RESUMO
OBJECTIVE: To compare the differences between the work competencies self-reported by nurse aides' and those perceived by nurses. METHOD: A cross-sectional survey was employed. The settings were units implemented a skill mix model institution in Taiwan. The instruments consisted of the participants' demographic data and a nurse aide work competence scale. RESULTS: The results indicated that the nurse aides had room for improvement in terms of "problem solving" and "activity design". The nurse aides and nurses differed significantly in terms of the nurse aides' competence in "activity design", as the nurse aides reported themselves to be more competent in "activity design" than reported by the nurses. CONCLUSION: Nurse aides should be incorporated into cross-disciplinary teams. Activity design should be handled by other healthcare providers such as physical therapists or senior social workers.
RESUMO
The dramatic increase in the elderly population in Taiwan has made dysphagia an increasingly prevalent problem in long-term care. While tube feeding is mandatory for patients unable to take food orally, this approach increases recurrent aspiration pneumonia and malnutrition risks. Percutaneous endoscopic gastrostomy (PEG) is currently the most effective and prevalent approach to enteral nutrition. This article introduces the definition, indications, contraindications, complications, advantages and disadvantages of PEG and its clinical nursing care protocols. The author hopes that this narrative description of a nurse's experience providing appropriate nursing care to a PEG patient will help enhance reader understanding of PEG care.
