{"title":"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","authors":"Merja Hoffrén-Mikkola PhD, Sini Eloranta PhD, Sari Teeri PhD, Tuula Mikkola PhD, Marjatta Komulainen MSc","doi":"10.1111/opn.12604","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Implications for practice</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it\",\"authors\":\"Merja Hoffrén-Mikkola PhD, Sini Eloranta PhD, Sari Teeri PhD, Tuula Mikkola PhD, Marjatta Komulainen MSc\",\"doi\":\"10.1111/opn.12604\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for practice</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48651,\"journal\":{\"name\":\"International Journal of Older People Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-01-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Older People Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/opn.12604\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12604","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Finnish telehomecare workers' satisfaction with the inclusion of telehomecare in older adults' home care and factors associated with it
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.
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.
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