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Abstract
Research background: Taiwan has become an ageing sociality since 1993. The ratio of elderly in population is still gradually increasing, and reaches to 12% in the end of 2014. The self–independent living care model emphasizes the rehabilitation is daily life itself. The purpose of the model wasto support the elderly not to lose their physical functions as aging and maintaining them independent. However, few studies discussed this issue in Taiwan.
Research purposes: To explore the experience of elderly care institutions to implementing self–independent living care model.
Research method: Based on a qualitative research approach, this study conducts the purposive sampling and recruits 17 staffs in elderly care institutions. After Institutional Review Board approval, the in-depth interview explores staffs' experiences by using basic data, semi-constructed interview guide and using recording machine. We analyze the data of interview in terms of presenting the theme analysis.
Study results: There are total 17 respondents from interview. According to the result of interviewing, we classify the experiences into 3 themes, 8 sub-themes and 23 categories.
Theme 1: Positive reward in turnover, Theme 2: Difficulties in the implementation of reverse situation, Theme 3: Strategy in success. There are two sub-themes in Theme 1, Sub-theme (a)about the growing of staff, it was divided into two categories,(1)The attitude change from negative to active; (2): Sense of accomplishment increase. Sub-theme (b): the living ability of elderly increasing, it also was divided into 3 categories (1): Recovery of body function; (2): increasing of living autonomy; (3) improving emotional problem. Theme 2 was divided into three sub-themes. Sub-theme (a)resistance from staff to execute the project, it might be divided into 3 categories (1)the attitude negative, (2)insufficient of manpower, (3)without experience of choosing the cases. Sub-theme(b)without willingness to apply model for the elderly, and it was divided into 3 categories (1) the elderly people reject to join, (2) increased the risk in fall, (3) objection form the family. The assistive devices is not corporate well is defined as Sub-theme (c), it was divided into 2 categories (1): the variety of assistive device is not enough, (2)insufficient in budget. We also divided theme 3 into three sub-theme (a)the staff member are fulfilled with enthusiasm on their work. In sub-theme (a), it might be divided into 3 categories. (1)fully support by supervisor, (2)trans-professional group in work, (3) enthusiasm conference held for participator. In sub-theme (b) precaution from the risk of fall, there might be divided into 4 categories. (1)increased the balance in strength, (2)improvement of the environment, (3)to set the assistive devices variety, (4)to make the plane according to person-centered care. In sub-theme (c) as a team work together, it also was divided into 3 categories, (1)to perform by elderly in institutions, (2) to connect with family, (3) partnerships with government or other institutions.
Conclusions and application: the result was not only a useful reference for national health insurance policy, but also can promote the elderly care institutions to implement the self–independent living care model in Taiwan.
Keyword: Elderly institutions, self–independent living care model, experience
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