Perception of risk by home health care nurses in Taiwan.

Hsiao-Ti Chen, I. Li
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Abstract

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 home 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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台湾家庭保健护士对风险的认知。
摘要本研究采用横断面设计的方法,了解台湾家庭保健护士的风险认知水平及其相关因素。共邮寄了413份自我管理的结构化问卷。收到回复300份,有效回复258份。应答率为72.6%。90种职业危害可分为6个风险因素:“职业”、“交通”、“地理”、“客户状况及客户与家庭的互动”、“法律”和“组织”。六个因素中得分最高的是“法律”、“客户状况及客户与家庭的互动”和“组织”。婚姻状况和家庭保健培训是与风险感知水平相关的重要变量。已婚或接受过家庭保健培训的应答者在六个风险因素中所感知的风险水平高于未婚或未接受任何培训的应答者。家庭保健经验年数变量与“专业”因素和“客户状况及客户与家庭互动”因素的风险感知水平呈显著负相关。在交通和地理因素的影响下,受访者的访视次数与感知到的风险水平之间存在显著的正相关。调查对象的人口统计数据与法律风险感知水平之间没有统计学上的显著相关性。受教育程度、是否接受过家庭保健培训、是否获得培训证书等变量在被调查者感知的6个风险水平上无显著差异。本研究对实践、教育、政策和未来研究提出了几点建议。
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