research methods for the social sciences。Allyn and Bacon。  new window
5.Taylor, Steven J.、Bogdan, Robert(1984)。Introduction to qualitative research methods: The search for meanings。John Wiley and Sons。  new window
6.潘淑滿(2003)。質性研究:理論與應用。臺北市:心理出版社股份有限公司。  延伸查詢new window
7.Lofland, John、Lofland, Lyn H.、任凱、王佳煌(2005)。質性研究法:社會情境的觀察與分析。臺北:學富文化。  延伸查詢new window
其他
1.內政部(2012)。內政統計年報--老人福利服務、十年長照服務成果,http://sowf.moi.gov.tw/stat/year/y04-16.xls, 2012/11/02。  延伸查詢new window
2.內政部(2012)。我國長期照顧十年計畫,http://sowf.moi.gov.tw/newpage/tenyearsplan.htm, 2012/11/02。  延伸查詢new window
3.內政部統計處(2012)。內政統計通報,http://sowf.moi.gov.tw/stat/week/wcekl0104.doc, 2012/12/13。  延伸查詢new window
4.衛生福利部(2013)。長期照護服務網計畫(第一期)--102年至105年。  延伸查詢new window
5.行政院衛生署(2011)。2010年國民長期照護需求調查。  延伸查詢new window
6.倪麗士(1999)。長期照護工作人員留任意願相關因素之探討。  延伸查詢new window
圖書論文
1.Colombo(2011)。How to prepare for the future long-term care workforce。Help Wanted? Providing and Paying for Long-Term Care。OECD。  new window
2.胡幼慧(1996)。轉型中的質性研究:演變、批判和女性主義研究觀點。質性研究:理論、方法及本土女性研究實例。臺北:巨流圖書股份有限公司。  延伸查詢new window
 
 
 
 
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