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  4. Hospice Experience among Care Workers in Public Senior Citizens Home
 
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Hospice Experience among Care Workers in Public Senior Citizens Home

Date Issued
2016
Date
2016
Author(s)
Huang, Hsiu-Mei
DOI
10.6342/NTU201602257
URI
http://ntur.lib.ntu.edu.tw//handle/246246/273590
Abstract
Taipei City Senior Citizens Home(TCSCH) has cooperated with Taipei City Hospital Yangming Branch to run a project in March of 2015. This idea is come out by the major of Taipei City Ko Wen-Je and the Superintendent of Taipei City Hospital Huang Sheng-Jian, after the new government take over Taipei City, they try hard to implement hospice service in Taipei City. This Study is to explore the current implementation, to furtherly understand the difficulties and to finalize staff members’ suggestions on improvement in TCSCH via in in-depth interviews with four nurses, two nursing assistants and three counselors. In the study, the institutional hospice in TCSCH is found different from hospital where is mainly in the perspective of medical care, and the hospice care workers in the institution are the nurses, the nursing assistants and the counselors. On the one hand, the perspectives from TCSCH are not only medical care but also elder''s daily care because the staff members are playing daily roles as family. Furthermore, the study also reveals the challenges and difficulties in TCSCH from the aspects as follows: 1.Hardware facility: unclear area separation (ex: hospice room is nearby the dementia zone) and insufficient emergency communication facility. 2.System: medical science institution''s social standing is in higher position than social welfare institution, which leads to hospice care resources allocation in TCSCH lost its autonomy. 3.Pragmatic practice: it is lack of comprehensive and standardized hospice care definitions and processes, which increases practice complexity. 4.Institutional staff members: the concept of death as a taboo, insufficient manpower, increasing work pressure and insufficient profession proficiency, which would not only wear down staff members'' hospice passion and supports, but also impact the care quality. In the end, based on the research findings, it finalizes the following improvement actions: to consolidate the consensus on institutional hospice care promotion; to actively educate the public senior citizens with the hospice care conception; to establish institutional hospice care objectives; to enhance and increase hospice care resources through objective consolidation with Taipei City Hospital Yangming Branch; to train the staff members with hospice care profession and skills etc. The above is for the public senior citizens home as sustainable hospice care project reference and fulfillment.
Subjects
public senior citizens home
hospice care
instituonal hospice
institutional staff members
Type
thesis
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ntu-105-R00330015-1.pdf

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