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Empirical Investigation on Gerontological Social Work

老年社会工作的实证调查

基本信息

批准号：
15530368
负责人：
WAKE Junko
金额：
$ 2.11万
依托单位：
Tokyo Metropolitan University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

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

本研究旨在实证调查公共长期护理保险实施以来发生的巨大变化的老年社会工作。在研究的第一年，对社区护理管理机构的护理管理者（N=154）进行了调查，评估了他们的绩效水平以及冲突因素。结果发现，应用护理管理技能不足，工作条件差和倦怠感是有效实践的主要冲突因素。此外，还专门研究了对复杂病例的护理管理，并从社会工作的角度确定了必要的技能和挑战。第二年，对经过认证的老人院的住宿社工进行了邮寄调查（N=1000）。结果表明，老年人福利机构的社会工作者从事个人护理和行政管理等多种任务，而老年人医疗机构的社会工作者则专注于入院和出院计划。此外，澄清了自2004年起正式提名认证住宿护理经理的两个机构中团队方法的现状，评估了护理管理绩效并分析了其决定因素。去年，合并了两个数据集，并对护理经理和住宿社会工作者进行了比较分析。研究发现，工作定义不明确和界限模糊是影响其有效和高效实践的常见冲突因素，而社区机构护理经理的倦怠感最为严重。此外，我们还对这些机构的护理管理人员和社会工作人员进行了访谈，以定性分析工作人员不断变化的性质和挑战。专业人员地位低下、工作界限模糊、资源稀缺和护理系统不完善是这两种专业人员的主要冲突因素。较少的