| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 92 === The purposes of the study were three folds: to describe the degree of home care nurses’ integration of community resources, and their self-efficacy of it; to explore the correlations among degree and self-efficacy of home care nurses’ integration of community resources with home care nurses’ characteristics, home care agencies’ characteristics and their perceived agencies’ support; and to identify factors predicting home care nurses’ integration of community resources. The cross-sectional correlation research design was used. 199 hospital-based home care agencies were simple random sampled nation-wide. A total of 135 subjects completed the questionnaires (response rate 65.2%). The research instruments were self developed with acceptable content validity (CVI > 0.86) and internal consistency (α=0.83-0.92). The study results were statistically analyzed with SPSS10.0 software package.
The major results indicated that home care nurses’ self-efficacy in integration of formal community resources and self-expectancy were between “sometimes can do it” and “usually can do it”; however, self-efficacy in integrating informal community resources was between “seldom can do it” and “sometimes can do it”. In the degree of integrating and follow-up formal community resources care, home care nurses ranked the use of medical resources service on the top, and the link of financial resources second. In term of integrating and follow-up informal community resources, the use of personal net was the oftenest; the reinforcement net of a community was only a few. Home care nurses’ integration of community resources were significantly correlated with the three aspects of self-efficacy: formal resources (r=.56, p<.01), informal resources (r=.52, p<.01) and the self-expectancy (r=.39, p<.01). Home care agencies which assigned tasks (t=4.5, p<.01) and caseloads (t=3.3, p<.01) based on employee’s educational background and job evaluation, their nurses integrated more community resources than those without delegation. The agency’s total number of visits per month was negatively correlated with degree of integration of community resources (r=-.24, p<.01). The multiple regression identified the major factors predicting the integration of community resources were self-efficacy in integration of informal community resources (r2=.19, p<.05) and agency’s total number of visits per month(r2=-.2, p<.05). These two variables can explained 39.1% of total variance.
Through this study, home care nurses’ current behaviors and difficulties in integrating community resources can be examined. Recommendation was made to increase professional trainings for home care nurses to enhance their self-efficacy in order to integrate community resources better. Further, home care agencies should update community resources consistently and assign tasks and caseloads based on nurses’ educational background and job evaluation. Government should publish and update available community resources both in communities and national levels.
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