A Study of Nursing Home basic Experience as an Influence On Vocational Nursing Students'' Attitudes And Willingness Toward the Elderly Care

• Main Authors: Fuei-Ching Liu, 劉慧津
• Other Authors: Hueih-Lirng Shieh
• Format: Others
• Language: zh-TW
• Published: 2001
• Online Access: http://ndltd.ncl.edu.tw/handle/52463022325913260724

碩士 === 中山醫學院 === 醫學研究所 === 89 === Abstract As the number of the elderly has been growing, "the elderly care" will definitely become one of the major concerns about health care in the 21st century. The purpose of this study was to understand the nursing students'' attitude and willingness toward the elderly, investigate the impact of clinical experience at nursing homes on such attitude and such willingness, and examine the influence of the environment in which nursing students carried out clinical experience on their attitude and their willingness toward the elderly. This study was an nonequivalent control group design of quasi-experimental research and adopted second-year nursing students of a vocational nursing school in southern Taiwan who were conducting their first semester study and receiving basic nursing clinical experience at nursing homes as subjects. The study adopted purposive sampling, including all the nursing students, totaling 111, joining in the fifth batch of clinical experience as the experimental group, and all the nursing students, totaling 110, joining in the seventh batch of clinical experience as the control group. A pre-test was administered on November 15 and 16, 2000. Then the experimental group received basic nursing clinical experience at nursing homes for three weeks. On December 13 and 14, 2000 they were administered a post-test. Questionnaires for students on leave and those with incomplete response to questions were not counted, and effective questionnaires recovered from the experimental group and the control group were 106 and 104 respectively, the recovery rate being 95%. Structured questionnaire scales were used as tools, including personal basic information, scale on attitudes toward elderly, and scale on willingness to care for elderly. The results were analyzed with such statistical methods as t-test, One-Way ANOVA, ANCOVA, χ2 test, point bi-serial correlation, Pearson correlation, Stepwise Multiple Regression. The findings showed when the factor of personal background and pre-test score was controlled, there existed no significant difference between the students that had conducted clinical experiences at nursing homes and those who had received no such clinical experience concerning their attitude toward the elderly and their willingness toward the elderly care. After the clinical experience, significantly more students identified caring for the elderly as their first choice of interest than those that had not conducted such experience. Among environmental factors, the students'' cognition of nursing personnel''s attitude toward the elderly and the cognition of the equipment available at nursing homes was found positively correlated with their attitude toward the elderly, also could predict their attitude and explain 12.4% of the variance. Watched one hour VCR about the dementia care per week, during the experience, and the students'' cognition of nursing personnel''s attitude toward the elderly and the cognition of the equipment available at nursing homes was found positively correlated with their willingness toward the elderly care, the students'' cognition of nursing personnel''s attitude toward the elderly was the only positive factor predicting their willingness, also could explain 5.6% of the variance. The findings can be used to revise the experience content at nursing homes and used by schools as a reference to choose experience sites. The study recommends the profession to emphasize the positive model role of nursing personnel, enhance their participation in clinical teaching, and upgrade the equipment available at experience sites of nursing homes so as to enhance nursing students'' attitude and their willingness toward the elderly and to meet the future demand for the elderly care.