Creating a Nursing Care Administration Model for Geriatric Hospitals

这是一项为期四年的连续研究，其目的是确定日本老年医院的护理特点，并在此基础上创建护理管理模式。在第四个年头，我们采访了护理管理人员，进行了焦点小组访谈。作为提供长期护理的老年医院，我们重点研究了有长期护理床位的医院、特别批准的医院(以老年护理为重点的医院)和精神病院。自推出以照顾老人为重点的医院、大量长期医疗护理床位和护理保险以来，老年医院的护理质素一直在改善，此外，团队治疗的概念亦主要在“护理”方面积极推行。很明显，这项改革是由护理管理者领导的。因此，我们在研究老年医院护理管理模式时，重点研究了这些改革过程。这些管理模式的要素可分为以下五类：理念(管理、医学、护理、护理)需求(社会需求、社区需求、患者和家庭需求)策略、人际关系/关怀能量。我们考察了每个要素的特点，分析了要素之间的关系，提出了护理管理的旋转/发展模式形式。

This is a four-year continuous study whose purpose is to ascertain nursing care characteristics of geriatric hospitals in Japan, and create a nursing care administration model based upon these findings. On this fourth year, a focus group interview was held with the nursing administrators who we interviewed. It was followed by the conclusion of research findings.As geriatric hospitals providing long-term care, we focused and studied hospitals with beds for long-term medical care, specially-approved hospitals (hospitals focusing on care for the elderly) and mental hospitals. The quality of care received at geriatric hospitals have been improving since the introduction of hospitals focusing on care for the elderly, a large number of beds for long-term medical care and care insurance.Furthermore, the concept of team treatment has been actively practiced mainly in the area of "care". It has become apparent that this reform had been led by nursing care administrators. Therefore, we focused on these reform process when studying nursing care administration models for geriatric hospitals.Elements of such administrative models were found to fall into the following five categories :Philosophy (management, medicine, nursing, care) Needs (social needs, needs by community, patients and family) Strategy Human relations/Caring EnergyWe examined the characteristics of each element, analyzed relationships among elements and presented the "Rotational/Developmental Model" form of nursing care administration.