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Family caregivers' viewpoints towards quality of long-term care services for community-dwelling elders in Taiwan
- Authors:
- LEE I., et al
- Journal article citation:
- Health and Social Care in the Community, 17(3), May 2009, pp.312-320.
- Publisher:
- Wiley
This study aims to explore family caregivers' viewpoints and opinions regarding the long-term care services for community-dwelling older adults in Taiwan. A qualitative study was conducted between August and December of 2005. Fifty family caregivers agreed to participate in this study. Data were collected by focus group interviews, in order to obtain the experience and expectation of family caregivers concerning long-term care services in their daily lives. Through content analysis and peer discussion, the data were categorized into five major themes: (1) praise for the services; (2) flexibility of long-term care services; (3) comprehensiveness of long-term services; (4) linkage and extension of existing resources; and (5) activeness of service provision. Study findings from the family caregivers' viewpoints should contribute to the improvement of long-term care services and provide a basis for designing suitable programmes to enhance community-dwelling in situ elderly people care.
Effects of reminiscing about nostalgic smells on the physiological and psychological responses of older people in long-term care facilities
- Authors:
- FU Sin Rou, LEE Mei Fen, OU Sheng Jung
- Journal article citation:
- Ageing and Society, 40(3), 2020, pp.501-511.
- Publisher:
- Cambridge University Press
This study adopted mixed-methods research to explore the effects of reminiscing about nostalgic smells on the physiological and psychological responses of older people in long-term care facilities. A total of 60 participants were randomly divided into two groups and each participant was either interviewed regarding their reminiscence about nostalgic smells (experimental group) or were engaged in daily conversation (control group). The results indicated that anxiety and depression symptoms were more effectively relieved in the experimental group than in the control group. Moreover, most of the nostalgic smells recalled by the experimental group were associated with naturally occurring smells. Regarding heart rate variability, the normalised low-frequency of the experimental group decreased significantly. The results verified the utility of using reminiscence about olfactory memories in reminiscence therapy as this can calm anxiety and lessen depression, which can be very important for older adults living in long-term care facilities. (Edited publisher abstract)
An evaluation study of a dementia screening program in Taiwan: an application of the theory of planned behaviors
- Authors:
- YANG Pei-Shan, TANG John Sai-Hung, CHEN Chun-Yu
- Journal article citation:
- Journal of Gerontological Social Work, 55(7), October 2012, pp.626-640.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A common global challenge facing dementia service providers is how to detect dementia early to facilitate timely intervention. This paper reports findings of an evaluation study of a dementia-screening programme in Taiwan using the Theory of Planned Behaviours. It first presents the Short Portable Mental Status Questionnaire (SPMSQ) programme rationale, and then examines the effects of this important health and social service intervention. Follow-up telephone interviews were completed by 108 respondents. Findings indicate that the SPMSQ programme was overall successful in identifying suspected dementia. Results also show that the dementia-screening programme contributed to an increase in medical service utilisation and in unpaid informal care. Implications for future research and practice are discussed.
Positive effects of art therapy on depression and self-esteem of older adults in nursing homes
- Authors:
- CHING-TENG Yao, YA-PING Yang, YU-CHIA Chen
- Journal article citation:
- Social Work in Health Care, 58(3), 2019, pp.324-338.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Depression and self‐esteem affects the health and quality of life of older adults who live in nursing homes. This study tested the effectiveness of art therapy activities on reducing the depression and improving the self-esteem of elderly living in long‐term care institutes. This was a quasi‐experimental study. A purposive sampling strategy was used to select 55 subjects who were aged 65 and above with intact mental functions and depression tendencies and currently residing in nursing homes in Kaohsiung, Taiwan. 29 subjects who participated in a selection of 12 artistic activities were assigned to the experimental group and 26 subjects who adhered to their ordinary activities were allocated to the control group. Structured questionnaires of the artistic group were used for data collection. The art therapy programmes showed promising effects in improving the depression and self‐esteem of older adults living in nursing homes. Art therapy activities benefit the mental health of older adults. Incorporating artistic activities into social work care may help develop long‐term care into a more diverse, unique, and innovative direction. (Publisher abstract)
Care workers in long-term care for older people: challenges of quantity and quality
- Author:
- CHEN Lisa Henglien
- Journal article citation:
- European Journal of Social Work, 17(3), 2014, pp.383-401.
- Publisher:
- Taylor and Francis
This article, drawing on a qualitative study in England, the Netherlands and Taiwan, explores how countries with very different care systems address the challenge of securing sufficient numbers of care workers with appropriate skills in ageing care. The analysis exposes the salient features of care systems, ageing-care markets and the ageing-care workforce in the three countries. To support the analysis, examples of how the countries attempt to recruit and retain ageing-care workers are provided. Key findings are that to secure an adequate number of skilled ageing-care workers, job satisfaction, coherence between care and labour policies and equal working conditions across sectors are vital. A quality ageing-care worker requires regular professional supervision and support, resources for ongoing training and career development opportunities. Most importantly, securing a sufficient number of ageing-care workers and ensuring they have appropriate skills are not isolated challenges but are interlinked and require collaboration between a range of care actors. (Publisher abstract)
Successful ageing amongst older people needing care: international comparisons seeking solutions
- Author:
- CHEN Henglien Lisa
- Journal article citation:
- Social and Public Policy Review, 3(1), 2009, Online only
- Publisher:
- University of Plymouth
- Place of publication:
- Plymouth
Quality of life is one of the main concerns in long-term care amongst ageing populations in many countries. This paper explores the way that long-term care of older people is organised between the East and West, and considers how three countries (England, the Netherlands and Taiwan) may learn from one another in their search for solutions. The research was designed to include the views and experiences of all the actors in the three examples of welfare systems concerning the demand and supply of care resources and the impact of policy upon the provision of social inclusion in long-term care services. Most service users in the research supported the view that improvement in social well-being would increase their quality of life.
Admission to nursing homes in Taiwan
- Authors:
- LIU Li-Fan, TINKER Anthea
- Journal article citation:
- Social Policy and Administration, 37(4), August 2003, pp.376-394.
- Publisher:
- Wiley
The population of Taiwan is facing a radical ageing process. A proportion of the growing number of people aged 65 and over is expected to need nursing home care. This research concerns the family context of decision-making in the process of admission to a nursing home in Taiwan. Employing survey data from interviews with elderly people in nursing homes (235 interviews) and their carers/key families (265 interviews), the factors affecting their views about admission were explored. Bivariate analysis and a logistic regression model were also used to examine perceptions of alternatives to nursing home care among family members with elderly relatives in nursing homes. Most elderly people in Taiwan are cared for in their own homes by their families but, in some circumstances, entry to a nursing home seemed inevitable. This research found that the decisions were taken mainly within a family context. The adult children of the elderly people, carers/key families' preferences and the availability of carers influenced the decision. Apart from the important need factors of elders, families' views about alternatives to nursing homes were significantly influenced by their preferences. This study has important implications for long-term care in Taiwan. It is hoped that this will be needs-led, both by elderly people and their families.
Factors associated with nursing home entry for older people in Taiwan Republic of China
- Authors:
- LIU Li-Fan, TINKER Anthea
- Journal article citation:
- Journal of Interprofessional Care, 15(3), August 2001, pp.245-255.
- Publisher:
- Taylor and Francis
Taiwan is facing a rapid change in the composition of its population. As the population ages, a greater demand for long-term care services and, in particular, nursing homes is expected. This research assess the relative importance of predisposing, enabling and need factors that lie behind admission to nursing homes. It is based on a survey of elderly people in registered nursing homes, a comparison with a national sample of elderly people in their own homes and interviews with the lucid elderly patients and their carers. It was found that nursing home entry was associated with advanced age, gender, educational level and dependency levels of elderly people. After controlling for age, need factors have the greatest impact on admission. Specific medical problems such as cardiovascular, neurological and skeletal muscular diseases were also major contributors. Decisions about nursing home entry were mainly taken within a family context with adult children the main players while professionals played a relatively minimal role.
The Taiwanese Association of Family Caregivers: transformation in the long-term care debate for carers
- Authors:
- WANG Frank T. Y., CHEN Chen-Fen
- Journal article citation:
- International Journal of Care and Caring, 1(1), 2017, pp.121-126.
- Publisher:
- Policy Press
Accepting political appointment from the government is a double-edged sword for an advocacy group, which could mean a chance to influence policies or conflicts with other advocacy groups. The Taiwanese Association of Family Caregivers (TAFC) went through such a process of transformation when it was appointed as a member of a formal committee set up by the Taiwanese government in 2009 in order to develop and implement a long term care insurance scheme. The process was named TAFC's awakening because the opportunity served as a catalyst for TAFC to confirm its identity as a representative of carers, speaking solely from the carer's perspective. (Publisher abstract)