Empirical Investigation on Gerontological Social Work

本研究以社区照护管理机构(N=154)为研究对象，于第一年对社区照护管理机构(N=154)的照护管理人员进行调查，评估其绩效水平及冲突因素，并对社区长期照护保险实施后发生重大变化的老年社会工作进行实证研究。结果发现，应用护理管理技能不足，恶劣的工作条件和职业倦怠感是影响有效实践的主要冲突因素。此外，对复杂个案的护理管理进行了具体的审查，并从社会工作的角度确定了必要的技能和挑战。第二年，对认证养老院(N=1000)的住宿社会工作者进行了邮寄调查。结果表明，老年福利机构的社会工作者从事各种工作，包括个人护理和管理…更多的行政管理，而老年人保健设施集中在入院和出院规划上。在此基础上，对2004年起正式提名注册院舍护理经理的两家机构的团队管理现状进行了梳理，并对护理管理绩效进行了评价和影响因素分析，最后将两组数据进行了合并，并对护理经理和居家社工进行了对比分析。研究发现，职业界定不明确和界限模糊是影响其有效实践的常见冲突因素，而社区机构护理管理者的职业倦怠感最为严重。此外，对这些机构的护理管理人员和社会工作人员进行了访谈，以定性地分析工作人员不断变化的性质和挑战。研究发现，专业人员地位低、工作边界模糊、资源稀缺和护理体系不完善是两名专业人员的主要冲突因素。较少

This study was conducted to empirically investigate gerontological social work which has been changing drastically since the implementation of the public long-term care insurance.In the first year of the study, care managers in the community care management agencies (N=154) were surveyed, and their performance levels as well as conflicting factors were evaluated. Resultantly, applied care management skills were found to be insufficient, and poor working conditions and feeling of burnout were major conflicting factors for effective practice. In addition, care management toward the complex cases were specifically examined, and necessary skills and challenges were identified from a social work perspective.In the second year, a mailing survey was conducted to residential social workers in the certified nursing homes for the elderly (N=1000). The results indicate that social workers in the welfare facilities for the elderly engage in a wide variety of tasks including personal care and admin … More istration, while those in the health care facilities for the elderly concentrate on intake and discharge planning. Furthermore, the current status of team approach was clarffied in both facilities where the certified residential care manager has been officially nominated since 2004, and care management performance was evaluated and its determinants were analyzed.In the last year, the two data sets were combined, and a comparative analysis was conducted between care managers and residential social workers. It is found that poor job definitions and vague boundaries are common conflicting factors for their effective and efficient practice, while feeling of burnout was the most serious among the care manager in the community agencies. Furthermore, interviews were conducted to care managers and social works in those institutions to qualitatively analyze the changing nature and challenges for workers. Low status of professionals, vague job boundaries, scarce resources and inadequate care system were found to be major conflicting factors for both professionals. Less