Learning Objective 1: Factor analysis of the processes used by nursing home staff in developing relationships with abused children.
Learning Objective 2: To create a question sheet based on concrete examples of the framework concepts that were apparent in the qualitative studyD
Methods: In total, 305 staff members of nursing homes were selected randomly from 23 facilities as the subjects. The survey was conducted from November 2010 to January 2011, and a self-recording questionnaire method was used. The question sheets were sent to these facilities and returned. Question items included basic attributes, our question sheet (41 items on a 5-grade scale) created from the framework concepts of the previous study, an empathy scale, and the Parental Bonding Instrument (PBI). Informed consent was obtained on a voluntary basis after a written explanation was provided to the subjects.
Results: Nine factors were extracted from the analysis. These included “Receptive involvement of children”, “A feeling of difficulty in dealing with children”, “Staff attitude to work”, “understanding children”, “Advice from other staff”,“ Interpreting children’s feelings”, and“ Desire to live a normal life”. Furthermore, we observed a correlation between the empathy scale and PBI.
Conclusion: Moreover, it was apparent that the 7 items noted above were conceptually consistent with the results of the health study within the qualitative research. The framework concepts of the processes used by staff members of health institutions in developing relationships with abused children were revealed. In future, we will conduct surveys on the development of staff relationships and use these to aid staff with relationship difficulties.