Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-01-30 DOI:10.1111/opn.12604

Merja Hoffrén-Mikkola PhD, Sini Eloranta PhD, Sari Teeri PhD, Tuula Mikkola PhD, Marjatta Komulainen MSc

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Abstract

Background

Telehomecare in older adults' home care in Finland is mainly video-mediated check-up and reminder calls with home care clients. Home care workers have reported mixed attitudes and feelings towards utilisation of technologies and remote services in their work.

Objectives

The aim of this cross-sectional study was to investigate Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care. Another aim was to examine what factors are associated with this satisfaction.

Methods

The data were collected with an electronic quantitative email survey. Five Finnish older adults' home care organisations participated as the target organisations of the study. Two of the organisations were located in large cities, one in a medium-sized provincial centre and two in rural municipalities. Three organisations provided telehomecare services with centralised service models and two with decentralised service models. In total, the organisations had 103 telehomecare workers to whom the survey was directed.

Results

The telehomecare workers were mostly satisfied with (55.8%) or felt neutral about (20.9%) the inclusion of telehomecare in older adults' home care. Satisfaction was strongly related to the workers' experience of telehomecare making their work easier, improving interaction and enhancing relationships of trust with clients as well as decreasing workload. Application of telehomecare to overcome the workers' physical restrictions, and also their perceptions of being able to influence whether to start working in telehomecare, were strongly related to their satisfaction with the inclusion of telehomecare in home care.

Conclusions

The results confirm that telehomecare job positions function well as relocated job positions in home care when workers have musculoskeletal problems or injuries. However, it is important that workers' willingness to work in telehomecare is also respected. From the telehomecare workers' perspective, good interaction and trustful relationships with clients are important factors that produce good care and increase satisfaction with telehomecare.

Implications for practice

Telehomecare may have a positive impact on the home care workers’ job satisfaction. The homecare workers need training in the use of new technologies. In addition, they need to be able to decide themselves whether they start working in telehomecare or not.

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芬兰远程家庭护理工作者对将远程家庭护理纳入老年人家庭护理的满意度及相关因素

背景芬兰老年人家庭护理中的远程家庭护理主要是以视频为媒介与家庭护理客户进行检查和提醒通话。据报道，居家护理人员对在工作中使用技术和远程服务的态度和感受不一。这项横断面研究旨在调查芬兰远程家庭护理工作者对将远程家庭护理纳入老年人家庭护理的满意度。另一个目的是研究与这种满意度相关的因素。方法通过电子定量电子邮件调查收集数据。五家芬兰老年人家庭护理机构作为研究目标机构参与了调查。其中两家位于大城市，一家位于中型省会城市，两家位于乡村城市。三家机构以集中服务模式提供远程居家护理服务，两家机构以分散服务模式提供远程居家护理服务。这些机构共有 103 名远程居家护理人员接受调查。结果远程居家护理工作者对将远程居家护理纳入老年人居家护理大多表示满意（55.8%）或不满意（20.9%）。满意度与工作人员的体验密切相关，即远程居家护理使他们的工作更轻松，改善了与客户的互动，增强了与客户的信任关系，并减少了工作量。应用远程居家护理克服工作人员的身体限制，以及他们认为自己能够影响是否开始远程居家护理工作，与他们对将远程居家护理纳入家庭护理的满意度密切相关。结论研究结果证实，当工人有肌肉骨骼问题或受伤时，远程居家护理工作岗位作为居家护理中的异地工作岗位能够很好地发挥作用。然而，尊重工人在远程居家护理中工作的意愿也很重要。从远程居家护理工作者的角度来看，与客户的良好互动和信任关系是提供良好护理和提高远程居家护理满意度的重要因素。对实践的启示远程居家护理可能会对居家护理人员的工作满意度产生积极影响。居家护理工作者需要接受使用新技术方面的培训。此外，他们需要能够自行决定是否开始从事远程居家护理工作。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.