Testing the Effectiveness of the Restorative Care in Taiwan

Wednesday, 1 August 2012

Su-Hsien Chang, PhD, RN, MSN
Department of Eldercare, National Tainan Institute of Nursing, Tainan City, Taiwan
Ching-Len Yu, PhD
Department of Environmental Engineering, Kun San University, Tainan City, Taiwan

Learning Objective 1: To understand what restorative care is.

Learning Objective 2: To undertsnad how to apply restorative care activties for elders living in long-term care facilities.

The purpose was to examine the effectiveness of the restorative care for staff caregivers in long-term care facilities in Taiwan. This study used an experimental, two groups, and longitudinal research design. Before intervention proceed, staff caregivers in the experimental group received training on issues of restorative care and self-care and exercise self-efficacy enhancement program (SCESEEP) activities, and than, were monitored and reinforced about intervention implementation once per month for half a year. In the comparison group, staff caregivers received training on issues of restorative care only. However, data was collected four times: baseline, 2 months, 4 months and 6 months post-intervention, and by observations, self-reported questionnaires, and face-to-face interviews. SPSS 16.0 for Windows was used to analyze the data. An alpha of 0.05 was set as the level of significance. In this study, 129 subject were recruited (n = 44 in the experimental group, n = 85 in the comparison group). Comparing the baseline information difference between two groups, results found that no statistical significant in economic status, marital status, reasons for working in long-term care facilities, age, self-care knowledge, job attitude, outcome expectation for restorative care (p > 0.05), but have statistical significant difference in educational level and self-efficacy for restorative care (p < 0.05). Results showed that, in the experimental group, staff caregivers have no statistical changed in self-efficacy and outcome expectation for restorative care, job attitude, and self-care knowledge (p > 0.05). In the comparison group, staff caregivers have statistical significant changed in self-efficacy and outcome expectation for restorative care, and self-care knowledge (p < 0.05), but no changed in job attitudes (p > 0.05). In conclusion, staff caregivers in long-term care facilities can apply this model to maintain or improve their self-efficacy and outcome expectation for restorative care, job attitude, and self-care knowledge.