研究動機:本研究是藉由住宿式長期照護機構第一線工作人員面對 Covid 19 疫情的個人經驗分享其在疫情期間，提供照顧服務經驗中所遭遇到的事件，了解其面對這些情境時是如何調適。希望此研究能夠得出有用的結論，對住宿式長期照護機構的照護品質和防疫工作有所改進和提升。本研究目的: (1)藉由住宿式長期照護機構第一線工作人員的個人經驗分享其在疫情中提供照顧服務的經驗及過程中所遇到的事件；(2)了解其個人在面對這些情境時是如何調適及應付。(3)了解工作人員本身對於傳染病及其防治的知識及技能為何?。研究方法:本研究採質性研究半結構式深入訪談目前服務於中部數家住宿式長期照護機構的 10 位護理人員及照顧服務員。研究結果:研究分析結果共歸類出 5 個主題(1)知識不足產生障礙(2)陌生、未知與害怕(3)危機應變與標準作業流程(4)溝通變得疏遠(5)用心付出互相體諒。結論:透過質性研究，探討住宿式長期照護機構第一線工作人員面對疫情之心理變化，第一線工作人員對新型傳染病知識的不足，導致感到陌生、未知而產生害怕，於防疫經驗中獲得有效的防疫措施，機構須隨時應變標準作業流程的改變，機構住民因禁止探視而使溝通變得疏遠，而第一線工作人員須對確診住民付出耐心與愛心照護，與住民互相體諒互相扶持度過疫情。 Background: This study aims to explore the personal experiences of frontline staff in long-term care facilities dealing with the Covid-19 pandemic. It seeks to understand the challenges they encountered while providing care during this crisis and how they adapted to these situations. The goal is to derive valuable insights that can contribute to improving the quality of care and the effectiveness of infection prevention measures in long-term care facilities.Objectives: 1.To explore the personal experiences of frontline staff in long-term care facilities, particularly focusing on their experiences and encountered events while providing care during the Covid-19 pandemic. 2. To understand how these individuals adapt and cope when facing such situations.3.To assess the knowledge and skills of the staff regarding infectious diseases and their prevention and control.Research Method: This study adopts a qualitative research approach using semi-structured in-depth interviews. The participants include 10 nursing staff and nurse assistants currently working in several long-term care facilities in the central region, Taiwan.Research Results: The study categorized five main themes: 1.Insufficient knowledge as a barrier 2.Unfamiliarity, uncertainty, and fear 3.Crisis management and standard operating procedures 4.Communication strains 5.With sincerity efforts and mutual understandingConclusion: Through qualitative research, this study explored the psychological changes faced by frontline staff in long-term care facilities during the pandemic. It revealed that these frontline workers lacked sufficient knowledge about novel infectious diseases, leading to feelings of unfamiliarity, uncertainty, and fear. However, they gained effective infection prevention measures through their experiences. The facilities needed to adapt their standard operating procedures continually. Communication became distant due to the restriction of visitation with residents. Nevertheless, the frontline staff demonstrated patience and compassionate care towards confirmed residents. They also displayed mutual understanding and support, helping residents cope with the challenges brought about by the pandemic.
