护理员对政府购买居家养老服务态度的质性研究

Elder-care assistant′s attitudes toward government purchases of home-based elderly care services:aqualitative study

目的了解政府购买居家养老护理员对养老服务的态度及其在服务中的收获和发现的问题。方法对温州市瓯海区3家养老服务企业46名居家养老护理员进行半结构式访谈。结果居家养老护理员对政府购买居家养老服务多持积极态度;居家养老护理员在服务过程中的收获归纳为工作稳定与时间弹性、促进个人成长与发展、反思生命价值与意义3个主题,遇到的主要问题是专业形象不清晰、薪酬福利体系不完善、人身安全存在隐患。结论居家养老护理员在居家养老服务中收获较大,但也存在亟待解决的问题。需要加强政府、养老企业、医疗卫生机构等多方合作,加大对居家养老护理员的培训力度,完善管理机制。

Objective To understand elder-care assistants′attitudes toward government purchases of home-based elderly-care services,and to explore their gains and problems in the services.Methods Forty-six elder-care assistants who provided care for the elderly in their homes were selected from 3 elder-care institutions in Ouhai district of Wenzhou City and received semi-structured interviews.Results They held positive attitudes toward government purchases of home-based elder-care services.Their gains included stable and flexible work,personal growth and development,reflection on the values and meanings of life.The problems they faced with were unclear professional image,incomplete salary and welfare system,and potential dangers to personal safety.Conclusion Eldercare assistants have gains during provision of home-based elder-care services,however,there are some problems that must be solved.It is necessary to strengthen the cooperation of the government,elder-care institutions,and medical institutions,to reinforce training and perfect the management mechanism.