| Summary: | 碩士 === 國立臺北護理健康大學 === 醫護教育研究所 === 104 === This study was designed to investigate (1) nurses’ needs for in-service education in order to acquire knowledge required to provide long-term care for patients dependent on respirators, (2) the differences in needs for the aforementioned in-service education among nurses with different personal background variables, and (3) predictors for nurses’ needs for in-service education in order to acquire knowledge required to provide long-term care for patients dependent on respirators. A cross-sectional survey was performed on convenience samples of nurses currently working at medical intensive care units, surgical intensive care units, respiratory care centers, or chronic respiratory wards at any one of the three hospitals in northern Taiwan. A self-developed structured questionnaire was used for data collection. A total of 260 questionnaires were released, and 254 valid questionnaires were returned, registering a 97.69% return rate. Data analysis included calculation of descriptive statistics and inferential statistics as well as analyses of variance (ANOVA) and linear regression. As shown in the results: (1) The mean score of the nurses’ needs for long-term care knowledge regarding respirator-dependent patients was 4.10 (SD=0.83). The highest-scoring questionnaire item was cleaning and care of artificial airways (4.30 points, SD= 0.83), and the lowest-scoring questionnaire item was the right timing to make calls to 119 (3.60 points, SD=1.12). (2) Regarding the differences in needs for in-service education, nurses working at academic medical centers were found to have the greatest demand for knowledge regarding assessment and treatment of common health issues. Nurses working at local community hospitals were found to have a greater need for knowledge regarding care strategies for respirator-dependent patients and respirator-related concepts than nurses working at academic medical centers and metropolitan hospitals. In addition, nurses working as chronic respiratory wards were found to have a significantly higher demand for in-service education regarding respirator-dependent patient care strategies than nurses working at medical wards and intensive care wards. A significant difference (p＜.001) was observed in the needs for in-service education on respirator-related concepts among nurses with previous experience in providing long-term care for respirator-dependent patients. Bivariate linear regression analysis indicated that only the variable of the nurses’ age would cause significant differences in the needs for in-service education regarding long-term care for respirator-dependent patients. T-test results indicated that nurses ages 25-29 were found to have a significantly higher need for in-service education than nurses ages 20-24 (b=5.96, p=.045), and nurse ages 30-24 were found to have a significantly higher need for in-service education than nurses ages 20-24 (b=6.22, p=.038). The findings of this study would be useful in future planning of in-service nursing education on long-term care for respirator-dependent patients and in future assessments of core nursing competencies for long-term care nurses. It is hoped that the findings of this study would raise the awareness of the importance of making more investments in the training of long-term care workers, of enhancing interdisciplinary cooperation, and of pushing for holistic health care.
Key Words: long-term care, respirator-dependent, in-service education, needs assessment
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