Development and Validation of a Reablement Competency Scale for Home Health Therapists in Taiwan

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Hsiao-Wei Yu, Tzu-Ying Chiu
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引用次数: 0

Abstract

Background: Taiwan's long-term care policy prioritizes the integration of home health services with reablement. Herein, we designed a scale to evaluate reablement competencies among home health therapists using Sorensen's framework and assess the reablement competencies of home health therapists with experience in reablement in Taiwan.

Methods: We employed a modified Delphi method to develop the assessment scale. The finalized 32-item scale exhibited satisfactory reliability and content validity following a three-round Delphi consensus process.

Results: The findings indicated that home health therapists with in-person collaboration experience with home care assistants achieved higher competency scores than those without the collaboration experience. Additionally, reablement competencies were specifically associated with experience in reablement services rather than general clinical healthcare experience.

Conclusion: In alignment with Taiwan's long-term care policy on reablement, this evidence-based study assessed the competencies required for reablement service providers. In the future, practitioners should focus on the unique contextual skills of reablement at long-term settings, while fostering in-person interdisciplinary collaboration between home health therapists and home care assistants to further enhance reablement competencies in practice.

台湾家庭健康治疗师再适应能力量表之开发与验证
背景:台湾的长期照护政策优先考虑家庭健康服务与康复的整合。本研究采用Sorensen框架,设计一份评估家庭健康治疗师重整能力的量表,并评估具有重整经验的台湾家庭健康治疗师的重整能力。方法:采用改进的德尔菲法编制评价量表。经过三轮德尔菲共识过程,最终确定的32项量表具有令人满意的信度和内容效度。结果:具有与家庭护理助理面对面合作经验的家庭健康治疗师的胜任力得分高于没有合作经验的家庭健康治疗师。此外,康复能力特别与康复服务的经验相关,而不是一般的临床保健经验。结论:根据台湾长期照护政策,本实证研究评估了照护服务提供者所需的能力。在未来,从业者应该关注长期环境中独特的情境技能,同时促进家庭健康治疗师和家庭护理助理之间的面对面跨学科合作,以进一步提高实践中的康复能力。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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