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    题名: 長照2.0照顧服務員留任因素之探討—以基隆市照顧服務員為例
    Discussion on the Retention Factors of Long-Term Care 2.0 Attendants: Care Attendants in Keelung
    作者: 林柏吟
    Lin, Po-Yin
    贡献者: 傅凱若
    Fu, Kai-Jo
    林柏吟
    Lin, Po-Yin
    关键词: 長期照顧
    照顧服務員
    留任
    留任意願
    Long-Term Care
    Care Attendants
    Retention
    Intent to stay
    日期: 2023
    上传时间: 2023-07-06 16:57:10 (UTC+8)
    摘要: 現今高齡化下，長照需求人數逐年上升，對於負責照顧之照顧服務員（簡稱照服員）人力需求相對也同步增加。然而目前政府舉辦「照顧服務員訓練」培訓照服員以因應長照服務需求，但多數參與培訓者在取得證照後，卻選擇回家照顧親人，並未走入職場，使照服員人力供給與需求不成比例，面臨人力嚴重問題，故如何吸引並維持穩定人力，彌補人力缺口，是急需克服的議題。故本研究期藉由對照服員的生、心理需求及服務工作多一份瞭解，以提供政府採取適當解決方案之參考。
    本研究首先就照服員（Care Attendants）、留任（retention）等名詞定義及基隆市長照現況及政策作陳述，接著，整理有關影響人員流動及留任相關模式，以及過往研究照服員流動及留任的影響因素。本研究以Abelson（1986）的整合式流動過程模式（integrated turnover process model）為基礎，以個人因素、組織因素、環境因素等三個構面，探討影響照服員留任意願之重要關鍵因素，包含薪資與福利、機構提供之訓練、社會支持及自我效能與留任意願之關聯性。
    本研究政策建議為，鼓勵中年或失業人口再就業，國內照服員需求高，而照服員的入門門檻較簡單，政府未來可加強宣導，並透過補助等方式，鼓勵中年或失業人口加入；強化經濟誘因與福利措施，照服員必須至案家提供服務，本身可能面臨人身安全等工作風險，若能提供穩定的薪資以及適當的健康保障福利，對留任有正向影響；除了基本職前教育訓練，每年安排一定時數進修，提升專業技能，形塑社會大眾對照服員之專業性；對照服員進行職前教育訓練，告知並建立其應對案家及長者之正確觀念，對案家額外要求之家務整理，不應一味接受；藉由主管及同行經驗分享及鼓勵，提升照服員之自我效能感。
    With the current aging population, the number of people in need of long-term care is increasing year by year, so as the manpower needs for care attendants. In order to meet the needs of long-term care service, the government at present organizes "care service training" to train care attendants to meet the needs of long-term care services. However, after obtaining the certificates, most of the trainees choose to go home to take care of their relatives instead of entering the workforce. It becomes imbalance between supply and demand for care attendant’s manpower, and there are serious manpower problems. Therefore, how to attract and maintain stable manpower and make up for the manpower gap is an urgent issue to be overcome. Therefore, this research period provides a reference for the government to adopt appropriate solutions by getting a better understanding of care attendants physical and psychological needs and their service work.
    This study first makes a statement on the definitions of terms such as care attendants and retention, as well as the current situation and policies of the Mayor of Keelung, and then sorts out the relevant models that affect personnel flow and retention, as well as past research on the flow and retention of care attendants influencing factors. On the basis of Abelson`s (1986) integrated turnover process model, this study discusses the important key factors that affect the willingness of care attendants to stay in the service through three dimensions: personal factors, organizational factors, and environmental factors, including relevance between retention intentions and salary and benefits, training provided by institutions, social support, and self-efficacy.
    The policy suggestions of this study are to encourage the middle-aged or unemployed population to re-employ. The demand for domestic care attendants is high, and the requirement of care attendants is relatively low. The government may strengthen middle-aged publicity in the future and encourage middle-aged or unemployed people to join by through subsidies and strengthening economic incentives and welfare measures, the care attendants must go to the case to provide services, they may face work risks such as personal safety concerns, it will have a positive impact on retention; if they are stable wages and appropriate health protection benefits. In addition to basic pre-employment education and training, we should arrange a certain number of hours of further study every year to improve professional skills and shape the professionalism of the general public in comparison with care attendants; conduct pre-employment education and training for care attendants to inform and establish correct concepts such as not blindly accept the additional arrangement of services requested by the client; to improve self-efficacy by experience sharing and encouragement of supervisors and peers.
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    描述: 碩士
    國立政治大學
    公共行政學系
    106256033
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0106256033
    数据类型: thesis
    显示于类别:[公共行政學系] 學位論文

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