Purpose This study examined differences in perceptions of the importance and performance of care helper duties between home-visit care helpers and informal caregivers, providing data to improve service quality in home-based care.
Method This study employed a cross-sectional comparative descriptive design. A total of 128 participants (64 home-visit care helpers and 64 informal caregivers) completed a structured questionnaire assessing the perceived importance and performance of care duties across six domains. Data were analyzed using SPSS version 28.0. In addition, open-ended questions were included to identify reasons for gaps between perceived importance and performance, and the responses were analyzed through descriptive content analysis.
Results Significant differences were found between the two groups. Caregivers perceived "special care assistance" as more important (t=-5.01, p<.001), whereas care helpers reported higher performance in "physical care assistance" (t=0.85, p=.041). Among the reasons identified exclusively by care helpers was “role confusion arising at the boundary of professional care.” In contrast, reasons identified only by informal caregivers included “insufficient care due to indifference” and “limited performance capacity due to lack of training.” Reasons commonly identified by both groups were “lack of balance between caregiving and household tasks” and “burden of care, an unbearable reality”
Conclusion Discrepancies in perceived importance and performance between care helpers and caregivers highlight the need for clearer role definitions and targeted training. A dual-track system in care helper roles and the standardization of tasks may enhance service consistency and strengthen trust between home-visit care helpers and informal caregivers.
Purpose To examine school nurses' perception of job performance difficulties, stress, identity, and satisfaction, and to identify the factors that affect job satisfaction. Methods: Data were collected through online survey questionnaires distributed to 189 regular school nurses working in Metropolitan I. The self-report questionnaire consisted of three instruments and demographic questions. The data were collected from June 29 to July 31, 2020, and analyzed using frequency, percentage, mean and standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression statistical techniques. Results: Perception of job performance difficulties showed a significant positive correlation with job stress (r=.20. p=.007), job identity (r=-.55, p<.001) and job satisfaction (r=-.39, p<.001), and each showed a negative correlation. Job stress showed a negative correlation with job satisfaction (r=-.65, p<.001), and job satisfaction and job identity showed a positive correlation (r=.53, p<.001). Job stress (β=-.58, p<.001), job identity (β=.43, p<.001), school-level elementary school (β=.19, p<.001), and middle school (β=.13, p=.011) were found to have a significant effect on job satisfaction. Conclusion: As job stress, job identity, and school level are important factors influencing job satisfaction, interventions are needed to lower the job stress of school nurses and strengthen their job identity. In addition, since the job satisfaction of school nurses can have a great impact on the health and happiness of students as well as the quality of life of future generations, it is necessary to improve policies and systems to increase the job satisfaction of school nurses.
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