Research on the professinal education for the home health nurses

在本研究中，我们研究了以下主题：(1)我们查阅了过去20年来我们为家庭健康护士举办的研讨会和培训项目的内容；(2)向过去5年参加我们教育项目的家庭健康护士发出了问卷，询问他们在家庭护理环境中最经常学习的护理技能以及他们想要什么样的教育项目；(3)我们还收集了国外关于家庭健康护理及其交付系统的信息。我们的主要发现是：1)最近在日本，越来越多的人从医疗机构转移到家庭护理环境中，他们更多地或完全由某些类型的医疗设备帮助或需要持续的医疗和监督。2)日本的家庭健康护理起源于几个照顾不严重疾病的老年人的计划，因此家庭健康护士一般没有为需要密集家庭护理的人提供高质量的护理准备。3)日本的大多数家庭健康护士在医院职责中培养了他们的护理技能，这不足以满足家庭健康环境中独特的护理需求。基于这些发现，我们为负责集中家庭护理的家庭健康护士制定了一些新的教育计划，并正在努力实施和评估这些计划。在预设研究的过程中，我们出版了两本书，应该是同性恋护士的标准文本。

In the present research, we have studied these subjects : (1) we have look into the contents of the seminars and trainig programs we gave in the past 20 years for the homehealth nurses, (2) and then questionnaire was sent to those homehealth nurses who participated our educational programs in the past 5 years, which asked what kind of nursing skills they performed most frequentry in the homecare setting and what kind of educational programms they wanted, (3) and we also collected information on homehealth nursing and its delivery systems overseas.Our chief findings are : 1) recently in Japan, more and more people are shifting fromthe medical facilities into the homecare settings who are rather or totally aided by some kinds of medical equipments or who need constant medical treatment and supervision, 2)homehealth nursing in Japan has its origin in the several programs for taking care of the elderly that is not severely ill, so that homehealth nurses in general are not well prepared for delivering quality nursing care for those who need intensive homecare, 3) most of the homehealth nurses in Japan have fostered their nusing skills throughout their hospital duties, which could not be enough for meeting the unique nursing care needs seen in the homehealth setting.Based on these findings, we have developed some new educational programs for the homehealth nurses who are in charge of such people requiring intensive homecare, and are trying to implement and evaluate them.In the course of the preseten research, we have published two books which should be standard texts for the homohealth nuses.