請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/100957完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 趙曉芳 | zh_TW |
| dc.contributor.advisor | Shiau-Fang Chao | en |
| dc.contributor.author | 賴大爲 | zh_TW |
| dc.contributor.author | Ta-Wei Lai | en |
| dc.date.accessioned | 2025-11-26T16:15:01Z | - |
| dc.date.available | 2025-11-27 | - |
| dc.date.copyright | 2025-11-26 | - |
| dc.date.issued | 2025 | - |
| dc.date.submitted | 2025-10-13 | - |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/100957 | - |
| dc.description.abstract | 臺灣在同志權益議題上已歷經數十年的倡議，然而同志在長期照顧領域上的議題討論仍相對邊緣。隨著身體功能退化及非正式照顧資源的缺乏，老年同志可能面臨對正式照顧服務的高度依賴，例如住宿式長照服務。為了使老年同志能在住宿式長照機構內以真實身份安享晚年，提升他們對機構的信任感是一項重要課題，而第一線機構長照人員在營造友善環境上更扮演著關鍵的角色。
本研究以衍生式計畫行為理論為基礎，旨在探討機構長照人員執行同志包容性（Inclusiveness）服務的行為意向及其影響因素，包含外部因素（住民支持、家屬支持、同事支持、督導/主管支持）以及內部因素（服務信念態度、能力、權力、阻力）。本研究目的包含：（1）了解機構長照人員在執行同志包容性服務上的意向型態；（2）了解外部因素與內部因素對機構長照人員執行同志包容性服務的影響；（3）了解機構長照人員在執行同志包容性服務上的實務經驗。本研究採用量化研究方法，以自填式網路問卷作為測量工具，研究對象為全臺灣老人福利機構內的本國籍社會工作人員、護理人員與照顧服務員，採便利取樣方式，共收集到137份有效問卷。 本研究發現機構長照人員執行同志包容性服務意向可分為三種型態：「和平倡議參與」、「反歧視介入行動」及「制度環境友善設計」。在多元線性迴歸模型中，內部因素「服務信念態度」在各型態意向上皆具顯著影響力，為最重要預測因子；「能力」對「和平倡議參與」及「制度環境友善設計」具顯著影響；「權力」在「反歧視介入行動」中扮演「服務信念態度」的調節角色。外部因素因模型加入內部因素變項後而不再顯著。此外，性別、參與多元性別課程或活動經驗、機構宗教背景及意識住宿式機構存在同志住民對執行意向亦有影響。實務上僅不到10%填答者有實際行動，多執行「和平倡議參與」型態的行動，且多數填答者回應「上級態度」為影響執行包容性服務的關鍵因素。研究建議應持續提升工作者服務信念與專業能力、針對管理層規劃專門工作坊、將「一視同仁」的觀念轉化為「以個案為中心處遇」，並反思同志住民隱沒的結構性問題，以促進長照機構環境更具同志包容性。 | zh_TW |
| dc.description.abstract | Taiwan has advocated for sexual minorities (SMs) for decades, but their long-term care needs often go unnoticed. As physical abilities decline and informal care options de-crease, elderly SMs may rely more on formal services like residential long-term care. Promoting inclusiveness is essential to foster genuine living and build trust. Frontline care staff play a key role in creating a welcoming environment.
This study, based on the Derived Theory of Planned Behavior (DTPB), investigates institutional long-term care staff's intentions to provide inclusive services for SMs and the influencing factors, including external support from residents, families, colleagues, and managers, and internal factors like beliefs, attitudes, competence, authority, and barriers. Its three goals are: (1) to identify staff intention patterns; (2) to analyze how external and internal factors affect intentions; and (3) to explore staff experiences and challenges. Us-ing a quantitative approach, data were collected via online questionnaires from 137 Tai-wanese social workers, nurses, and nurse aides in elderly welfare institutions, recruited through convenience sampling. The study found that staff in long-term institutional care aiming to provide SM-inclusive services can be categorized into three patterns: "peaceful advocacy participation," "anti-discrimination intervention actions," and "institutional environment-friendly design." In the multiple linear regression models, the internal factor "belief attitudes" significantly influenced all intention patterns and was the most important predictor. "Competence" sig-nificantly impacted "peaceful advocacy participation" and "institutional environment-friendly design." "Authority" played a moderating role for "belief attitudes" in "anti-discrimination intervention actions." External factors became non-significant after internal factor variables were included in the models. Additionally, gender, experience with gender diversity courses or activities, institutional religious background, and awareness of SMs in residential institutions also affected implementation intentions. In practice, fewer than 10% of respondents took actual action, mostly engaging in "peaceful advocacy participa-tion," and most identified "supervisor attitudes" as a key factor influencing the implemen-tation of inclusive services. The study recommends continuously strengthening workers' belief attitudes and professional competence, designing specialized training for managers, shifting the concept from "treating everyone equally" to "client-centered intervention," and addressing structural issues surrounding SMs' invisibility to foster more inclusive envi-ronments for SMs in long-term care facilities. | en |
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| dc.description.provenance | Made available in DSpace on 2025-11-26T16:15:01Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 謝辭……………………..……………………………………………………………. i
中文摘要………………..……………………………………………………………. ii 英文摘要………………..………………………………………...…………………. iii 目次….…………………..……………………………………………………………. v 表次／圖次……………..…………………………………………………………. vii 第一章 緒論…………………………………………………………………………. 1 第一節、研究背景……………………………………………………………... 1 第二節、研究動機……………………………………………………………... 5 第三節、研究重要性……………………………………………..…………..... 8 第四節、研究問題與目的………………………………………...………….. 10 第五節、名詞解釋………………………………………………...………….. 10 第二章 文獻回顧………………………………………………...………..……….. 12 第一節、中老年同志的長照需求…………………………………..………... 12 第二節、機構長照人員在多元性別教育與服務上之現況………………..... 25 第三節、執行同志包容性服務－以「衍生式計畫行為理論」探討行為..... 34 第三章 研究方法…………………………………………………………….…….. 39 第一節、研究設計與架構………………………………………………..…... 39 第二節、研究對象、數據收集與取樣方法…………………………..……... 40 第三節、測量工具……………………………………………………..……... 43 第四節、資料處理與分析………………………………………………...….. 48 第五節、信效度分析……………………………………………...………….. 51 第六節、研究倫理………………………………………………...………….. 56 第四章 研究結果…………………………………………………………….…….. 57 第一節、背景狀況描述…………………………………………………..…... 57 第二節、不同背景變項在行為意向上的差異…………………………..…... 60 第三節、多變項對行為意向之多元線性迴歸預測……………………..…... 62 第四節、態度與知覺行為控制對行為意向之交互作用分析…………..…... 68 第五節、執行同志包容性服務的經驗、困境與助力……..…....................... 73 第五章 結論…………………………………………………………….…….. 78 第一節、研究結果與討論………………………………………………..…... 78 第二節、實務工作建議——培訓課程規劃……………………………..…... 88 第三節、研究限制…………………………………………………..…... 93 第四節、未來研究建議…………………………………………………..…... 94 第五節、研究結語…………………………………………………..…... 96 參考文獻……………………………………………………………………………. 97 附錄1「執行同志包容性服務之行為意向」題組…………………….…..…….. 115 附錄2「機構成員對同志包容性服務的支持」題組……………………...…….. 116 附錄3「服務老年同志住民之信念態度」題組……………………....…..……... 117 附錄4「執行同志包容性服務之權能」題組………………………………...….. 118 附錄5背景狀況…………………………...…………………………………..…... 119 附錄6知情同意書/問卷前導語…………..…….………………………….……... 120 附錄7不同背景變項在態度、主觀規範與知覺行為控制上的差異.………….. 121 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 老年同志 | - |
| dc.subject | 住宿式長照機構 | - |
| dc.subject | 同志包容性服務 | - |
| dc.subject | 長照服務人員 | - |
| dc.subject | 衍生式計畫行為理論 | - |
| dc.subject | Elderly sexual minorities | - |
| dc.subject | Residential long-term care institutions | - |
| dc.subject | Sexual minority inclusive services | - |
| dc.subject | Long-term care workers | - |
| dc.subject | Derived Theory of Planned Behavior | - |
| dc.title | 映照彩虹背後的「耆」望：探析住宿式機構長照人員對同志包容性服務之意向 | zh_TW |
| dc.title | Exploring Long-term Care Workers' Intentions Toward Sexual Minority Inclusive Services in Residential Institutions | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-1 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 王雅青;王潔媛 | zh_TW |
| dc.contributor.oralexamcommittee | Ya-Ching Wang;Chieh-Yuan Wang | en |
| dc.subject.keyword | 老年同志,住宿式長照機構同志包容性服務長照服務人員衍生式計畫行為理論 | zh_TW |
| dc.subject.keyword | Elderly sexual minorities,Residential long-term care institutionsSexual minority inclusive servicesLong-term care workersDerived Theory of Planned Behavior | en |
| dc.relation.page | 121 | - |
| dc.identifier.doi | 10.6342/NTU202504564 | - |
| dc.rights.note | 同意授權(全球公開) | - |
| dc.date.accepted | 2025-10-13 | - |
| dc.contributor.author-college | 社會科學院 | - |
| dc.contributor.author-dept | 社會工作學系 | - |
| dc.date.embargo-lift | 2025-11-27 | - |
| 顯示於系所單位： | 社會工作學系 | |
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| ntu-114-1.pdf | 2.85 MB | Adobe PDF | 檢視/開啟 |
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