我国养老机构护工培训模式的类型

养老机构护工素质是制约我国养老业发展的一个极其重要的因素。而护工培训体系的不完善则又制约了护工素质的提高。本文基于中部地区养老机构护工培训工作的调查,把目前我国护工培训体系划分为四个模式类型,它们分别是政府培训模式、市场培训模式、社会培训模式和混合培训模式,这些模式分别适应于不同的外部环境。     

中老年妇女：破解养老机构“护工荒”难题

当前,机构养老作为诸多养老方式中的一种,越来越显示出它的重要性。但目前几乎所有的养老机构都面临一个＂缺少护工＂的问题,很多地方甚至成了制约敬老院发展的瓶颈,民营养老机构显得尤为突出。聘用中老年妇女担当护工,不但是可行的,而且是十分重要的,不失为解决养老机构＂招收青工难＂的一个正解。     

养老护理员的素质现状及培养对策研究

居家养老模式是传统家庭养老模式与机构养老模式相结合的产物,对养老护理员提出了较高的素质要求。但当前养老护理员在法制意识、文化程度、专业技能和工作态度等方面的素质现状仍然滞后于养老事业的发展。影响养老护理员素质的主要因素包括工作薪酬、职业前景、职业培训和考核评价体系等方面。提高养老护理员素质的对策：一是政府加大对居家养老事业的各项扶持力度;二是社区完善养老护理员的管理和监督机制;三是社会开展道德教育和文体活动;四是个人加强培训力度,改善工作态度。     

我国养老服务事业发展评估研究

进入改革开放以来,我国政府相继出台了一系列养老服务政策,正在各个领域贯彻实施。但是,其推进的效果如何?本文就养老服务政策法规体系、养老服务机构体系、养老服务模式进行了评估。     

对我国机构养老模式发展问题的思考

当银发老人越来越多地出现在我们的视野中,如何让他们安度晚年的养老问题就渐渐浮出水面。计划生育政策实施以来,伴随的是家庭结构的悄然变化,四二一式的家庭养老模式越来越难以承担起整个家庭的养老重任。多种形式的社会化养老模式纷纷应运而生,其中机构养老以其自身独特的规模优势发挥着相应作用。然而由于种种局限性制约,其发展一直比较缓慢。本文通过对我国养老机构发展状况进行纵向分析,发掘出了几点制约性因素,进而提出了几方面建议和对策。     

对我国机构养老模式发展问题的思考

当银发老人越来越多地出现在我们的视野中,如何让他们安度晚年的养老问题就渐渐浮出水面。计划生育政策实施以来,伴随的是家庭结构的悄然变化,四二一式的家庭养老模式越来越难以承担起整个家庭的养老重任。多种形式的社会化养老模式纷纷应运而生,其中机构养老以其自身独特的规模优势发挥着相应作用。然而由于种种局限性制约,其发展一直比较缓慢。本文通过对我国养老机构发展状况进行纵向分析,发掘出了几点制约性因素,进而提出了几方面建议和对策。     

南昌市推进养老服务社会化

近几年来,江西省南昌市积极探索“政府主导、政策扶持、社会参与、市场运作”的养老服务运行机制,开展养老服务社会化试点工作,健全保障体系、构建服务网络、创新服务模式,初步形成了以居家养老为基础,社区服务为依托,机构养老为补充的社会化养老服务新格局。在市级,充分发挥公办养老服务机构的引导示范作用,并对县、区养老服务人员进行培训。     

浙江嘉兴市:依托“六有” 提升养老服务人才综合素质

正一是有规划。2013年,嘉兴市民政局会同市人力社保部门、市总工会制定出台《嘉兴市社会养老服务人才队伍素质提升工程三年实施计划》,明确"十二五"期间的全市培训任务,明确各地培训计划和培训率。嘉善县、海宁市、桐乡市也根据实际,配套出台了相关工作计划。二是有机构。截至目前,全市共有省、市、县三级养老护理员培训基地8个,其中省级1个,市级2个。目前市本级将规模最大的社会培训机构"管佳劳务职业技能培训     

图片报道

近日,辽宁鞍山市养老机构院长培训暨推进养老服务社会化工作会议在福兴老年公寓召开。其主要任务：一是贯彻落实省民政厅“关于进一步加强养老机构管理工作的若干意见”文件精神,对全市福利机构的院长进行培训,加强全市养老机构的规范化管理,提高服务水平；二是推进养老服务社会化深入开展,全面启动居家养老工作。     

我国社区居家养老的现状、问题与对策探析

我国已步入老龄化社会,目前全国的养老方式主要有家庭养老、机构养老、社区居家养老三种方式。社区居家养老是介于家庭照顾和社会机构照顾之间的一种运用社区资源开展的老人照顾方式,能有效弥补家庭养老和机构养老的不足。文章主要从社区居家养老的内容、各种养老模式的特点与社区居家养老的优势与不足等几个方面对国内的社区居家养老模式进行分析、总结,并提出基于社区的养老网络构建的政策建议。     

Admission to Nursing Homes in Taiwan

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.     

State Variations in Nursing Home Social Worker Qualifications

ABSTRACT

This is the first published account of state administrative code variations in nursing home social worker qualifications. It is important to review state codes because the majority of nursing homes in the U.S. have fewer than 121 beds and therefore are not required by the federal government to employ at least one full-time qualified social worker. States have the option of extending the federal regulations to homes with 120 or fewer beds, or strengthening the federal requirements in other ways. Findings indicate enormous variation in state requirements for qualifications of nursing home social workers, and even when states define a qualified nursing home social worker (not all do), they often exempt facilities from employing one. Seven states were found to be out of federal compliance. Research describing the qualifications of people employed in nursing home social services is called for, as well as research documenting effective psychosocial interventions, especially as they relate to resident quality of life. Ten recommendations for enhancing nursing home social work services are included.     

Sexuality in the Nursing Home

Abstract

Despite a growing body of literature that contradicts previous stereotypes, negative myths about late life sexuality have persisted. These attitudes had been more entrenched in nursing homes where residents' sexuality have been perceived primarily as behavioral. At one nursing home, a policy and video training program on sexual expression was developed, with staff training, environmental modifications, and work with families, based on sexual expression as a right of consenting adults. This policy can serve nursing homes which face challenges presented by new cohorts of older adults and their families.     

Responding to the 2015 CMS Proposed Rule Changes for LTC Facilities: A Call to Redouble Efforts to Prepare Students and Practitioners for Nursing Homes

In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care.     

Mental Health Problems and Behavioral Disruptions in Nursing Homes:

This paper describes a study that examines knowledge of mental health problems and management of behavioral disruptions by social workers in nursing homes. Since a significant number of nursing home patients have mental health problems (estimates range from 50 to 80 percent) which present behavioral disruptions, this knowledge is critical. Results indicate that social workers are not prepared to provide needed services because they do not have adequate knowledge about the management of behavioral disruptions or the identification of mental health problems of nursing home patients. Recommendations are that social workers employed in nursing homes should have gerontological training and that national policy changes are needed to develop guidelines for qualifications of nursing home social workers. Nursing homes are not meeting the needs of older adults with mental health problems when social workers do not have the knowledge needed to provide nursing home services.     

Nursing Home Social Services Directors and Elder Abuse Staff Training

In a nationally representative study of 1,071 nursing home social services directors 80% of social services departments provided resident rights training and 60–70% were involved in abuse training. Departments headed by recent grads and in chain nursing homes or in the northeast were more likely to be involved in training. Seventy-two percent of social services directors were able to provide one-on-one training about reporting suspected abuse; education and licensure were related to ability to train.     

Nursing home social services directors and elder abuse staff training

In a nationally representative study of 1,071 nursing home social services directors 80% of social services departments provided resident rights training and 60-70% were involved in abuse training. Departments headed by recent grads and in chain nursing homes or in the northeast were more likely to be involved in training. Seventy-two percent of social services directors were able to provide one-on-one training about reporting suspected abuse; education and licensure were related to ability to train.     

Nursing Homes in England and their Capacity to Provide Rehabilitation and Intermediate Care Services

The numbers of older people living in residential and nursing home care in the UK have risen exponentially since the early 1980s when the closure of long–stay geriatric wards and changes in social security funding of care home places led to a rapid expansion of the care home industry. While the implementation of the 1990 National Health Service (NHS) and Community Care Act shifted the responsibility for the commissioning and funding of these services to local authority social services departments, the provision of most health services (such as general practitioner care, physiotherapy and specialist nursing services) to nursing home residents remains the responsibility of community–based NHS practitioners. Recently, the attention of policy–makers in the UK has been focused on the need to improve the throughput of the acute sector. Older people who have received treatment but are not yet able to return to their own homes are to be transferred into intermediate care facilities, often by using nursing home beds, with the aim of supporting short–term rehabilitation outside of the acute sector. This paper presents evidence from a study of health service provision to older people living in nursing homes in England. It examines whether nursing homes have the capacity to fulfil the rehabilitation and intermediate care function envisaged by policy–makers. It concludes that shortfalls in the provision of NHS services to nursing homes and difficulties faced by nursing homes in paying for health services themselves may hinder the rehabilitation potential of intermediate care placements in nursing homes.     

A PROBLEM SOLVING MODEL FOR IN-SERVICE TRAINING

With the increasing use of nursing homes to care for the frail elderly and the recruitment of poorly trained staff, in-service training has become a crucial need. This article presents a problem solving model for in-service training that the social worker can use to increase the effectiveness of staff in dealing with nursing home residents and their families.